Claims and Appeals
Metropolitan Life Insurance Company is the Claims Administrator. To report a covered loss and file a claim for benefits under the Group Life Insurance Plan for AD&D insurance benefits, you or your beneficiary should contact Metropolitan Life Insurance Company at 888-878-8490 to request a claim form. You or your beneficiary should also contact the PG&E Benefits Service Center to notify the Company of your loss or death. You or your beneficiary must follow the instructions on the claim form carefully and answer all questions completely to help expedite the processing of your claim. The completed claim form and any other required materials should be returned to the address on the form.
Metropolitan Life Insurance Company is solely responsible for determining whether the Postretirement AD&D benefit is payable at the initial claim level and at the appeal level. If you have been denied a benefit, you may submit an appeal to Metropolitan Life Insurance Company. The procedures governing initial claims and appeals are further described in this section.
Determinations relating to eligibility for Accidental Death and Dismemberment Insurance under the Group Life Insurance Plan are made by Metropolitan Life Insurance Company at the initial claim level and by the Employee Benefit Appeals Committee (EBAC) at the appeal level. If you have been denied benefits based service, status, or membership in the Group Life Insurance Plan by Metropolitan Life Insurance Company, you may submit an appeal. The procedures governing service, status, or membership claims and appeals are further described in this section.