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How do I fill this out?
To fill out the cancellation form, begin by providing your personal information in the Subscriber Information section. Next, indicate the specific types of insurance coverage you wish to cancel by checking the appropriate boxes. Finally, sign and date the form before sending it to the MetLife Recordkeeping Center.
How to fill out the Cancellation of Optional Life Insurance Form?
1
Complete the Subscriber Information section with your details.
2
Select the coverage you wish to cancel by checking the options.
3
Sign and date the form.
4
Make a copy for your records.
5
Submit the original form to the designated address.
Who needs the Cancellation of Optional Life Insurance Form?
1
Employees cancelling their Optional Life Insurance coverage.
2
Individuals who wish to cancel Optional AD&D Insurance.
3
Dependents needing to adjust their insurance coverage.
4
Employers managing employee insurance policies.
5
HR departments requiring updated employee coverage status.
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What are the instructions for submitting this form?
To submit this cancellation form, first ensure it is duly filled out and signed. Send the completed form to the MetLife Recordkeeping Center at P.O. Box 14406, Lexington, KY 40512-4406. You may also want to keep a copy for your records before forwarding the original.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting your cancellation form include the first of each month, as cancellations are effective on the first day of the month following the receipt of the signed form. Ensure your form is submitted timely to avoid unintended charges.
What is the purpose of this form?
The purpose of this cancellation form is to provide a formal method for employees to cancel their Optional Life Insurance and Optional AD&D Insurance with MetLife. By filling out this form, employees ensure their insurance coverage is adjusted according to their current needs and personal circumstances. This form also protects both the employee and the insurance provider by documenting the cancellation request.
Tell me about this form and its components and fields line-by-line.
- 1. Subscriber Information: Details about the employee including name, address, and Social Security number.
- 2. Cancellation Options: Checkboxes to indicate what insurance coverages are being cancelled.
- 3. Signature: Space for the employee to sign and date the form.
What happens if I fail to submit this form?
If you fail to submit this form, your current life insurance coverage will remain active. This may lead to unwanted financial obligations or coverage that you no longer require.
- Ongoing Premiums: Failure to cancel may result in continued deductions from your paycheck.
- Insurance Gaps: Not cancelling might lead to confusion about your coverage status.
- Legal Implications: Incorrectly managed insurance can cause issues during claims.
How do I know when to use this form?
- 1. Career Change: If you are changing employers or adjusting your insurance needs.
- 2. Financial Adjustment: If you're making changes to your financial commitments.
- 3. Personal Choice: If you've decided to opt-out of certain insurance options.
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