Servicemembers' Group Life Insurance - Spouse Coverage Election and Certificate Form (SGLV 8286A)

Family Servicemembers' Group Life Insurance (FSGLI) provides insurance coverage to spouses of Servicemember’s Group Life Insurance (SGLI) insured individuals. SGLI and all associated insurance programs are VA benefits. The SGLV 8286A form is used by Service Members and their spouses when the Service Member is unable to access their Servicemembers Group Life Insurance Online Enrollment System (SOES) account to electronically elect, increase, decrease or decline coverage. If the member is increasing or electing coverage on their spouse after prior declination or reduction and the spouse has health issues, the member’s uniformed service reviews the request and sends to the primary insurer for the SGLI program, The Prudential Insurance Company of America (Prudential), through its’ Office of Servicemembers’ Group Life Insurance (OSGLI), to underwrite and make a decision on coverage. This form ensures members, and their spouses can continue to use the form to manage their FSGLI spousal benefits.

The latest form for Servicemembers' Group Life Insurance - Spouse Coverage Election and Certificate Form (SGLV 8286A) expires 2027-01-31 and can be found here.