Claims and Appeals for Group Life and AD&D
Metropolitan Life Insurance Company is the Claims Administrator. To report a death or dismemberment and file a claim for benefits under the Group Life Insurance Plan for life insurance benefits or file a claim for AD&D 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 life or 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 under the Group Life Insurance Plan or AD&D 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 on length of service, status, or membership in the Group Life Insurance Plan or AD&D Plans by Metropolitan Life Insurance Company, you may submit an appeal. The procedures governing length of service, status, or membership claims and appeals are further described in this section.