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 Accidental Death & Dismemberment for basic life - Beneficiary designation I elect that the beneficiary designation indicated below applies to the Accidental Death & Dismemberment plans insured by MetLife: A. Individual beneficiaries Primary beneficiary - Your first choice to receive your life insurance proceeds in the event of your death. If any primary beneficiaries predecease you, that person's share will be equally divided among any remaining primary beneficiaries. First name Middle initial Last name Share % Address - Street City State ZIP code Relationship to employee Social security number Date of birth (mm/dd/yyyy) Phone number First name Middle initial Last name Share % Address - Street City State ZIP code Relationship to employee Social security number Date of birth (mm/dd/yyyy) Phone number First name Middle initial Last name Share % Address - Street City State ZIP code Relationship to employee Social security number Date of birth (mm/dd/yyyy) Phone number Page 3 of 8 GR-TR-BENE-EMP-M (12/18) Fs/f