Employee benefits updates and resources related to COVID-19

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COVID-19 Updates

Critical Health Alert; Last Updated: April 07, 2020 1:40 P.M. EST

We Are Here for You.

For over 152 years, MetLife has been committed to protecting the health and well-being of our customers, their families, and our communities.

In these unprecedented and stressful times, we want to assure you that MetLife is prepared, and has taken action to ensure our customers get the service they expect, the coverages they have are maintained, questions are answered, and claims are processed in a timely manner.

Below you will find important updates, how to review your benefit coverage and answers to common questions.

How can we help you?

Visit your employer’s benefit website or contact your HR department to get your individual coverage details

-OR—

Go online to manage your account at MyBenefits

Employee Benefits Supporting You Through a COVID-19 Diagnosis

Employee benefits policies are unique for each company, please check with your HR department or Benefits Administrator on the details for your specific policy.

Hospital Indemnity Insurance: COVID-19 would be considered a Sickness as defined in your certificate.  Those benefits provided under the certificate for treatment of a Sickness, including admission to the hospital, would be payable subject to the terms and conditions of the certificate.  Therefore, if you or an eligible family member are admitted to the hospital because of a COVID-19 diagnosis, you will be able to file a claim under your Hospital Indemnity Insurance coverage, provided you meet the plan requirements.  This benefit is paid directly to you, on top of your medical coverage, as a lump sum with the freedom to use however you feel is necessary. 

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Disability Insurance: If you are diagnosed with COVID-19 and are unable to perform your job due to the sickness, you may be entitled to MetLife Disability Insurance benefits.  Disability Insurance will replace a portion of your income for a given time period, which depends on your policy.

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Life Insurance: You or an eligible family member will be covered by Group Life Insurance (Basic, Optional, Dependent, GUL and GVUL) due to a loss of life resulting from COVID-19, provided all requirements of the policy and certificate are met.  Your plan may also include MetLife AdvantagesSM which gives you access to additional services like licensed Grief Counselors1 and Will Preparation2

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Accident insurance: Generally, our Accident coverage only provides benefits for accidents.  However, if your accident plan includes Sickness Hospital Benefits, those benefits would be payable if you or an eligible family member is hospitalized for treatment of a COVID-19, provided all terms and conditions of the certificate are met, such as pre-existing condition limitation, benefit maximums, etc.

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PlanSmart Financial Wellness3: You can get financial education and guidance with MetLife’s Financial Wellness program that may be helpful in managing finances during times of increased market volatility. 

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MetLife’s Employee Assistance Program4: You may have access to MetLife Employee Assistance Program (EAP) that provides 24/7 confidential access to professional support to help you manage stress, anxiety, grief, financial concerns, and much more. You can connect to support by phone, video, or chat anytime, anywhere, and have access to a vast library of online resources for coping with trauma, building resiliency, self-care, and managing change.


Travel Assistance coverage5,6MetLife AXA Travel Assistance program provides medical evacuation/repatriation if you or an eligible family member are traveling more than 100 miles from home for 180 days or less, become ill and do not have access to medical facilities capable of providing needed care.  AXA will coordinate transportation to the nearest appropriate medical facility or home, if medically necessary.


MetLife Legal Plans: If you and your eligible family members are enrolled in the Legal plan, you have access to Will Preparation services, including telephone or in-person consultations with an attorney in the MetLife Legal Plan attorney network. Covered services include preparing important planning documents like a power of attorney, which is a document that allows someone to conduct transactions on your behalf, and a health care proxy, where you can appoint another person to make medical decisions on your behalf.

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Health Screening Benefit:  If the Health Screening Benefit is included in your Critical Illness, Accident or Hospital Indemnity Insurance certificate, the Health Screening Benefit would be payable for a COVID-19 laboratory screening test (regardless of the test result), subject to the requirements for payment of that benefit and the other terms and conditions of the certificate.

Keeping You Informed - General FAQs

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If you or an eligible family member have Hospital Indemnity Insurance or Accident Insurance that includes Sickness Hospital Benefits, and you are admitted to the hospital for treatment of COVID-19, you will be able to file a claim under your coverage provided you meet the plan requirements.

