Traumatic Servicemembers’ Group Life Insurance (TSGLI)
What Is TSGLI?
Traumatic Servicemembers’ Group Life Insurance (TSGLI) is a traumatic injury protection rider under Servicemembers’ Group Life Insurance (SGLI) that provides for payment to any member of the uniformed services covered by SGLI who sustains a traumatic injury that results in certain severe losses.
How Much Does TSGLI Cost?
The premium for TSGLI is a flat rate of $1 per month for most service members. For example, members who carry the maximum SGLI coverage of $400,000 a month at a cost of $26 per month began paying $27 a month beginning December 1, 2005.
Duty Status Premium (rates for various categories of SGLI coverage)
Active duty members $1.00 per month
Reservists w/full time coverage $1.00 per month
Reservists w/part time coverage $1.00 per year
Funeral honors & 1 day muster duty No charge
Note: These rates are determined by VA and are subject to change based on claims experience
TSGLI Points of Contact List by Branch of Service 
ArmyPhone: (800) 237-1336
Phone: (800) 237-1336Email: tsgli@hoffman.army.mil
Web site: http://www.insurance.va.gov/sgliSite/popups/www.hrc.army.mil/site/crsc/tsgli
Submit Claims via fax: (866) 275-0684
Submit Claims via email: tsgli@hoffman.army.mil
Submit Claims via postal mail:
U.S. Army Physical Disability Agency
Attn: TSGLI
200 Stovall Street, Suite 8N63
Alexandra, VA 22332-0470
NavyPhone: (800) 368-3202
Phone: (800) 368-3202Email: MILL_TSGLI@navy.mil (MILL_TSGLI@navy.mil)
Web site: www.npc.navy.mil/commandsupport/casualtyassistance/fsgli/tsgli.htm
Submit Claims via fax: (901) 874-2265
Submit Claims via email: MILL_TSGLI@navy.mil (MILL_TSGLI@navy.mil)
Submit Claims via postal mail:
Navy Personnel Command Attn: PERS-62
5720 Integrity Drive
Millington, TN 38055-6200
Air Force
(Active Duty) Phone: (210)-565-3505
Phone: (210)-565-3505Email: afpc.casualty@randolph.af.mil
Web site: http://www.afpc.randolph.af.mil/casualty
Submit Claims via fax: (210) 565-2348
Submit Claims via email:
afpc.casualty@randolph.af.mil
Submit Claims via postal mail:
AFPC/DPFCS
550 C Street West, Suite 14 Randolph AFB, TX 78150-4716
Air Reserves Phone: (800) 525-0102 Ext 227
Phone: (800) 525-0102 Ext 227 Submit Claims via fax: (303) 676-6255
Submit Claims via email: ramon.roldan@arpc.denver.af.mil
Submit Claims via postal mail:
HQ, ARPC/DPPE
6760 E Irvington Place, #4000
Denver, CO 80280-4000
Air National Guard Phone: (703) 607-1239
Phone: (703) 607-1239 Submit Claims via fax: (703) 607-0033
Submit Claims via email: andrew.bair@ngb.ang.af.mil
Submit Claims via postal mail:
NCOIC, Customer Operations
Air National Guard Bureau
1411 Jefferson Davis Hwy
Suite 10718
Arlington, VA 22202
USMCPhone: (877) 216-0825 or (703) 432-9277
Phone: (877) 216-0825 or (703) 432-9277Email: t-sgli@usmc.mil
Web site: www.manpower.usmc.mil/tsgli
Submit Claims via fax: (888) 858-2315
Submit Claims via email: t-sgli@usmc.mil
Submit Claims via postal mail:
HQ, Marine Corps
Attn: MI-TSGLI
3280 Russell Road
Quantico, VA 22134
Coast GuardPhone: (202) 267-1648
Phone: (202) 267-1648 Email: mailto:twalsh@comdt.uscg.mil
Web site: www.uscg.mil/hq/g-w/g-wp/g-wpm/g-wpm-2/sgli.htm
Submit Claims via fax: (202) 267-4823
Submit Claims via email:
twalsh@comdt.uscg.mil
Submit Claims via postal mail:
Commandant, US Coast Guard
Attn: CG-12222
100 2ND St, NW
Washington, DC 20593-0001
Public Health Service Phone: (301) 594-2963
Submit Claims via fax: (301) 594-2973 or (800) 733-1303
Submit Claims via email: %20CompensationBranch@psc.hhs.gov
Submit Claims via postal mail:
PHS Compensation Branch
Parklawn Building
5600 Fishers Lane, Rm 4-50
Rockville, MD 20857
NOAAPhone: (301) 713-3453
Phone: (301) 713-3453Email: gregory.raymond@noaa.gov
Submit Claims via fax: (301) 713-4140
Submit Claims via email:
gregory.raymond@noaa.gov
Submit Claims via postal mail:
Silver Spring Metro Plaza
Director, Commissioned Personnel Center
8403 Colesville Rd, 5th Floor
Silver Spring MD 20910
Updated May, 19, 2006
Reviewed/Updated Date: July 27, 2006
How Does A Member Make A Claim For TSGLI?
