Your life insurance coverage will continue for up to 12 months in a nonpay status. You do not have to pay any premiums unless you are receiving benefits from the Department of Labor, Office of Workers' Compensation Programs.

The life insurance coverage terminates at the end of the 12 months; you will have a 31-day extension of coverage and the option to convert to an individual policy.

1. When your insurance terminates (at the end of 12 or 24 months in a nonpay status) you will receive an SF 2819, Notice of Conversion Privilege and an SF 2821, Agency Certification of Life Insurance Status terminating your enrollment. To apply for conversion to an individual policy:
   • Complete Part C – Eligibility Statement.
   • Attach the SF 2821 to the SF 2819 and mail the forms to the Office of Federal Employees’ Group Life Insurance (OFEGLI) within 31 days from the date coverage terminated (or the date you receive the SF 2819, which ever is later) to:

     Office of Federal Employees' Group Life Insurance
     P.O. Box 1866
     Long Island City, NY 11101-9885

2. OFEGLI will mail you detailed information about how to apply for conversion, as well as, a list of eligible insurance companies that offer conversion policies.
3. Your conversion policy is effective at the end of your 31-day extension of ceverage. If this is retroactive, you must pay premiums back to that date.

• OPM Insurance Web Site
• OPM FEGLI Handbook