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Group Term Life Insurance Beneficiary Designation This form MUST be signed before you return it. See SECTION III Signature on page 3. Return a copy of the Power of Attorney with this beneficiary form. The Power of Attorney paperwork is subject to review by MetLife. I hereby revoke any previous designations and I designate the person people or entity named in Section III as Beneficiary ies. I reserve the right to change or revoke this designatio.

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