Full Name
*
Phone
*
Email
*
What Government Agency do you work for?
*
What is your current pay rank?
*
GS1–GS5
GS6–GS10
GS11+
How many units of FEGLI "Option B" coverage do you currently have?
*
1
2
3
4
5
Not sure
How many years until you plan to retire?
*
1–5
6–10
11+
Not sure