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OPM.gov / Insurance / Life Insurance / Reference Materials
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Agency Certification of Status of Reemployed Annuitants

Agency Certification of Status of Reemployed Annuitants

Agencies complete this form for any reemployed annuitant who is entitled to elect or continue life insurance as an employee.

Electronic Copies:

OPM 1482

Paper Copies:

Agencies:

This form is available ONLY through downloading from our website.

Paper copies of this form are NOT available from OPM.

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