Statement of Health

Complete your Statement of Health online

We need you [and your spouse/dependents(dynamically populate for appropriate scenarios)] to fill out a Statement of Health form [for yourself and your dependents (dynamically populate ONLY if user is able to fill out SOH for everyone) ], for one of these reasons:

• You’ve applied for additional coverage
• You’ve applied for coverage outside of the benefits enrollment timeframe
• Your plan's policy requires it

What you need to know:

• This will take approximately <x> minutes.
• We’ll be asking for:
• Your contact information
• Details about your health, including past or current illness and any prescriptions you take
• [Contact information for your spouse and dependents (over age 18) information (dynamically populate for appropriate scenarios)]
• [Your doctor’s contact information (dynamically populate for appropriate scenarios)]
• [Once you finish, you’ll need to print a completed copy and mail to MetLife.(dynamically populate for appropriate scenarios)]
• [If you prefer, you can print a paper copy and mail to MetLife, but this will take longer to process..(dynamically populate for appropriate scenarios)]
• [Your spouse and dependents must complete their own Statement of Health as well. Once you finish yours, we’ll ask for their email and send them a link so they can go ahead and submit their own form..(dynamically populate for appropriate scenarios)]