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State Limitations
Limitations
apply for residents of the following states:
Arkansas,
California,
Georgia,
Florida,
Maryland,
Texas,
Utah,
Virginia,
West Virginia
and
Wisconsin.
Arkansas
For Arkansas
residents please be advised of the following:
IMPORTANT
NOTICE
If you have a question concerning your coverage or a claim, first
contact your group employer or group account administrator. If, after doing so,
you still have a concern, you may call MetLife's toll-free telephone number:
1-800-638-5433
If you are
still concerned after contacting both your group employer and MetLife, you
should feel free to contact:
Arkansas
Insurance Department
Consumer
Services Division
1200 West
Third
Little Rock,
Arkansas 72201-1904
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California
For California
residents please
be advised of the following:
Important notice
to obtain additional information, or to make a complaint, contact MetLife at:
Metropolitan life Insurance Company
1 Madison Avenue
New York, NY 10010
Attn: Corporate Consumer Relations Department
1-800-638-5433
If, after
contacting MetLife regarding a complaint, you feel that a satisfactory
resolution has not been reached, you may file a complaint with the California
insurance department at:
California Department Of Insurance
300 South Spring Street
Los Angeles, CA 90013
1-800-927-4357 (within California)
1-213-897-8921 (outside California)
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Georgia
Georgia residents please be advised of the following: IMPORTANT
NOTICE
The laws of the state of Georgia prohibit insurers from unfairly
discriminating against any person based upon his or her status as a victim of
family violence.
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Florida
For Florida Residents: The benefits of the policy providing your
coverage are governed primarily by the law of a state other than Florida.
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Maryland
For Maryland residents:
The group
insurance policy providing coverage under this certificate was issued in a
jurisdiction other than Maryland and may not provide all of the benefits
required by Maryland law.
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Texas
For Texas
Residents: IMPORTANT NOTICE
To obtain
information or make a complaint: You may call MetLife’s toll-free telephone
number for information or to make a complaint at 1-800-638-5433.
You may
contact the Texas Department of Insurance to obtain information on companies,
coverages, rights or complaints at 1-800-252-3439 or you may write the
Texas
Department of Insurance
P.O. Box
149104
Austin, TX
78714-9104
Fax # 512 -
475-1771
PREMIUM OR CLAIM DISPUTES:
Should you
have a dispute concerning your premium or about a claim you should contact
MetLife first. If the dispute is not resolved, you may contact the Texas
Department of Insurance.
ATTACH THIS NOTICE TO YOUR CERTIFICATE:
This notice is for information only and does not become a part or condition of
the attached document.
Utah residents please be advised of the following:
NOTICE TO
POLICYHOLDERS
Insurance
companies licensed to sell life insurance, health insurance, or annuities in the
State of Utah are required by law to be members of an organization called the
Utah Life and Health Insurance Guaranty Association ("ULHIGA"). If an insurance
company that is licensed to sell insurance in Utah becomes insolvent (bankrupt),
and is unable to pay claims to its policyholders, the law requires ULHIGA to pay
some of the insurance company's claims. The purpose of this notice is to
briefly
describe some of the benefits and limitations provided to Utah insureds by
ULHIGA.
PEOPLE
ENTITLED TO COVERAGE
-
You must be a Utah
resident.
-
You must have insurance
coverage under an individual or group policy.
POLICIES
COVERED
ULHIGA
provides coverage for certain life, health and annuity insurance policies.
EXCLUSIONS
AND LIMITATIONS
Several
kinds of insurance policies are specifically excluded from coverage. There are
also a number of limitations to coverage. The following are not covered by
ULHIGA:
-
Coverage through an HMO.
-
Coverage by insurance
companies not licensed in Utah.
-
Self-funded and
self-insured coverage provided by an employer that is only administered by an
insurance company.
-
Policies protected by
another state's Guaranty Association.
-
Policies where the
insurance company does not guarantee the benefits.
-
Policies where the
policyholder bears the risk under the policy.
-
Re-insurance contracts.
-
Annuity policies that
are not issued to and owned by an individual, unless the annuity policy is
issued to a pension benefit plan that is covered.
-
Policies issued to
pension benefit plans protected by the Federal Pension Benefit Guaranty
Corporation.