In order to make a claim for the TSGLI benefit, the member (or someone acting on his or her behalf) should:
Download the TSGLI Certification Form GL.2005.261 at www.insurance.va.gov. You can also obtain this form from your service department point of contact or from the Office of Servicemembers’ Group Life Insurance by toll-free phone at 1-800-419-1473 or by email at osgli.claims@prudential.com.
Contact your service department point of contact to begin the certification process.
The certification form has three parts:
Part A is to be completed by the service member or, if incapacitated, by the member's guardian, or the member's attorney-in-fact.
Part B is to be completed by the attending medical professional.
Part C is to be completed by the Branch of Service prior to submission of the claim form to OSGLI.
FORWARD
TSGLI Schedule of Payments for Traumatic Losses
If the loss is-- Then the amount that will be paid is--
Then the amount that will be paid is--1 Total and permanent loss of sight in both eyes.$100,000
Total and permanent loss of sight in both eyes.$100,000 2 Total and permanent loss of hearing in both ears.$100,000
Total and permanent loss of hearing in both ears.$100,000 3 Loss of both hands at or above wrist. $100,000
Loss of both hands at or above wrist. $100,000 4 Loss of both feet at or above ankle. $100,000
Loss of both feet at or above ankle. $100,000 5 Quadriplegia.$100,000
Quadriplegia.$100,000 6 Hemiplegia.$100,000
Hemiplegia.$100,000 7 Paraplegia.$100,000
Paraplegia.$100,000 8 3rd degree or worse burns, covering 30% of the body or 30% of the face.$100,000
3rd degree or worse burns, covering 30% of the body or 30% of the face.$100,000 9 Loss of one hand at or above wrist and one foot at or above ankle.$100,000
Loss of one hand at or above wrist and one foot at or above ankle.$100,000 10 Loss of one hand at or above wrist and total and permanent loss of sight in one eye.
Loss of one hand at or above wrist and total and permanent loss of sight in one eye.$100,000
11 Loss of one foot at or above ankle and total and permanent loss of sight in one eye.$100,000
Loss of one foot at or above ankle and total and permanent loss of sight in one eye.$100,000 12 Total and permanent loss of speech and total and permanent loss of hearing in one ear$75,000
Total and permanent loss of speech and total and permanent loss of hearing in one ear$75,000 13 Loss of one hand at or above wrist and total and permanent loss of speech.$100,000
Loss of one hand at or above wrist and total and permanent loss of speech.$100,000 14 Loss of one hand at or above wrist and total and permanent loss of hearing in one ear.$75,000
Loss of one hand at or above wrist and total and permanent loss of hearing in one ear.$75,000 15 Loss of one hand at or above wrist and loss of thumb and index finger of other hand.$100,000
Loss of one hand at or above wrist and loss of thumb and index finger of other hand.$100,000 16 Loss of one foot at or above ankle and total and permanent loss of speech.$100,000
Loss of one foot at or above ankle and total and permanent loss of speech.$100,000 17 Loss of one foot at or above ankle and total and permanent loss of hearing in one ear.$75,000
Loss of one foot at or above ankle and total and permanent loss of hearing in one ear.$75,000 18 Loss of one foot at or above ankle and loss of thumb and index finger of same hand.$100,000
Loss of one foot at or above ankle and loss of thumb and index finger of same hand.$100,000 19 Total and permanent loss of sight in one eye and total and permanent loss of speech.$100,000
Total and permanent loss of sight in one eye and total and permanent loss of speech.$100,000 20 Total and permanent loss of sight in one eye and total and permanent loss of hearing in one ear.$75,000
Total and permanent loss of sight in one eye and total and permanent loss of hearing in one ear.$75,000 21 Total and permanent loss of sight in one eye and loss of thumb and index finger of same hand.$100,000
Total and permanent loss of sight in one eye and loss of thumb and index finger of same hand.$100,000 22 Total and permanent loss of thumb of both hands, regardless of the loss of any other digits. $100,000
Total and permanent loss of thumb of both hands, regardless of the loss of any other digits. $100,000 23 Total and permanent loss of speech and loss of thumb and index finger of same hand.$100,000
Total and permanent loss of speech and loss of thumb and index finger of same hand.$100,000 24 Total and permanent loss of hearing in one ear and loss of thumb and index finger of same hand.$75,000
Total and permanent loss of hearing in one ear and loss of thumb and index finger of same hand.$75,000 25 Loss of one hand at or above wrist and coma.$50,000 for loss of hand
Loss of one hand at or above wrist and coma.$50,000 for loss of hand26 Loss of one foot at or above ankle and coma.$50,000 for loss of foot
Loss of one foot at or above ankle and coma.$50,000 for loss of foot 27 Total and permanent loss of speech and coma.$50,000 for total and permanent loss of speech plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Total and permanent loss of speech and coma.$50,000 for total and permanent loss of speech plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000. 28 Total and permanent loss of sight in one eye and coma.$50,000 for total and permanent loss of sight in one eye plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Total and permanent loss of sight in one eye and coma.$50,000 for total and permanent loss of sight in one eye plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000. 29 Total and permanent loss of hearing in one ear and coma.$25,000 for total and permanent loss of hearing in one ear plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Total and permanent loss of hearing in one ear and coma.