Accident Insurance Metropolitan Life Insurance Company | 200 Park Avenue | New York, NY 10166 L0924043620[exp0926][All States][DC,GU,MP,PR,VI] © 2024 MetLife Services and Solutions, LLC Insurance Rates MetLife offers group rates and payroll deduction, so you don’t have to worry about writing a check or missing a payment! Your employee rates are outlined below. 1 Availability of benefits varies by state. See your Disclosure Statement or Outline of Coverage/Disclosure Document for state variations. 2 Covered services/treatments must be the result of an accident or sickness as defined in the group policy/certificate. See your Disclosure Statement or Outline of Coverage/Disclosure Document for more details. 3 Benefits and amounts are based on sample MetLife plan design. Plan design and plan benefits may vary. 4 Eligible Family Members means all persons eligible for coverage as defined in the Certificate. [5 Eligibility for portability through the Continuation of Insurance with Premium Payment provision may be subject to certain eligibility requirements and limitations. For more information, contact your MetLife representative. METLIFE’S ACCIDENT INSURANCE IS A LIMITED BENEFIT GROUP INSURANCE POLICY. The policy is not intended to be a substitute for medical coverage and certain states may require the insured to have medical coverage to enroll for the coverage. The policy or its provisions may vary or be unavailable in some states. Like most group accident and health insurance policies, policies offered by MetLife may include waiting periods and contain certain exclusions, limitations and terms for keeping them in force. For complete details of coverage and availability, please refer to the group policy form GPNP12-AX or contact MetLife. Benefits are underwritten by Metropolitan Life Insurance Company, New York, NY. Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See MetLife’s Disclosure Statement or Outline of Coverage/Disclosure Document for full details. Accident Insurance Monthly Cost to You Coverage Options Low Plan Employee $6.76 Spouse $4.02 Child(ren) $6.24 Spouse & Child(ren) $13.44