Survivor Benefit Plan Automatic Coverage Instructions
This file provides crucial information about the Survivor Benefit Plan (SBP) and how to manage your coverage. It outlines details regarding eligibility, dependents, and the importance of accurate reporting. Utilize this information to ensure your retired pay account is correctly established and maintained.
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How do I fill this out?
To fill out this form, you need to provide your personal details and marital status. It's essential to list any dependent children you have and their information. Follow the instructions carefully to ensure your retired pay account reflects the correct SBP coverage.

How to fill out the Survivor Benefit Plan Automatic Coverage Instructions?
1
Provide your name, Social Security Number, and date of birth.
2
Indicate your marital status and provide your spouse's details if applicable.
3
List all dependent children under the specified age and provide their information.
4
Sign the form and include the witness's signature and date.
5
Submit the completed form to the Defense Finance and Accounting Service.
Who needs the Survivor Benefit Plan Automatic Coverage Instructions?
1
Retirees who wish to enroll in the Survivor Benefit Plan.
2
Spouses of military retirees who need to confirm their coverage.
3
Dependents who require clarification on their eligibility.
4
Financial advisors assisting clients with retirement plans.
5
Legal representatives handling estate planning for military families.
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What are the instructions for submitting this form?
To submit this form, complete it in full and ensure all information is accurate. You can send the completed form to the Defense Finance and Accounting Service at 8899 E. 56th Street, Indianapolis, IN 46249-1200. Alternatively, check if there are online submission options available, and keep a copy for your records for future reference.
What are the important dates for this form in 2024 and 2025?
For the year 2024, ensure to submit your SBP forms by the end of February to avoid coverage lapses. In 2025, continue to review your coverage annually during the benefits open enrollment. Stay informed about any legislative changes that may affect your SBP.

What is the purpose of this form?
The purpose of this form is to gather essential information regarding your marital and dependency status for the Survivor Benefit Plan. Accurate information ensures the correct establishment of your retired pay account and associated benefits. Correct reporting is crucial for ensuring that you and your family receive the entitled benefits under the plan.

Tell me about this form and its components and fields line-by-line.

- 1. Member's Name: The full name of the retiree.
- 2. Social Security Number: Unique identifier for the retiree.
- 3. Date of Birth: The retiree's date of birth.
- 4. Marital Status: Indicates whether the retiree is married.
- 5. Spouse's Information: Details regarding the spouse, if applicable.
- 6. Dependent Children: Information about any children dependent on the retiree.
- 7. Signatures: Space for retiree and witness signatures.
What happens if I fail to submit this form?
Failing to submit this form may lead to incorrect deductions from your retired pay, affecting your SBP coverage. Additionally, delays in processing your survivor benefit eligibility could occur. This may impact the financial security of your survivors.
- Incorrect Coverage: Without proper submission, your SBP may reflect inaccuracies.
- Deductions Issues: Insufficient information can lead to erroneous deductions.
- Delay in Benefits: Submission failures can result in delayed survivor benefits.
How do I know when to use this form?

- 1. At Retirement: Complete the form to set up SBP coverage during retirement.
- 2. Change in Marital Status: Submit if there are changes in your marital status.
- 3. New Dependents: Use the form to add new eligible dependents.
- 4. Annual Review: Consider using it during your annual benefits review.
- 5. Legal Changes: Submit the form if there are changes in legal status affecting your SBP.
Frequently Asked Questions
What is the purpose of this file?
This file outlines the instructions and requirements for enrolling in the Survivor Benefit Plan.
How do I fill out the form?
Complete the personal information, marital status, and dependent sections, then sign and submit.
Can I edit the PDF?
Yes, you can easily edit the PDF using PrintFriendly's tools.
How do I submit this form?
Submit the completed form to the specified address or designated service.
What if I have no dependents?
If you have no dependents, indicate that on the form and submit it.
Is there a deadline for submitting this form?
Check with your retirement office for any specific deadlines.
What should I do if I make a mistake on the form?
You can edit the document on PrintFriendly to correct any mistakes before submission.
Do I need a witness to sign the form?
Yes, a witness signature is required for validation.
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You can share the PDF through email or social media directly from PrintFriendly.
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