-
Policies issued to
entities that are not members of the ULHIGA, including health plans, fraternal
benefit societies, state pooling
-
plans and mutual
assessment companies.
LIMITS ON
AMOUNT OF COVERAGE
Caps are
placed on the amount ULHIGA will pay. These caps apply even if you are insured
by more than one policy issued by the insolvent company. The maximum ULHIGA will
pay is the amount of your coverage or $500,000 — whichever is lower. Other caps
also apply:
-
$100,000 in net cash
surrender values.
-
$500,000 in life
insurance death benefits (including cash surrender values).
-
$500,000 in health
insurance benefits.
-
$200,000 in annuity
benefits — if the annuity is issued to and owned by an individual or the
annuity is issued to a pension
-
plan covering government
employees.
-
$5,000,000 in annuity
benefits to the contract holder of annuities issued to pension plans covered
by the law. (Other limitations apply).
-
Interest rates on some
policies may be adjusted downward.
DISCLAIMER
PLEASE READ CAREFULLY:
Coverage
from ULHIGA may be unavailable under this policy. Or, if available, it may be
subjectto substantial limitations or exclusions. The description of coverages
contained in this document is an overview. It is not a complete description. You
cannot rely on this document as a description of coverage. For a complete
description of coverage, consult the utah code, title 31a, chapter 28.
-
Coverage is conditioned on
continued residency in the state of Utah.
-
The protection that may be
provided by ULHIGA is not a substitute for consumers' care in selecting an
insurance company that is well-managed and financially stable.
-
Insurance companies and
insurance agents are required by law to give you this notice. The law does,
however, prohibit them from using the existence of ULHIGA as an inducement to
sell you insurance.
-
The address of ULHIGA, and
the insurance department are provided below.
Utah Life
and Health Insurance
Guaranty
Association
955 E.
Pioneer Rd.
Draper, Utah
84114
Utah
Insurance Department
State Office
Building, Room 3110
Salt Lake
City, Utah 84114
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Virginia
Virginia residents please be advised of the following: IMPORTANT
INFORMATION REGARDING YOUR INSURANCE. In the event you need to contact someone
about this insurance for any reason please contact your agent. If no agent was
involved in the sale of this insurance, or if you have additional questions you
may contact the insurance company issuing this insurance at the following
address and telephone number:
Metropolitan
Life Insurance Company
1 Madison
Avenue
New York,
New York 10010
Attn:
Corporate Customer Relations Department
To phone in
a claim related question, you may call Claims Customer Service at:
1-800-638-5433
If you have
been unable to contact or obtain satisfaction from the company or the agent, you
may contact the Virginia State
Corporation
Commission's Bureau of Insurance at:
Life and
Health Division
Bureau of
Insurance
P.O. Box
1157
Richmond, VA
23209
1-800-552-7945 - In-state toll-free
1-804-786-3741 - Out-of-state
Written
correspondence is preferable so that a record of your inquiry is maintained.
When contacting your agent, company or the Bureau of Insurance, have your policy
number available.
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West
Virginia
For West Virginia Residents:
You have the right to return this certificate within ten days of its receipt and
to have your premium refunded if, after examination of the certificate, you are
not satisfied for any reason.
If any prior
certificate relating to the coverage set forth herein has been given to the
Member, such certificate is void.
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Wisconsin
Wisconsin residents please be advised of the following: KEEP THIS
NOTICE WITH YOUR INSURANCE PAPERS
PROBLEMS WITH YOUR INSURANCE?
- If you are
having problems with your insurance company or agent, do not hesitate to contact
the insurance company or agent to resolve your problem.
Metropolitan
Life Insurance Company
Corporate
Consumer Relations Department
1 Madison
Avenue
New York, NY
10010
1-800-638-5433
You can also
contact the
OFFICE OF THE COMMISSIONER OF INSURANCE,
a state agency which enforces Wisconsin's insurance laws, and file a complaint.
You can contact the
OFFICE OF THE COMMISSIONER OF INSURANCE
by
contacting:
Office of
the Commissioner of Insurance
Complaints
Department
P.O. Box
7873
Madison, WI
53707-7873
1-800-236-8517 outside of
Madison or 266-0103 in Madison.
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