If the Health Screening Benefit is included in a Critical Illness, Accident or Hospital Indemnity Insurance certificate, the Health Screening Benefit would be payable for a  COVID-19 laboratory screening test (regardless of the test result), subject to the requirements for payment of that benefit and the other terms and conditions of the certificate.  Please check with your employer or sign into MyBenefits for plan details.

MetLife remains committed to ensuring employees get the service they expect and the timely handling of claims. At this time, we are confident in our abilities to service our employees.

Disability FAQs

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If you have MetLife Disability Insurance, are diagnosed with COVID-19 and are unable to perform your job due to the sickness, you may be entitled to MetLife Disability Insurance benefits.  Disability Insurance will replace a portion of your income for a given time period, which depends on your policy.

Being quarantined most likely does not meet the requirements for a disability and would not be covered by MetLife Disability Insurance. However, if you develop COVID-19, or another qualifying sickness while quarantined, and you meet the definition of disability within the policy, benefits would be reviewed for payment.

We will review each leave request on a case-by- case basis, however, in order to qualify for disability, quarantined employees would need to satisfy the definition of a “serious health condition.” If the employee is unsure if the claim will be approved, we encourage the claim to be submitted for review.

We will review each leave request on a case-by-case basis.  However, in order to qualify for FMLA, quarantined employees would need to satisfy the definition of a “serious health condition” or be caring for a child if the school or place of care has closed or childcare provider is unavailable due to a public emergency regarding COVID-19, among the other FMLA eligibility requirements. If the employee is unsure if the claim will be approved, we encourage the claim to be submitted for review.

Life Insurance FAQs

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MetLife offers group life insurance policies through employers. If you select additional life insurance coverage, medical evidence of insurability (MEOI), or a Statement of Health (SOH), may be required based on your employer’s plan. Each individual applicant’s medical history must be reviewed before a coverage decision is made.  If you are unable to go to the post office, or mail the paper form via the US Postal Service, there are two additional ways to submit your MEOI/SOH form for processing, including email and fax submission options. You can find the email and fax information in the Instructions section on your MEOI/SOH form.

In instances where additional medical evidence of insurability is required (for example, a paramedical exam) you will be given 6 months to complete this requirement. Once this additional information is received, MetLife will inform you of a coverage decision in writing. 

Self-service forms, answers to frequently asked questions, contact information, and performance information can be found on our website for those individuals who have purchased their policy through an agent (Life Insurance Policyholders site).  You can also contact your financial professional for assistance.

Dental Insurance FAQs

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Earlier in the year we were seeing that dental offices were providing emergency dental care for patients. They were following the guidance from the American Dental Association, their state dental associations, and state regulators that they should offer emergency dental care as a response to the COVID-19 pandemic. MetLife recommended that plan members contact their dentist for direction on how to seek the appropriate care at that time. Plan members can contact MetLife at 1-800-942-0854 or visit mybenefits.metlife.com for assistance in finding a dentist in their area in the event they don’t have a dentist or their dentist is not available.

MetLife dental plans provide coverage for dental services delivered through tele-dentistry.  The coverage is handled the same as if the patient was receiving the dental services in a dental office.  Dental services that can be delivered through tele-dentistry typically include problem focused exams and re-evaluations.  The coverage is subject to the plan terms and conditions.  Dentists can verify benefit coverage using MetLife’s web portal, www.MetDental.com as well as MetLife’s interactive voice response (IVR) capabilities.  To the extent a state has enacted mandates regarding tele-dentistry due to the COVID-19 pandemic, MetLife will fully comply.

Currently, members who have services performed by a network provider should not incur any additional costs for infection control, including PPE, per our network contracts with our providers.  These costs are not considered a separate billable dental procedure and cannot be billed to a participant or to MetLife.  If a member is surcharged by a network provider for PPE upfront, they should report this charge to MetLife by calling us at 1-800-GETMET8 (1-800-438-6388).  MetLife has an established grievance process to fully resolve these charges and track these types of issues which allows us to educate providers accordingly.  

