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Submitted URL: https://www.sohapp.metlife.com/u/B5Yvb0C
Effective URL: https://www.sohapp.metlife.com/c/login?airkitAppAuth=eyJvcmlnaW4iOiJodHRwczovL3d3dy5zb2hhcHAubWV0bGlmZS5jb20vdS9CNVl2YjBDIiwiZG...
Submission: On May 03 via manual from IN — Scanned from DE

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CONTACT US




For Statement of Health support or questions regarding the form:

PHONE

1-800-638-6420

prompt 1 (Statement of Health Division)

FREQUENTLY ASKED QUESTIONS

Read our FAQs

For IT/Technical difficulties:

EMAIL

DSOH_Webtech@metlife.com

SEND US AN EMAIL

Metlife SOH Form - Authentication


WELCOME TO THE STATEMENT OF HEALTH


Finish your enrollment process today by submitting a Statement of Health (SOH).
You are required to submit an SOH for one or more of these reasons:

● You've applied for additional coverage ● You've applied for coverage outside
of the enrollment period ● Your plan requires it

Note: Your requested amount of coverage is subject to approval after the
submission and review of your Statement of Health application. Any Guaranteed
Issue coverage not subject to underwriting will remain unimpacted by the SOH
process.

What you need to know:

● It could take approximately 10 to 15 minutes to complete each SOH form ● For
each individual's SOH form, we will be asking for the following:

○ Contact information ○ Doctor's contact information ○ Details about your
health, including past or current illness(es) and any prescription medications

Watch our video for more information about the Statement of Health.

Relationship to Employee: Employee

Products

Long Term Disability

Please enter the information below to verify your identity

Date of birth





Last 4 numbers of your Social Security Number (SSN) - required ONLY for
EMPLOYEE/MEMBER



AUTHENTICATE