Documents, Tools and Forms

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Benefit Summary Documents

Find detailed information about your benefit plans and the rules governing them.

Dental Plan Summary (US except LA, MS, MT, TX)  

Dental Plan Summary (LA, MS, MT, TX)  

Vision Plan Summary 

Flexible Benefit Plan Summary (FSA & HSA) 

Commuter Benefit Plan Summary 

Life and AD&D Insurance Plan Summary 

Disability Insurance Plan Summary 

MetLife Legal Fact Sheet 

401(k) Retirement Plan Highlights 

Summary of Benefits and Coverage (SBC)

See what your medical plan covers and how much you pay for covered services.

BCBSIL PPO 500 SBC 

BCBSIL PPO 1500 SBC 

BCBSIL High Deductible Heath Plan with HSA SBC 

Group Medical Plan Coverage of Illinois Essential Health Benefits  

Forms

Spousal Surcharge Waiver Form 

Travel Accident Beneficiary Designation Form  

Commuter Benefit Enrollment Form 

Domestic Partnership Affidavit 

Other Resources

How to Register a MetLife MyBenefits Account 

Medical ID Card FAQs