PNB MetLife Cover Continuance Request Form
This form allows policyholders of PNB MetLife to request cover continuance during premium discontinuation. It outlines the necessary information required to process the request. Completing this form correctly ensures that your insurance coverage remains active.
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How do I fill this out?
To fill out this form, start by providing your policy details in the designated fields. Ensure that your contact information is accurate to facilitate communication. Finally, read the terms and conditions carefully before signing.

How to fill out the PNB MetLife Cover Continuance Request Form?
1
Enter your policy number and your personal details.
2
Ensure the contact number and email ID fields are filled accurately.
3
Provide your current mailing address.
4
Review the terms for cover continuance and acknowledgment.
5
Sign the form and submit it accordingly.
Who needs the PNB MetLife Cover Continuance Request Form?
1
Policyholders experiencing premium discontinuation need to request cover continuance.
2
Individuals undergoing financial hardship may require an extension of their coverage.
3
Beneficiaries wanting to maintain policy benefits during a gap in premium payments.
4
Family members of policyholders needing to ensure protection during transition periods.
5
Clients planning to avoid policy lapses for long-term financial security.
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What are the instructions for submitting this form?
To submit the Cover Continuance Request Form, you may fax it to +91-80-4150 6969 or email it to indiaservice@pnbmetlife.co.in. Ensure that all required fields are completed before submission. For physical submissions, send the completed form to the registered office at Brigade Seshamahal, 5, Vani Vilas Road, Basavanagudi, Bangalore - 560 004.
What are the important dates for this form in 2024 and 2025?
Important dates for the PNB MetLife Cover Continuance Request Form include the annual review deadline for policyholders in 2024 and 2025. Be aware of your policy renewal dates to avoid lapses. Always check the company’s website for updates on submission deadlines.

What is the purpose of this form?
The purpose of this form is to allow policyholders of PNB MetLife to request cover continuance during periods of premium discontinuation. This process is crucial for maintaining ongoing insurance coverage and ensuring that policyholders are protected against unforeseen circumstances. By completing this form, policyholders can avoid lapsing their insurance benefits and ensure financial security for themselves and their beneficiaries.

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

- 1. Policy Number: The unique identifier for the policy.
- 2. Policy Owner Name: The name of the individual who owns the policy.
- 3. Contact Number: A mandatory field for communication.
- 4. Email ID: To receive updates regarding the request.
- 5. Current Mailing Address: To ensure correspondence is sent to the right location.
What happens if I fail to submit this form?
If you fail to submit this form, your requested cover continuance will not be processed, leading to a potential lapse in coverage.
- Loss of Coverage: Without submission, you may lose your insurance protection.
- Increased Premium Rates: Failing to continue coverage could result in higher rates in the future.
- Ineligibility for Future Benefits: Not submitting may affect your ability to reap future benefits.
How do I know when to use this form?

- 1. During Financial Hardship: To maintain insurance coverage despite payment challenges.
- 2. Transition Periods: To ensure continuous coverage during life changes.
- 3. To Secure Dependent Benefits: To maintain benefits for family members or beneficiaries.
Frequently Asked Questions
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Yes, once you fill out the form, simply follow the submission guidelines provided here.
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What information is required to fill out the form?
The form requires your policy number, personal details, and current contact information.
Can I share this document with someone else?
Yes, you can share your edited PDF directly from the PrintFriendly platform.
How do I contact customer service for help?
You can reach customer service via the contact information available on the PNB MetLife website.
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How do I ensure the document is legally signed?
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What happens if I don’t submit this form?
Failing to submit the form may result in the lapse of your insurance coverage.
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