Forms & publications

MetLife life and accidental death and dismemberment insurance certificate of coverage for school employees enrolled in SEBB benefits who work at least 630 hours.

MetLife life and accidental death and dismemberment insurance certificate of coverage for school employees enrolled in SEBB benefits who work less than 630 hours.

Use this form to name the persons or entities you want to receive your life insurance proceeds after your death. Return this form to MetLife.

Use this form to cancel your MetLife retiree term life insurance coverage.

Use this form if you are a School employee and you wish to cancel your supplemental life and/or accidental death and dismemberment (AD&D) insurance.

Use this form to notify MetLife that you wish to cancel your Supplemental Life Insurance and/or Supplemental Accidental Death & Dismemberment (AD&D) Insurance. For employees only: Employee Basic Life Insurance ($35,000) and Employee Basic AD&D Insurance ($5,000) is not affected by this form. It is provided by your employer at no cost to you. You cannot cancel your Employee Supplemental Life Insurance and keep Dependent Life Insurance.

This is the MetLife PEBB retiree life insurance certificate of coverage (COC) for employees.

This is the MetLife PEBB retiree life insurance certificate of coverage (COC) for retirees.

Use this form to enroll in or change enrollment in retiree term life insurance through MetLife.

This benefits book describes what is covered as a SEBB member under MetLife Vision, including vision services and specific services not covered by the plan. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays.