INSTRUCTIONS STATEMENT OF HEALTH FORM

INSTRUCTIONS
FOR THE STATEMENT OF HEALTH FORM AND THE AUTHORIZATION FORM THAT FOLLOW THIS SECTION
INSTRUCTIONS TO THE RECORDKEEPER (The Recordkeeper may be the Group Customer, a Third Party Administrator or MetLife.)
1. Fill in the Group Customer Information and Insurance Information on the Statement of Health form.
2. Give the forms to the Employee to complete and send to MetLife.
INSTRUCTIONS TO THE EMPLOYEE (The Employee is the Proposed Insured and is the person for whom insurance is being requested.)
Based on the enrollment form you submitted, a Statement of Health form is required to complete the request for group insurance coverage for you, the Proposed Insured.
1. The Recordkeeper should fill in the Group Customer Information and Insurance Information and give the form to you.
2. Fill in the Employee Information on the Statement of Health form. Your Name and your Social Security Number must appear on the form.
3. Complete the Statement of Health form and sign where indicated by an arrow.
Metropolitan Life Insurance Company
Statement of Health Unit
4. Sign the Authorization form where indicated by an arrow.
P.O. Box 14069
5. After completion, make a copy of both completed forms for your records and FAX or MAIL the original forms to:
Lexington, KY 40512-4069
FAX: 1-859-225-7909
For questions, call MetLife at 1-800-638-6420, prompt 1 (Statement of Health Unit) or email us at [email protected]
►
Note: Additional medical information may be required after MetLife’s initial review of a completed Statement of Health form. The additional information requested may be a
physical examination, paramedical exam, or an Attending Physician Report. Correspondence will be sent within ten days by MetLife or our approved vendor. Incomplete
forms will be returned to you for completion.
Some services in connection with your Statement of Health form may be performed by our affiliate, MetLife Global Operations Support Center Private Limited. This service
arrangement in no way alters Metropolitan Life Insurance Company's obligations to you. Services will not be performed by our affiliate if prohibited by state or local law or
by mutual agreement with the Group Customer.
STATEMENT OF HEALTH FORM
Metropolitan Life Insurance Company, New York, NY
GROUP CUSTOMER INFORMATION (To be Completed by the Recordkeeper)
Name of Group Customer/Employer/Association
Tucson Unified School District
Street Address
1010 E. 10th Street
Group Customer #
128237
State
AZ
City
Tucson
Open Enrollment 2014
INSURANCE INFORMATION (To be Completed by the Recordkeeper)
Disability Income Insurance
STD 7/14 Plan
Reporting Location #
149969
Zip Code
85719
STD 14/21 Plan
EMPLOYEE INFORMATION (To be Completed by the Employee)
Name of Employee (First, Middle, Last)
Social Security # of Employee
YOUR INFORMATION (To be Completed by the Employee)
Name (First, Middle, Last)
Relationship to Employee
Self
Street Address
Date of Birth (MM/DD/YYYY)
City
Daytime Phone #
Home Phone #
Male
Female
State
Zip Code
Email Address
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HEALTH INFORMATION
Please complete all questions below. Omitted information will cause delays. In this section, “you” and “your” refers to the person for whom
insurance is being requested.
Your name
1. Your height
Employee’s Social Security/Identification #
feet
inches
Your weight
pounds
Yes
No
2. Are you now on a diet prescribed by a physician or other health care provider? If “yes” indicate type
3. Are you now pregnant? If “yes,” what is your due date (month/day/year)?
4. Are you now, or have you in the past 5 years, used tobacco in any form?
5. In the past 5 years, have you received medical treatment or counseling by a physician or other health care provider for, or been
advised by a physician or other health care provider to discontinue, the use of alcohol or prescribed or non-prescribed drugs?
6. In the past 5 years, have you been convicted of driving while intoxicated or under the influence of alcohol and/or any drug?
If “yes”, specify ”date(s) of conviction(s) (month/day/year)
7. Have you had any application for life, accidental death and dismemberment or disability insurance declined, postponed, withdrawn,
rated, modified, or issued other than as applied for?
8. Are you now receiving or applying for any disability benefits, including workers’ compensation?
9. Have you been Hospitalized as defined below (not including well-baby delivery) in the past 90 days?
Hospitalized means admission for inpatient care in a hospital; receipt of care in a hospice facility, intermediate care facility, or long
term care facility; or receipt of the following treatment wherever performed: chemotherapy, radiation therapy, or dialysis.
10. Have you ever been diagnosed or treated by a physician or other health care provider for Acquired Immunodeficiency Syndrome
(AIDS), AIDS Related Complex (ARC) or the Human Immunodeficiency Virus (HIV) infection?
