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MetLife Pet Insurance Claims Process

How to Submit a Pet Insurance Claim

How to Submit a Pet InsuranceClaim In the event that one of your furry family members su昀昀ers an illness or accident, MetLife Pet Insurance is here to help. Our claims process is simple and straightforward so you can stress less and focus on what matters most: the health of your pet. For the quickest resolution of your claim, follow the steps below: At the Vet's O昀케ce After Your Pet Is Home • Make note of your vet’s contact info. You’ll • Download your claim form by logging into your My Pets need it later when you 昀椀le your claim. online account. • Gather all medical records from your vet, • Attach all medical records and vet notes, along with your including your pet’s medical diagnosis and invoice and itemized receipt. any notes associated with it. If it’s your • Submit your claim via mobile app, our online portal, 昀椀rst claim with us, please provide medical email, fax or mail. records from the past 12 months (including • Make a copy of your paperwork to keep on 昀椀le. adoption records if applicable). • Ask for a copy of your invoice and an • That’s it! Remember to submit your claim within 90 days itemized receipt. of your pet’s vet visit, and you’ll receive reimbursement by check or direct deposit — most claims are processed within 10 days. Need help along the way? Our team is available online or over the phone to assist with any questions you may have. Pet Insurance o昀昀ered by MetLife Pet Insurance Solutions LLC is underwritten by Independence American Insurance Company (“IAIC”), a Delaware insurance company, headquartered at 485 Madison Avenue, NY, NY 10022, and Metropolitan General Insurance Company (“MetGen”), a Rhode Island insurance company, headquartered at 700 Quaker Lane, Warwick, RI 02886, in those states where MetGen’s policies are available. MetLife Pet Insurance Solutions LLC is the policy administrator authorized by IAIC and MetGen to o昀昀er and administer pet insurance policies. MetLife Pet Insurance Solutions LLC was previously known as PetFirst Healthcare, LLC and in some states continues to operate under that name pending approval of its application for a name change. The entity may oper- ate under an alternate, assumed, and/or 昀椀ctitious name in certain jurisdictions as approved, including MetLife Pet Insurance Services LLC (New York and Minnesota), MetLife Pet Insurance Solutions Agency LLC (Illinois), and such other alternate, assumed, or 昀椀ctitious names approved by certain jurisdictions. © 2022 MetLife Services and Solutions, LLC, New York, NY 10166 - All Rights Reserved.

Claim Form All claims must be submitted in writing within ninety (90) days of the treatment or receipt date. Member Info 1 Policy Number: Pet Parent Name: My Vet Info Address: Clinic/Vet O昀케ce City: State: Zip: Phone: Vet Name: Pet Name: - Address: Phone: Email: 2 Vet Visit Info Please attach medical records (i.e. SOAP notes, vet notes, chart notes) from your veterinarian for the claimed incident. Important Note: Medical records often di昀昀er from discharge instructions and invoices, so it is important to ask your vet speci昀椀cally for chart/SOAP/vet notes. *Please note: if this is your 昀椀rst claim, please provide 12 months of medical records. If you have recently adopted your pet and don’t have 12 months of medical records, all you will need to submit is your adoption contract. Attach invoices and/or itemized receipts along with this completed claim form. 3 Diagnosis and Invoice Info / / $ Treatment Date Medical Diagnoses or Routine Treatment Total Charges / / $ Treatment Date Medical Diagnoses or Routine Treatment Total Charges / / $ Treatment Date Medical Diagnoses or Routine Treatment Total Charges Sign and Date 4 Policyholder declaration: I declare my veterinarian recommended the treatment for which I am claiming. The particulars given are correct to the best of my knowledge and belief. I authorize my veterinarian to release medical records and give consent to MetLife Pet Insurance, to communicate with my veterinarian or veterinarian’s sta昀昀. Any person who knowingly and with intent to defraud any insurance company or other person 昀椀les an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed 昀椀ve thousand dollars and the stated value of the claim for each such violation. All claims must be submitted in writing to MetLife Pet Insurance within ninety (90) days of the treatment or receipt date. Please allow at least 10 business days for processing. Incomplete forms will delay claims processing. Signature: Date: Submit Your Claim MAIL TO: MetLife Pet Insurance - EMAIL TO: FAX TO: UPLOAD TO: Claims Department, [email protected] 877-281-3348 Our Mobile App or 400 Missouri Avenue, Suite 105, MyPets Online Account Jeffersonville, IN 47130 © 2022 MetLife Services and Solutions, LLC, New York, NY 10166 - All Rights Reserved.

Claim Form All claims must be submitted in writing within ninety (90) days of the treatment or receipt date. 1 Member Info Policy Number: Pet Parent Name: My Vet Info Address: Clinic/Vet O昀케ce City: State: Zip: Phone: Vet Name: Pet Name: - Address: Phone: 2 Vet Visit Info Email: Please attach medical records (i.e. SOAP notes, vet notes, chart notes) from your veterinarian for the claimed incident. Important Note: Medical records often di昀昀er from discharge instructions and invoices, so it is important to ask your vet speci昀椀cally for chart/SOAP/vet notes. *Please note: if this is your 昀椀rst claim, please provide 12 months of medical records. If you have recently adopted your pet and don’t have 12 months of medical records, all you will need to submit is your adoption contract. Attach invoices and/or itemized receipts along with this completed claim form. 3 Diagnosis and Invoice Info / / $ Treatment Date Medical Diagnoses or Routine Treatment Total Charges / / $ Treatment Date Medical Diagnoses or Routine Treatment Total Charges / / $ Treatment Date Medical Diagnoses or Routine Treatment Total Charges 4 Sign and Date Policyholder declaration: I declare my veterinarian recommended the treatment for which I am claiming. The particulars given are correct to the best of my knowledge and belief. I authorize my veterinarian to release medical records and give consent to MetLife Pet Insurance, to communicate with my veterinarian or veterinarian’s sta昀昀. Any person who knowingly and with intent to defraud any insurance company or other person 昀椀les an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed 昀椀ve thousand dollars and the stated value of the claim for each such violation. All claims must be submitted in writing to MetLife Pet Insurance within ninety (90) days of the treatment or receipt date. Please allow at least 10 business days for processing. Incomplete forms will delay claims processing. Signature: Date: Submit Your Claim MAIL TO: MetLife Pet Insurance - EMAIL TO: FAX TO: UPLOAD TO: Claims Department, [email protected] 877-281-3348 Our Mobile App or 400 Missouri Avenue, Suite 105, MyPets Online Account Jeffersonville, IN 47130 © 2022 MetLife Services and Solutions, LLC, New York, NY 10166 - All Rights Reserved.