$25,000 for total and permanent loss of hearing in one ear plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000. 30 Loss of thumb and index finger of same hand and coma.$50,000 for loss of thumb and index finger of the same hand plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Loss of thumb and index finger of same hand and coma.$50,000 for loss of thumb and index finger of the same hand plus the amount paid for coma as noted in Item 37 of this schedule up to a combined maximum of $100,000. 31 Total and permanent loss of sight in one eye and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of sight in one eye plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Total and permanent loss of sight in one eye and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of sight in one eye plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000. 32 Loss of one hand at or above wrist and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of hand plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Loss of one hand at or above wrist and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of hand plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000. 33 Loss of one foot at or above ankle and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of foot plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Loss of one foot at or above ankle and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of foot plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000. 34 Loss of thumb and index finger of same hand and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of thumb and index finger plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Loss of thumb and index finger of same hand and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for loss of thumb and index finger plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000. 35 Total and permanent loss of hearing in one ear and inability to carry out activities of daily living due to traumatic brain injury. $25,000 for total and permanent loss of hearing in one ear plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000.
Total and permanent loss of hearing in one ear and inability to carry out activities of daily living due to traumatic brain injury. $25,000 for total and permanent loss of hearing in one ear plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37 of this schedule up to a combined maximum of $100,000. 36 Total and permanent loss of speech and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for total and permanent loss of speech plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37of this schedule up to a combined maximum of $100,000.
Total and permanent loss of speech and inability to carry out activities of daily living due to traumatic brain injury. $50,000 for total and permanent loss of speech plus the amount paid for the inability to carry out activities of daily living due to traumatic brain injury as noted in Item 37of this schedule up to a combined maximum of $100,000. 37 Coma from traumatic injury and/or the inability to carry out activities of daily living due to traumatic brain injury.
Coma from traumatic injury and/or the inability to carry out activities of daily living due to traumatic brain injury. Note 1: Benefits will not be paid under this schedule for concurrent conditions of coma and traumatic brain injury.
Note 2: Duration of coma includes the day of onset of the coma and the day when the member recovers from coma.
Note 3: Duration of the inability to carry out activities of daily living due to traumatic brain injury includes the day of the onset of the inability to carry out activities of daily living and the day the member once again can carry out activities of daily living.
At 15th consecutive day in a coma, and/or the inability to carry out activities of daily living - $25,000
At 30th consecutive day in a coma, and/or the inability to carry out activities of daily living - Additional $25,000
At 60th consecutive day in a coma, and/or the inability to carry out activities of daily living - Additional $25,000
At 90th consecutive day in a coma, and/or the inability to carry out activities of daily living - Additional $25,000
(Benefits can be paid for both conditions only if experienced consecutively, not concurrently.)
38 Total and permanent loss of speech. $50,000
Total and permanent loss of speech. $50,000 39 Loss of one hand at or above wrist.$50,000
Loss of one hand at or above wrist.$50,000 40 Loss of one foot at or above ankle.$50,000
Loss of one foot at or above ankle.$50,000 41 Total and permanent loss of sight in one eye.$50,000
Total and permanent loss of sight in one eye.$50,000 42 Loss of thumb and index finger of same hand. $50,000
Loss of thumb and index finger of same hand. $50,000 43 Total and permanent loss of hearing in one ear.$25,000
Total and permanent loss of hearing in one ear.$25,000 44 The inability to carry out activities of daily living due to loss directly resulting from a traumatic injury other than an injury to the brain.
The inability to carry out activities of daily living due to loss directly resulting from a traumatic injury other than an injury to the brain. Note: Duration of the inability to carry out activities of daily living includes the day of onset of the inability to carry out activities of daily living and the day when the member can once again carry out activities of daily living. At 30th consecutive day of the inability to carry out activities of daily living – $25,000
At 30th consecutive day of the inability to carry out activities of daily living – $25,000 At 60th consecutive day of the inability to carry out of activities of daily living – Additional $25,000
At 90th consecutive day of the inability to carry out activities of daily living – Additional $25,000
At 120th consecutive day of the inability to carry out activities of daily living – Additional $25,000
