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LONG TERM DISABILITY CLAIM FORM EMPLOYEE STATEMENT Metropolitan Life Insurance CompanyMetropolitan Life Insurance Company P.O. Box 14590 Lexington, KY 40512 Fax: 18002309531Instructions for completing

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How to fill out origin-intlmetlifecomltdclaimformlong term disability claim

01

To fill out the Origin-intlmetlifecomltdclaimform Long term disability claim form, follow these steps:

02

Start by downloading the claim form from the official Origin-intlmetlifecomltd website.

03

Read and understand the instructions provided with the form.

04

Provide your personal details accurately, including your full name, address, contact information, and Social Security number.

05

Fill in the policy details, such as policy number and coverage information.

06

Provide the date when your disability began and the reason for the disability.

07

Attach any supporting documents or medical records that support your disability claim.

08

Review the completed form to ensure it is filled out correctly and all necessary information is provided.

09

Sign and date the form.

10

Make copies of the completed form and all supporting documents for your records.

11

Submit the form and supporting documents either by mail or through the online portal, as instructed by Origin-intlmetlifecomltd.

Who needs origin-intlmetlifecomltdclaimformlong term disability claim?

01

Anyone who is insured by Origin-intlmetlifecomltd and is facing a long-term disability may need to fill out the Origin-intlmetlifecomltdclaimform Long term disability claim form. This form is necessary to apply for long-term disability benefits and to receive financial support during the period of disability. It is important for individuals who are unable to work due to a physical or mental impairment and are covered by Origin-intlmetlifecomltd's long-term disability insurance policy to submit a claim form to initiate the claim process.

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What is origin-intlmetlifecomltdclaimformlong term disability claim?

The origin-intlmetlifecomltdclaimformlong term disability claim is a form used to request long term disability benefits from MetLife.

Who is required to file origin-intlmetlifecomltdclaimformlong term disability claim?

Any individual who is covered under a long term disability policy with MetLife and who becomes disabled and is unable to work is required to file the origin-intlmetlifecomltdclaimform long term disability claim.

How to fill out origin-intlmetlifecomltdclaimformlong term disability claim?

The origin-intlmetlifecomltdclaimformlong term disability claim can be filled out by providing all requested information about the disability, including medical records and other supporting documents, and submitting the form to MetLife.

What is the purpose of origin-intlmetlifecomltdclaimformlong term disability claim?

The purpose of the origin-intlmetlifecomltdclaimformlong term disability claim is to request long term disability benefits from MetLife in case of a disability that prevents the individual from working.

What information must be reported on origin-intlmetlifecomltdclaimformlong term disability claim?

The origin-intlmetlifecomltdclaimformlong term disability claim must include information about the disability, medical records, financial information, and other supporting documents as requested by MetLife.

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