MetLife

MetLife, Inc. is a leading global provider of insurance, annuities and employee benefit programs. Through its subsidiaries and affiliates, MetLife holds leading market positions in the United States, Japan, Latin America, Asia, Europe, the Middle East and Africa.

 Provider Finder DHMO

 Provider Finder DPPO

Form Name Effective Date Download Form
New Group Submission
Specialty Business Submission Checklist
01/01/2020 Download
Application for Group Insurance - All Lines of Coverage
01/01/2020 Download
Application for Group Dental Benefits - DHMO Dental
01/01/2020 Download
Specialty Business New Group Submission Form
01/01/2020 Download
HIPAA Request Form
01/01/2020 Download
Statement of Responsibility
01/01/2020 Download
MetLink Customer Authorization Form
01/01/2020 Download
Form Name Effective Date Download Form
Enrollment and Change Forms
Metlife employee enrollment forms are generated on a group specific basis. Contact your RBG Team for assistance in obtaining enrollment material.
Evidence of Insurability Form
01/01/2020 Download
Beneficiary Designation Form
01/01/2020 Download
Claim Forms
Claim Form - Dental
01/01/2020 Download
Claim Form - Vision
01/01/2020 Download
Claim Form - Life
01/01/2020 Download
Claim Form - STD
04/01/2020 Download
Claim Form - LTD Employee Statement
01/01/2020 Download
Claim Form - LTD Employer Statement
01/01/2020 Download
Attending Physician Statement - LTD/STD Claims
01/01/2020 Download
Form Name Effective Date Download Form
Dental PPO, Vision, Life, LTD & STD plan summaries are generated on a group specific basis. Contact your RBG Team with questions.
Dental HMO Benefit Summaries
MET50
01/01/2020 Summary
MET85
01/01/2020 Summary
MET100
01/01/2020 Summary
MET150A
01/01/2020 Summary
MET185
01/01/2020 Summary
MET185A
01/01/2020 Summary
MET225
01/01/2020 Summary
MET245
01/01/2020 Summary
MET290
01/01/2020 Summary
MET335
02/01/2020 Summary
Form Name Effective Date Download Form
General Information
Broker Standard Commission Agreement
01/01/2020 Download
Broker Non-Standard Commission Agreement
01/01/2020 Download
HIPAA Information - Sample Form & Language
01/01/2020 Download
Intermediary and Producer Compensation Notice
03/01/2020 Download
EAP Employer Reference Guide - Standard Option
01/01/2020 Download
EAP Employer Reference Guide - Enhanced Option
01/01/2020 Download
EAP Employer Reference Guide - Premier Option
01/01/2020 Download
MetLink Online Service
01/01/2020 Download
Dental
Find a Provider DHMO
01/01/2020 Download
Find a Provider DPPO
01/01/2020 Download
Mobile App Brochure
01/01/2020 Download
MyBenefits Brochure
01/01/2020 Download
MyBenefits Registration
01/01/2020 Download
Pre-treatment Estimate Brochure
01/01/2020 Download
Vision
Eyeconic Employee Flyer
01/01/2020 Download
Featured Frame Brands Flyer
01/01/2020 Download
Find a Provider Flyer
01/01/2020 Download
Mobile App Flyer
01/01/2020 Download
MyBenefits Employee Flyer
01/01/2020 Download
Vision FAQ Employee Flyer
01/01/2020 Download
Vision Network Flyer
01/01/2020 Download
Form Name Effective Date Download Form
Group Ask4Met Contact Sheet
Download
Metlife Broker Contact Sheet
Download