11. Have you ever been diagnosed, treated or given medical advice by a physician or other health care provider for:
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
cardiac or cardiovascular disorder?
stroke or circulatory disorder?
high blood pressure?
cancer, Hodgkins disease, lymphoma or tumors? Indicate type
anemia, leukemia or other blood disorder? Indicate type
diabetes? Your age at diagnosis?
Check if insulin treated
asthma, COPD, emphysema or other lung disease? Indicate /type
ulcers, stomach, hepatitis or other liver disorder? Indicate type
colitis, Crohn’s, diverticulitis or other intestinal disorder? Indicate type
memory loss?
epilepsy, paralysis, seizures, dizziness or other neurological disorder?
Specify date of last seizure (month/year)
Indicate type
l. Epstein-Barr, chronic fatigue syndrome or fibromyalgia?
m. multiple sclerosis, ALS or muscular dystrophy?
n. lupus, scleroderma, auto immune disease or connective tissue disorder?
o. arthritis?
osteoarthritis
rheumatoid
other/type
p. back, neck, knee, spinal, joint or other musculosketal disorder?
q. carpal tunnel syndrome?
r. kidney, urinary tract or prostate disorder? Indicate type
s. thyroid or other gland disorder? Indicate type
t. mental, anxiety, depression, attempted suicide or nervous disorder?
u. sleep apnea
Yes
No
For “yes” answers, please provide full details on the next page in Section 2, then complete Section 3. If all questions are answered “no,” you
may proceed directly to Section 3 on the next page.
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SECTION 2 – Please provide full details below for each “Yes” answer to the preceding questions 1- 11. If you need more space to provide full
details, attach a separate sheet with the information and sign and date it. Delays in processing your application may occur if complete details are not
provided. MetLife may contact you for additional or missing information.
Question Number
Condition/Diagnosis
Date of Diagnosis (Month/Year)
Date of Last Treatment (Month/Year)
Treating Health Professional
Personal Physician’s Name:
Date of last visit:
Address
Street
Telephone: (
)
-
Reason for visit:
City
Question Number
Condition/Diagnosis
Date of Diagnosis (Month/Year)
Date of Last Treatment (Month/Year)
Treating Health Professional
Personal Physician’s Name:
Date of last visit:
Address
Street
Telephone: (
)
-
State
Zip Code
State
Zip Code
State
Zip Code
Medication Prescribed
Yes
No
Type of Treatment
Reason for visit:
City
Question Number
Condition/Diagnosis
Date of Diagnosis (Month/Year)
Date of Last Treatment (Month/Year)
Treating Health Professional
Personal Physician’s Name:
Date of last visit:
Address
Street
Telephone: (
)
-
Medication Prescribed
Yes
No
Type of Treatment
Medication Prescribed
Yes
No
Type of Treatment
Reason for visit:
City
SECTION 3
1. Personal Physician’s Name:
Address (Street, City, State, Zip Code):
Date of last visit (MM/DD/YYYY):
Reason for visit:
2. Are you currently taking any other prescribed medications?
Yes
No
Medication:
Condition/Diagnosis:
Prescribing Physician’s Name:
Address (Street, City, State, Zip Code):
Telephone: (
)
–
Telephone: (
)
–
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FRAUD WARNINGS
Before signing this Statement of Health form, please read the warning for the state where you reside and for the state where the contract under which you
are applying for coverage was issued.
Alabama, Arkansas, District of Columbia, Louisiana, Massachusetts, New Mexico, Ohio, Rhode Island and West Virginia: Any person who
knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty
of a crime and may be subject to fines and confinement in prison.
Colorado: It is unlawful to knowingly provide false, incomplete or misleading facts or information to an insurance company for the purpose of defrauding or
attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of
an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of
defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to
the Colorado Division of Insurance within the Department of Regulatory Agencies.
Florida: Any person who knowingly and with intent to injure, defraud or deceive any insurance company files a statement of claim or an application
containing any false, incomplete or misleading information is guilty of a felony of the third degree.
Kentucky: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance 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.
Maine, Tennessee, Virginia and Washington: It is a crime to knowingly provide false, incomplete or misleading information to an insurance
company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits.
Maryland: Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents
false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
New Jersey: Any person who files an application containing any false or misleading information is subject to criminal and civil penalties.
New York (only applies to Accident and Health Benefits): Any person who knowingly and with intent to defraud any insurance company or other person files
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 civil penalty not to exceed five
thousand dollars and the stated value of the claim for each such violation.
Oklahoma: WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an
insurance policy containing any false, incomplete or misleading information is guilty of a felony.
Oregon and Vermont: Any person who knowingly presents a false statement in an application for insurance may be guilty of a criminal offense and subject
to penalties under state law.
