Get Soh-xdp100m-nw

The SOH-XDP100M-NW form is essential for individuals seeking to request group insurance coverage. This guide will walk you through the steps necessary to complete this form online with ease.

Follow the steps to seamlessly complete your SOH-XDP100M-NW form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the Group Customer Information and Insurance Information sections as required. Ensure all details related to the group customer and the insurance coverage amounts are accurate.
3. As the Employee, fill in your name and Social Security number on the Statement of Health form. Ensure this information is clearly marked.
4. Provide the form to the Proposed Insured, who may be yourself, your partner, or your child, depending on the insurance they are applying for.
5. The Proposed Insured should complete their section, which includes providing their name, date of birth, and contact information. They should also indicate their relationship to the Employee.
6. Next, fill out the Health Information section meticulously, providing truthful answers to all questions. If any answers are 'yes', be prepared to provide further details in Section 2.
7. After filling out the Personal Physician and Prescription Information, ensure to detail any 'yes' responses from Health Information in Section 2. Attach additional sheets if necessary.
8. Review the Declarations and Signatures section carefully. Each Proposed Insured must sign and date the form. If a child under 18 is involved, a personal representative must also sign.
9. Finally, make copies of the completed forms for your records, and then fax, mail, or email the original forms to the appropriate MetLife address provided on the form.

Complete your SOH-XDP100M-NW form online now to secure your group insurance coverage.