If a member receives services from an out-of-network provider, they may be responsible for any additional PPE charges billed by the provider.

Legal Plan FAQs

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Our Client Service Center is open during its regular hours Monday through Friday, 8 am – 8pm ET, and we are operationally prepared to handle all calls and claims. You can reach out to us at 800-821-6400 with any questions or concerns.

Our attorneys can provide consultations over the telephone, and many can consult via virtual meetings. While our attorneys will do their best to handle all inquiries in a timely manner, our e-panel attorneys are also available to answer general questions online. You can submit questions and a Network Attorney will respond to within 24 to 48 hours.

What are MetLife Legal Plans’ portability options for furloughed, temporarily laid-off or reduced hours/salary employees?

Beginning April 1, 2020 through July 31, 2020, we are offering employees that would like to keep their plan benefits due to a COVID-19 related leave of absence, unpaid leave, or termination the option to either port their plans for 3 months or choose our standard 12-month portability. You can call our Client Service Center at 800.821.6400, Monday-Friday (8am - 8pm ET) to enroll in the portable plan. You must enroll within the month of July. Enrollment is prepaid via remittance of a lump sum payment equal to the legal plan’s monthly rate times three months (or 12 months if you choose our standard portability plan).

Under portable enrollment, dependent definitions are the same as those for active employees. The covered services and exclusions are the same as those under the current plan. Members can visit members.legalplans.com or call 800.821.6400 for plan details.

How long will MetLife Legal Plans offer this three-month portability plan?

At the end of July, we will evaluate whether to continue the three-month portability option in June. For those who enroll in the three-month program, we will evaluate at the end of the period whether to extend for an additional three-month renewal option.

*Standard Exclusions apply. See a full list of our exclusions here:

No service provided, not even consultation for:

  • Employment-related matters, including company or statutory benefits
  • Matters involving the employer, Network Attorneys, MetLife and affiliates
  • Matters in which there is a conflict of interest between the employee and spouse or dependents, in which case services are excluded for the spouse and dependents Appeals and class actions
  • Farm and business matters, including rental issues when the plan member is the landlord
  • Patent, trademark and copyright matters
  • Costs and fines
  • Frivolous or unethical matters
  • Matters for which an attorney-client relationship exists prior to the participant becoming eligible for plan benefits

MetLife Auto & Home

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U.S. Brokers

Looking for FAQs and legislative updates to help Brokers and Employers navigate COVID-19?

MetLife is committed to navigating life together with you

We're in This Together

1 Grief Counseling services are provided through an agreement with LifeWorks. LifeWorks is not an affiliate of MetLife, and the services LifeWorks provides are separate and apart from the insurance provided by MetLife. LifeWorks has a nationwide network of over 30,000 counselors. Counselors have master’s or doctoral degrees and are licensed professionals. The Grief Counseling program does not provide support for issues such as: domestic issues, parenting issues, or marital/relationship issues (other than a finalized divorce). For such issues, members should inquire with their human resources department about available company resources. This program is available to insureds, their dependents and beneficiaries who have received a serious medical diagnosis or suffered a loss. Events that may result in a loss are not covered under this program unless and until such loss has occurred. Services are not available in all jurisdictions and are subject to regulatory approval. Not available on all policy forms.

2 Will Preparation is offered by MetLife Legal Plans, Inc., a MetLife company. In certain states, legal services benefits are provided through insurance coverage underwritten by Metropolitan Property and Casualty Insurance Company and Affiliates, Warwick, Rhode Island. For New York sitused cases, the Will Preparation service is an expanded offering that includes office consultations and telephone advice for certain other legal matters beyond Will Preparation. Tax Planning and preparation of Living Trusts are not covered by the Will Preparation Service.

3 MetLife administers the PlanSmart Financial Wellness program, but has arranged for Massachusetts Mutual Life Insurance Company (MassMutual) to have specially trained financial professionals offer in-person financial education and, upon request, provide personal guidance to employees and former employees of companies providing the program through MetLife. Guidance and coaching online and by phone is provided by trained and credentialed financial planners through our alliance with EY (Ernst & Young LLP). PlanSmart Financial Wellness planner line access for COVID-19 relating financial questions is being offered to employers under 100 lives at no cost for a limited time. If you’d like additional details on this offer, please contact financialwellnessfeedback@metlife.com. No MetLife customer relationship required.

