A Concern for Your Privacy
At MetLife, we are dedicated to protecting your right to privacy. That is why if you would like to authorize someone, such as a spouse, relative or friend to help you with matters concerning your dental benefits please click on the link below:
Dental HIPAA Authorization for Disclosure of
Personal Health Information
Note that the completion and return of this authorization is completely voluntary. This will allow us to release information about your dental benefits, including health information to the person(s) specified. Please remember this concerns your personal records and can only be signed by you or your legal representative (such as a power of attorney, guardian or conservator).