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Why Was My FEGLI Claim Denied?

Why Was My FEGLI Claim Denied?

Federal Employees’ Group Life Insurance claims are most often denied because of beneficiary designation problems, coverage election issues, or administrative errors in federal employment records. Unlike private life insurance, FEGLI is governed entirely by federal law, and benefits are paid strictly according to statutory and regulatory rules.

A denial does not automatically mean the benefits are lost. Many denied FEGLI claims are resolved once records are reviewed and errors are corrected.

How FEGLI Claims Are Evaluated

FEGLI claims are administered under federal regulations, not state insurance law. Insurers reviewing FEGLI claims rely heavily on official federal employment records, coverage election forms, and beneficiary designations on file at the time of death.

Family expectations, wills, divorce decrees, or verbal promises generally do not control FEGLI payments.

Beneficiary Designation Issues

The most common reason for FEGLI claim denial involves beneficiary designations.

Denials frequently arise when:

• A beneficiary designation form is missing or outdated
• A former spouse remains listed as beneficiary
• Multiple people claim entitlement to the benefit
• A new designation was completed but not properly processed

Federal law generally enforces the most recent valid designation on file, but administrative processing errors can make denials challengeable.

Outdated or Missing Forms

Many FEGLI denials are based on claims that required forms were never submitted or were improperly handled.

Examples include:

• Beneficiary forms lost or misfiled by the agency
• Incomplete or incorrectly processed election forms
• Coverage elections not reflected in employment records

These cases often turn on whether the federal agency fulfilled its administrative duties.

Coverage After Retirement or Separation

Some FEGLI claims are denied based on allegations that coverage ended after retirement or separation from service.

These denials may involve:

• Failure to properly elect continuation of coverage
• Missed or misunderstood conversion deadlines
• Errors in retirement or benefits paperwork

Coverage disputes frequently stem from agency mistakes rather than beneficiary error.

Premium and Election Disputes

Insurers may also deny FEGLI claims by asserting that optional coverage was never properly elected or that premiums were not paid.

These issues often involve discrepancies between payroll records, benefits elections, and OFEGLI records.

Does a Denial Mean the FEGLI Claim Is Over?

No. Many FEGLI denials reflect unresolved documentation or administrative problems rather than a final determination. Once records are reviewed and corrected, benefits may be paid.

Federal courts can enforce payment when denials are not supported by the record.

What to Do After a FEGLI Claim Is Denied

If your FEGLI claim has been denied:

• Obtain the written denial explanation and claims file
• Request copies of all beneficiary designation forms
• Gather federal employment and retirement records
• Preserve all correspondence and agency documents
• Avoid responding or appealing without understanding federal rules

FEGLI disputes often hinge on precise documentation and regulatory compliance.

Related Guidance

For a detailed overview of how federal employee life insurance denials are handled, see our Denied FEGLI Claim page, and our Denied FEGLI Claim Fact Sheet.

If a Federal Employees’ Group Life Insurance claim has been denied, it may still be possible to recover the full benefit through proper review and action.

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Written & Reviewed by Christian Lassen, Esq., Nationally recognized life insurance lawyer: 25 years experience, hundreds of millions recovered.  Quoted in The Wall Street Journal ( May 17, 2025).

Last reviewed: Jan 3, 2026 | Contact 800-330-2274

Our FAQ

Have questions? We are here to help. Still have questions or can't find the answer you need? Give us a call at 800-330-2274 today!

  • A grace period is the time after a missed payment during which the policy remains in force, usually 30 to 60 days depending on state law and policy terms.

  • No. In most states, insurers must send a written notice of overdue premiums and warn of pending lapse before terminating coverage.

  • The policy may still be enforceable. Beneficiaries can challenge the lapse based on the insurer’s failure to provide required notice.

  • Yes. If the insured dies during the grace period, the policy is still considered active, and benefits should be paid.

  • Yes. In group life insurance policies, employers sometimes fail to forward premiums properly, leading to wrongful lapse denials.

  • Yes. If automatic payment setups fail through no fault of the insured, lapses may be challenged.

  • Some policies automatically borrow against cash value to cover missed payments. Failure to apply this correctly can lead to wrongful lapse claims.

  • Possibly. Some courts excuse nonpayment if the insured was mentally incapacitated and missed premiums without proper notice.

  • No. Reinstatement must occur while the insured is alive, but wrongful lapse denials can still be challenged posthumously.

  • Not without following strict notice and grace period rules. Beneficiaries can often challenge technical denials.

  • Deadlines vary by state, but it’s critical to act within 1 to 5 years depending on the policy and jurisdiction.

  • Not necessarily. Payments mailed within grace periods or accepted by insurers may keep coverage active.

  • Bank records, payment receipts, insurer correspondence, and premium notices are key evidence.

  • If the insurer used an outdated address despite updated information, lapse denials can often be overturned.

  • Possibly. If the insured submitted a reinstatement application before death, it may help challenge a lapse denial.

  • In some states, special grace periods and protections applied during COVID-19 emergencies. They can help fight wrongful lapses.

  • Only if the insurer followed all legal notice and grace period requirements. Otherwise, beneficiaries may still recover.

  • Misapplied premiums can lead to wrongful lapses — and courts often hold insurers accountable for these errors.

  • An attorney can obtain records, challenge improper lapses, negotiate settlements, and litigate if necessary to enforce payment.

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    With over two decades of exclusive focus on life insurance litigation, we’ve helped thousands of families recover wrongfully denied benefits. Our reputation for fast, strategic resolutions has made us a trusted national resource for complex claim disputes.

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We handle denied and delayed claims, beneficiary disputes, ERISA denials, interpleader lawsuits, and policy lapse cases.

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