Supplemental/Optional life - Beneficiary designation I elect that the beneficiary designation indicated below applies to the Supplemental/Optional Life 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 Contingent beneficiary - Your second choice to receive your life insurance proceeds if ALL of your primary beneficiary(ies) are not living at the time of your death. If any contingent beneficiaries predecease you, that person’s share will be equally divided among any remaining contingent 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 Page 5 of 8 GR-TR-BENE-EMP-M (12/18) Fs/f