D. Insured's estate - Primary Contingent Share % If the Insured's Estate is selected as the Primary Beneficiary, no Contingent Beneficiary may be named. E. Charity/Organization - Primary Contingent Be sure to name the charity or organization and not the charity or organization director or an employee of that charity/organization. Charity/Organization name Phone number Share % Address - Street City State ZIP code SECTION 3: Signature Check if you are completing and signing this form as agent for the employee under a valid Power of Attorney. Return a copy of the Power of Attorney with this beneficiary form. The Power of Attorney paperwork is subject to review by MetLife. I hereby revoke any previous designations, and I designate the person, people, or entity named in Section 2 as Beneficiary(ies). I reserve the right to change or revoke this designation at any time. Insured/Owner name (Please print) First name Middle name Last name Signature of Insured/Owner Date (mm/dd/yyyy) (must be date form was completed) SECTION 4: How to submit this form The employee should provide the completed form to their Employer. Retain a copy for your records. Page 8 of 8 GR-TR-BENE-EMP-M (12/18) Fs/f