Some insurance plans are only available for "open enrollment" during your initial enrollment period or within 60 days of experiencing certain Qualified Events. However, some insurance plans allow you to request enrollment or increased coverage at any time (whether during the Annual Benefits Enrollment period or not) by completing the appropriate Statement of Health or Evidence of Insurability form.
A Statement of Health or Evidence of Insurability form is a document containing a series of questions about the applicant's overall health and is used by the insurance company to determine if the applicant meets the company's insurability guidelines, based on their underwriting rules.
You are required to complete a Statement of Health form for coverage amounts that exceed the guarantee level, late enrollments, or when adding a new spouse/partner to your coverage.
If your enrollment or increase in term life coverage requires a Statement of Health, Wells Fargo will send a request to MetLife for the coverage level you selected. The request status will be "Unprocessed" until it is sent to MetLife and "Pending" after it is sent to MetLife until MetLife approves or denies your coverage request. While it is pending you cannot make changes.
MetLife will send instructions for completing a statement of health form to your Wells Fargo email address if you have one, or by letter to your home, within 7-10 business days of either:
After you submit the form, you can check the Statement of Health status by logging into metlife.com/mybenefits and clicking on the “Statement of Health” link. MetLife will respond:
During your initial enrollment period (when you first become eligible for benefits) or during Annual Benefits Enrollment, you can enroll in Optional LTD with no evidence of insurability. If you wish to enroll in Optional LTD at any other time during the year, use the form indicated in the chart below.
Submit the completed form directly to the plan’s insurance provider as instructed on the form. For details, see the applicable chapter in the Benefits Book.
|To request:||Complete and submit this form:|
|Optional Long-Term Disability (LTD) Coverage for yourself||Liberty Mutual Evidence of Insurability for Long-Term Disability (PDF)*|