1. System Generated Field Panel
  2. Author Entered Field Panel
  3. Form Title Panel
  4. End-user Entered Field Panel
  5. Thank You and Error Message Panel
  6. Hidden Panel

System Generated Panel 

 Author Input Panel

Author Input Panel - Required fields

File Upload Messages Configuration

Form Title  Panel

Things to know before you begin

  • Customer Letter must list all coverages affected.
  • Effective dates are typically the 1st of the month following MetLife’s receipt of the request.
  • Commission agreements may be required and will be sent to you for completion.
  • Commission split details should be noted in the comment section below (n/a for P&C)

User Input Panel

*Required fields

*Customer Letter and Producer Appointment form for Group Life/Health coverages (if not appointed in the situs state of customer) are required to proceed. (Please note: Max file size is 8mb. Please compress the document before attaching if necessary).

    Download sample Customer Letter and Producer Appointment Form 

    Selected Coverage(s) Affected

    Customer Information

    New Writing Producer

    Writing Producer Address:

    Payee (Please enter the Writing Producer’s Agency information. If Writing Producer is Payee, then check box below)

    Payment Address

    Broker Contact Info

    Broker Business/Correspondence Address

    MetLife Team

    For questions or clarification, call the Sale Compensation & Business Initiatives Broker Change Team at 866-796-1800 Prompt 2.

    Thank You/Error Panel Configuration

    Settings for same page thank you/error message

    Error

    An error has occurred. Please try again later.

    Thank you

    Your request has been sent.

    Settings for separate page thank you/error message

    Hidden Panel