Puerto Rico: Any person who knowingly and with the intention to defraud includes false information in an application for insurance or files, assists or abets
in the filing of a fraudulent claim to obtain payment of a loss or other benefit, or files more than one claim for the same loss or damage, commits a felony and
if found guilty shall be punished for each violation with a fine of no less than five thousand dollars ($5,000), not to exceed ten thousand dollars ($10,000); or
imprisoned for a fixed term of three (3) years, or both. If aggravating circumstances exist, the fixed jail term may be increased to a maximum of five (5)
years; and if mitigating circumstances are present, the jail term may be reduced to a minimum of two (2) years.
Pennsylvania and all other states: Any person who knowingly and with intent to defraud any insurance company or other person files 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 subjects such person to criminal and civil penalties.
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DECLARATIONS AND SIGNATURES
By signing below, I acknowledge:
1. I have read this Statement of Health form and declare that all information I have given, including any health information, is true and complete to the best
of my knowledge and belief. I understand that this information will be used by MetLife to determine my insurability.
2. I have read the applicable Fraud Warning(s) provided in this Statement of Health form.
Sign
Here
Signature of Proposed Insured
Print Name
Date Signed (MM/DD/YYYY)
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AUTHORIZATION
This Authorization is in connection with an enrollment in group insurance and information required for underwriting and claim purposes for the
proposed insured(s)("employee", spouse, and any other person(s) named below). Underwriting means classification of individuals for
determination of insurability and / or rates, based upon physician health reports, prescription drug history, laboratory test results, and other
factors. Notwithstanding any prior restriction placed on information, records or data by a proposed insured, each proposed insured hereby
authorizes:
• Any medical practitioner, facility or related entity; any insurer; MIB, Group Inc. ("MIB"); any employer; any group policyholder, contract holder or benefit
plan administrator; any pharmacy or pharmacy related service organization; any consumer reporting agency; or any government agency to give
Metropolitan Life Insurance Company (“MetLife”) or any third party acting on MetLife's behalf in this regard:
• personal information and data about the proposed insured including employment and occupational information;
medical information, records and data about the proposed insured including information, records and data about drugs prescribed, medical test
results and sexually transmitted diseases;
• information, records and data about the proposed insured related to alcohol and drug abuse and treatment, including information and data records
and data related to alcohol and drug abuse protected by Federal Regulations 42 CFR part 2;
• information, records and data about the proposed insured relating to Acquired Immunodeficiency Syndrome (AIDS) or AIDS related conditions
including, where permitted by applicable law, Human Immunodeficiency Virus (HIV) test results;
• information, records and data about the proposed insured relating to mental illness, except psychotherapy notes; and
• motor vehicle reports.
Note to All Heath Care Providers: The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers and other entities covered by GINA
Title II from requesting or requiring genetic information of an individual or family member of the individual, except as specifically allowed by this law. To
comply with this law, we are asking that you not provide any genetic information when responding to this request for medical information. 'Genetic
information' as defined by GINA, includes an individual's family medical history, the results of an individual's or family member's genetic tests, the fact that an
individual or an individual's family member sought or received genetic services, and genetic information of a fetus carried by an individual or an individual's
family member or an embryo lawfully held by an individual or family member receiving assistive reproductive services.
Expiration, Revocation and Refusal to Sign: This authorization will expire 24 months from the date on this form or sooner if prescribed by law. The
proposed insured may revoke this authorization at any time. To revoke the authorization, the proposed insured must write to MetLife at P.O. Box 14069,
Lexington, KY 40512-4069, and inform MetLife that this Authorization is revoked. Any action taken before MetLife receives the proposed insured's
revocation will be valid. Revocation may be the basis for denying coverage or benefits. If the proposed insured does not sign this Authorization, that
person's enrollment for group insurance cannot be processed.
By signing below, each proposed insured acknowledges his or her understanding that:
• All or part of the information, records and data that MetLife receives pursuant to this authorization may be disclosed to MIB. Such information may also
be disclosed to and used by any reinsurer, employee, affiliate or independent contractor who performs a business service for MetLife on the insurance
applied for or on existing insurance with MetLife, or disclosed as otherwise required or permitted by applicable laws.
• Medical information, records and data that may have been subject to federal and state laws or regulations, including federal rules issued by Health and
Human Services, setting forth standards for the use, maintenance and disclosure of such information by health care providers and health plans and
records and data related to alcohol and drug abuse protected by Federal Regulations 42 CFR part 2, once disclosed to MetLife or upon redisclosure by
MetLife, may no longer be covered by those laws or regulations.
• Information relating to HIV test results will only be disclosed as permitted by applicable law.
• Information obtained pursuant to this authorization about a proposed insured may be used, to the extent permitted by applicable law, to determine the
insurability of other family members.
• A photocopy of this form is as valid as the original form. Each proposed insured has a right to receive a copy of this form.
• I authorize MetLife, or its reinsurers, to make a brief report of my personal health information to MIB.
Sign
Here
Signature of Proposed Insured
Print Name
Date Signed (MM/DD/YYYY)
State of Birth
Country of Birth
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