MetLife Statement of Health Instructions - 2023
This document provides essential instructions for completing the Statement of Health form and Authorization form. It is specifically for employees and proposed insured individuals in need of group insurance coverage. Follow the step-by-step guidance for proper submission to ensure timely processing.
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How do I fill this out?
To fill out this form, start by carefully reading the instructions to ensure you understand all requirements. Make sure to enter all necessary information accurately to avoid any delays in processing. Lastly, be sure to review your completed form before submission to ensure everything is in order.

How to fill out the MetLife Statement of Health Instructions - 2023?
1
Read the instructions thoroughly.
2
Fill in all personal and group customer information requested.
3
Provide accurate health details as required.
4
Sign the necessary authorization forms.
5
Submit the completed forms to MetLife.
Who needs the MetLife Statement of Health Instructions - 2023?
1
Employees seeking group insurance coverage.
2
Spouses or domestic partners of employees applying for insurance.
3
Children of employees who require health insurance.
4
Individuals responsible for submitting health information for proposed insured.
5
Recordkeepers or HR personnel assisting with the insurance application process.
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Select the text fields you want to modify and enter your information.
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Review all changes to ensure accuracy.
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Save any changes that have been made to the document.
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Download the edited PDF ready for submission.

What are the instructions for submitting this form?
To submit this form, complete it as directed and ensure all fields are filled out accurately. You can email the original forms to SOHSubmissions@metlife.com or fax to 1-859-225-7909. Alternatively, mail completed forms to Metropolitan Life Insurance Company, Statement of Health Unit, P.O. Box 14069, Lexington, KY 40512-4069.
What are the important dates for this form in 2024 and 2025?
Important dates regarding this form and submissions will typically fall within open enrollment periods. Ensure submissions are made ahead of deadlines to guarantee coverage. Always check annually for updates or changes to requirements.

What is the purpose of this form?
The purpose of this form is to gather health information from employees and their family members applying for group insurance coverage. It ensures that all relevant health details are collected to evaluate eligibility for insurance benefits. Completing this form accurately is crucial for securing timely approval and coverage.

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

- 1. Group Customer Information: Fields for group customer name, address, and identification number.
- 2. Employee Information: Fields capturing the employee's personal details, including name and Social Security number.
- 3. Proposed Insured Information: Fields where information about the proposed insured, including relationship to employee and health details, is required.
- 4. Health Information: Questions regarding the proposed insured's health status and medical history.
- 5. Personal Physician Information: Section requesting details about the proposed insured's personal physician.
- 6. Prescription Information: Space to disclose any current medications and prescribing physicians.
- 7. Additional Details: A section to provide further details regarding health questions that were answered yes.
What happens if I fail to submit this form?
Failing to submit this form can result in delays in obtaining necessary insurance coverage. It's essential to provide complete and accurate information to process the application effectively.
- Delays in Approval: Incomplete or inaccurate forms can lead to significant delays in insurance application approval.
- Ineligibility for Coverage: Failure to provide required information may result in the inability to secure coverage.
- Notifications for Incomplete Forms: You will receive notifications asking for clarifications or completion of your form.
How do I know when to use this form?

- 1. New Enrollment: Use this form to enroll for coverage if you are new to the organization.
- 2. Adding Dependents: Required when adding a spouse or child to your existing policy.
- 3. Re-Enrollment after Life Events: Use this form if you experience a qualifying life event such as marriage or the birth of a child.
- 4. Coverage Updates: To update any health information if you’ve previously submitted.
- 5. Annual Review: Use during annual enrollment periods to maintain current coverage status.
Frequently Asked Questions
What is the Statement of Health form?
This form is a necessary document required for individuals applying for MetLife group insurance.
How do I start filling out the form?
Begin by reading the instructions and gather all necessary personal information.
Can I edit the PDF after downloading?
Yes, you can edit the PDF as needed before submitting it.
What should I do if I have more information to provide?
You can attach additional sheets if required to provide complete information.
What happens if I don’t fill it out completely?
Incomplete forms will be returned to you for completion, delaying your application.
Is it necessary to sign the Authorization form?
Yes, signing the Authorization form is required for the submission to be valid.
Can I submit the forms electronically?
Yes, completed forms can be emailed, faxed, or mailed to the specified address.
What if I have questions while filling it out?
You can contact MetLife at their helpline or email for assistance.
Is there a time limit on the submission?
It is recommended to submit the forms promptly to avoid delays in processing.
What should I do if I encounter issues with the PDF?
Reach out to our support team for assistance with any technical issues.
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