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 B. Living trust - Primary Contingent If this form is executed by the insured, it is understood and agreed that if MetLife receives satisfactory proof that the aforesaid trust has been revoked or is not in effect at the insured's death, the beneficiary shall be the insured's Estate, unless otherwise indicated on this form. Trust name Trust date (mm/dd/yyyy) Trustee phone number Share % Trustee - First name Middle initial Last name Trustee address - Street City State ZIP code C. Testamentary trust created in the insured's will - Primary Contingent Share % The trust(ee) under any last Will and Testament of mine as shall be admitted to probate. Page 7 of 8 GR-TR-BENE-EMP-M (12/18) Fs/f