Get Change Form Group Customer Information To Be Completed By

This guide provides step-by-step instructions for completing the CHANGE FORM GROUP CUSTOMER INFORMATION to ensure that you fill it out accurately and efficiently. Follow these steps to successfully submit your form online.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form and open it in your editor of choice.
2. In the first section, provide the name of the group customer or employer followed by the group customer number, report number, sub code, and branch information.
3. Move to the enrollment information section. Enter the employee's name (first, middle, last) along with their date of birth in MM/DD/YYYY format.
4. Input the policy number and select the gender of the employee by checking either 'Male' or 'Female'.
5. Complete the address section by entering the street, city, state, and zip code. Indicate whether the employee resides in the United States by selecting 'Yes' or 'No'.
6. Provide the phone number and email address for contact purposes.
7. If applicable, indicate if this insurance replaces existing cash value life insurance by selecting 'Yes' or 'No'.
8. If the change in enrollment is due to a qualifying event, enter the date of the event in MM/DD/YYYY format.
9. Read the acknowledgment statement carefully and check the box to confirm your understanding of the enrollment materials and contributions required.
10. For dependent coverage, fill in the names and dates of birth for the spouse/domestic partner and children as applicable. Use additional lines if needed.
11. Answer the smoking status question for both the employee and, if applicable, the spouse/domestic partner.
12. Indicate if you wish to change your death benefit option and provide the necessary details.
13. After reviewing all information for accuracy, sign and date the form where indicated. Ensure all necessary signatories have signed as required.
14. Make a copy for your records and return the completed original to MetLife at the specified address. After submission, you may choose to save changes, download, or print the form.

Complete your CHANGE FORM GROUP CUSTOMER INFORMATION online today to ensure your coverage is accurate and up to date.