Edit, Download, and Sign the Metropolitan Life Insurance Statement of Health Form
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How do I fill this out?
Filling out this form requires careful attention to detail. Begin by ensuring that all employer and personal information is accurately provided. Follow the instructions for each section closely to avoid delays in processing.

How to fill out the Metropolitan Life Insurance Statement of Health Form?
1
Read the instructions carefully before starting.
2
Complete personal and employer information sections fully.
3
Answer all medical questions honestly.
4
Sign and date the form where required.
5
Submit the completed form following the provided submission instructions.
Who needs the Metropolitan Life Insurance Statement of Health Form?
1
New employees applying for group life insurance.
2
Employees requesting an increase in their coverage amount.
3
Individuals with a change in health status needing to report updates.
4
Dependents or beneficiaries seeking coverage adjustments.
5
Anyone needing evidence of insurability for insurance underwriting.
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How do I edit the Metropolitan Life Insurance Statement of Health Form online?
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1
Open the PDF in PrintFriendly's editor.
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Select the field you wish to edit and enter your information.
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Save your changes to the document.
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What are the instructions for submitting this form?
To submit the completed Statement of Health form, FAX it to 1-859-225-7909 or mail it to Metropolitan Life Insurance Company, Statement of Health Unit, P.O. Box 14069, Lexington, KY 40512-4069. Ensure you have made a copy for your records before submission. For any inquiries, please call 1-800-638-6420, Prompt 1 (Statement of Health Unit) or email eoi@metlife.com.
What are the important dates for this form in 2024 and 2025?
Important dates for the submission of this form typically align with enrollment periods each year. Check with your employer for specific deadlines relevant to your health coverage applications. Ensure timely submission to avoid delays in coverage.

What is the purpose of this form?
The purpose of this form is to gather necessary health information for individuals applying for life insurance through Metropolitan Life Insurance Company. Accurate completion of this form helps in assessing insurability and determining appropriate coverage levels. This process ensures that all applicants are evaluated fairly and consistently according to their health status.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Name: Full name of the employee applying for insurance.
- 2. Social Security Number: Unique identification number required for processing.
- 3. Health Questions: A series of health-related questions that must be answered honestly.
- 4. Signatures: Sections for the employee's signature and date.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in insurance processing and loss of coverage eligibility. Additionally, important health changes may not be reported, potentially impacting future claims.
- Processing Delays: Incomplete forms can lead to significant delays in processing insurance requests.
- Loss of Coverage: Failure to submit the form may result in loss of insurance coverage.
- Inaccurate Health Information: Not submitting or incomplete submissions may misrepresent health status.
How do I know when to use this form?

- 1. New Coverage Application: Complete the form for initial life insurance enrollment through your employer.
- 2. Coverage Modification: Use this form to report changes in health when applying for increased coverage.
- 3. Health Status Update: Fill out the form if there are significant changes in your medical history.
Frequently Asked Questions
What information is required on this form?
The form requires personal information, medical history, and employment details.
Can I edit this form online?
Yes, you can edit the form directly using our PDF editor.
How do I submit the completed form?
Completed forms can be submitted via FAX or mail to the designated MetLife address.
What if I make a mistake while filling out the form?
You can edit the form in PrintFriendly before finalizing it.
Is this form necessary for all insurance requests?
Yes, this form is essential for many insurance applications.
How will I know if my form is accepted?
You will receive confirmation from MetLife after your form is reviewed.
What should I do if I have questions while filling it out?
You can contact MetLife customer support for assistance.
Can I save my form after editing?
Yes, you can download your edited form after completing it.
What is the deadline for submitting this form?
Check with your HR department for specific deadlines.
Where can I find additional resources for filling out the form?
Visit MetLife's official website for further guidance.