Forms & publications

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.

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

MetLife accidental death and dismemberment (AD&D) insurance certificate of coverage (COC) for SEBB members who work at least 630 hours.

MetLife accidental death and dismemberment (AD&D) insurance certificate of coverage (COC) for SEBB members 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.

MetLife life insurance certificate of coverage for SEBB members who work at least 630 hours.

MetLife life insurance certificate of coverage (COC) for SEBB members who work less than 630 hours.

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.