4 EAP services provided through an agreement with LifeWorks US Inc. (LifeWorks by Morneau Shepell). LifeWorks is not a subsidiary or affiliate of MetLife.

5 Travel Assistance services are offered and administered by AXA Assistance USA, Inc. Certain benefits provided under the Travel Assistance program are underwritten by Certain Underwriters at Lloyd’s London (not incorporated) through Lloyd’s Illinois, Inc. Neither AXA Assistance USA Inc. nor the Lloyd’s entities are affiliated with MetLife, and the services and benefits they provide are separate and apart from the insurance provided by MetLife.

6 Proof must be established that the employee does not have COVID-19 even if the evacuation is for another reason. In addition, destination countries are implementing more stringent screening practices at points of entry. Access to and clearances for air and ground ambulance providers, as well as other transportation options, are becoming more challenging to secure as action is taken to contain the spread of the virus.

Group Life, Group Disability and Group Dental Insurance:

Like most insurance policies and benefit programs, insurance policies and benefit programs offered by Metropolitan Life Insurance Company and its affiliates contain certain exclusions, exceptions, waiting periods, reductions of benefits, limitations and terms for keeping them in force. Please contact MetLife for complete details.

The MetLife Cancer Insurance plan is based on the MetLife Critical Illness Insurance (CII) policy. MetLife Cancer Insurance includes only the Covered Conditions of Full Benefit Cancer and Partial Benefit Cancer.

METLIFE CRITICAL ILLNESS INSURANCE (CII) IS A LIMITED BENEFIT GROUP INSURANCE POLICY.  Like most group accident and health insurance policies, MetLife’s CII policies contain certain exclusions, limitations and terms for keeping them in force. Product features and availability may vary by state. In most plans, there is a pre-existing condition exclusion. After a covered condition occurs, there is a benefit suspension period during which benefits will not be paid for a recurrence, except in the case of insureds covered under a New York certificate. MetLife’s Issue Age CII is guaranteed renewable, and may be subject to benefit reductions that begin at age 65. Premium rates for MetLife’s Issue Age CII are based on age at the time of the initial coverage effective date and will not increase due to age; premium rates for increases in coverage, including the addition of dependents’ coverage, if applicable, will be based on the covered person’s age at the time of the initial coverage effective date.  Rates are subject to change for MetLife’s Issue Age CII on a class-wide basis.  A more detailed description of the benefits, limitations, and exclusions can be found in the applicable Disclosure Statement or Outline of Coverage/Disclosure Document available at time of enrollment. For complete details of coverage and availability, please refer to the group policy form GPNP14-CI or contact MetLife for more information.  Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York.

MetLife's Critical Illness Insurance is not intended to be a substitute for Medical Coverage providing benefits for medical treatment, including hospital, surgical and medical expenses.  MetLife's Critical Illness Insurance does not provide reimbursement for such expenses.

METLIFE'S ACCIDENT AND HOSPITAL INDEMNITY INSURANCE POLICIES ARE LIMITED BENEFIT GROUP INSURANCE POLICIES. The policies are not intended to be a substitute for medical coverage. The policies or their provisions may vary or be unavailable in some states. There is a preexisting condition limitation for hospital sickness benefits, if applicable. There are benefit reductions that begin at age 65, if applicable. And, like most group accident and health insurance policies, polices offered by MetLife may include waiting periods and contain certain exclusions, limitations and terms for keeping them in force. For complete details of coverage and availability, please refer to the group policy form GPNP12-AX or GPNP13-HI or contact MetLife.

Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York.  In certain states, availability of MetLife’s Group Hospital Indemnity Insurance is pending regulatory approval. Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See MetLife’s Disclosure Statement or Outline of Coverage/Disclosure Document for full details.

MetLife Auto & Home® is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates, Warwick, RI.