Plan summary

Public Employee Benefits Board (PEBB) Program Retiree Term Life Insurance Overview Retiree Term Life insurance is a cost-effective way to protect your family and your finances. It helps ensure your short- and long-term financial obligations could be met if something unforeseen happens to you. Explore the coverage that makes it easy to give yourself and your loved ones more security today and in the future. Retiree Term Life Insurance Options You have the option to purchase Retiree Term Life Insurance. For You $5,000 up to $20,000, in $5,000 increments Retiree Term Life Coverage Information Enrollment in this Retiree Term Life insurance plan is available without providing medical information as long as: For New Retirees • The enrollment takes place within 60 days from the date you become eligible for retiree benefits • You are requesting coverage up to $20,000, in $5,000 increments * How to Enroll • Complete the MetLife Enrollment/Change form for Retiree plan and return it to the PEBB Program. Be sure to name your beneficiary on the form. You may access and update your beneficiary information any time using the MyBenefits website. It’s easy to use. Just go to mybenefits.metlife.com/wapebb. *All applications are subject to review and approval by Metropolitan Life Insurance Company. Based on the plan design and the amount of coverage requested, Evidence of Insurability may need to be submitted to complete your application, in which case MetLife will review your information and evaluate your request for coverage based upon your answers to the health questions, MetLife’s underwriting rules and other information you authorize us to review. In certain cases, MetLife may request additional information to evaluate your request for coverage. Who Can Be a Designated Beneficiary? You can select any beneficiary other than your employer for your Retiree Term Life coverage, and you may change your beneficiary at any time. You can also designate more than one beneficiary. You can name them online using the MyBenefits website (mybenefits.metlife.com/wapebb) or by calling 866-548-7139. A paper beneficiary designation form is also available on the MetLife microsite (metlife.com/wshca-retirees/documents). Metropolitan Life Insurance Company | 200 Park Avenue | New York, NY 10166 L0823034637[exp0825][All States][DC,GU,MP,PR,VI]© 2023 MetLife Services and Solutions, LLC