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On-the-job traumatic event occurs Diagnosis of PTSD from qualified diagnostician Access the PTSD site: .com Select the Claims Services menu item and select the Critical Illness Claim Form* Submit Critical Illness form and supporting documents by mail or fax below *Choose either GMA or ACCG depending on the participation relationship Mail to: Cancer/Critical Illness Insurance Products P.O. Box 80826 Lincoln, NE 68501-0826 Fax to: 1-[PHONE REDACTED] Phone: 1-[PHONE REDACTED] Access the PTSD site: .com Select the Claims Services menu item and select the Long- Term Disability Claim Form* Submit Long- Term Disability Claim and supporting documents by mail or fax below Long-Term Disability Benefit *Choose either GMA or ACCG depending on the participation relationship Mail to: MetLife Disability PO Box 14590 Lexington KY 40512-4590 Fax to: 1-[PHONE REDACTED] Phone: 1-[PHONE REDACTED] If your PTSD diagnosis prevents you from returning to work within 90 days of diagnosis, submit your Long-Term Disability Claim Georgia First Responders PTSD Program Claim Submission Roadmap Event and Diagnosis Lump Sum Benefit For definitions of traumatic event and qualified diagnostician, please see Submitting a PTSD claim begins as a claim submission under MetLife’s Critical Illness Insurance plan for the lump-sum benefit. ---PAGE BREAK--- How to submit a claim *A Physician Statement, which is available on needs to be completed by your qualified diagnostician. What happens next A MetLife claims specialist will review your information, request any additional medical information (if necessary), and notify you in writing of a claim decision. Visit to view your certificate of insurance and to download your claim form. Click on the Claims Service tab and choose the appropriate claim form based on your employer. Or call 1-[PHONE REDACTED] to receive a claim form by mail or email. Answer some questions about your claim on your claim form. Send it, along with your completed Physician Statement* to: Submitting a PTSD claim begins as a claim submission under MetLife’s Critical Illness Insurance plan. Below you’ll find the information you need to make the process as smooth as possible. L0324038936[exp0326][All States][DC,GU,MP,PR,VI] © 2024 MetLife Services and Solutions, LLC METLIFE CRITICAL ILLNESS INSURANCE (CII) IS A LIMITED BENEFIT GROUP INSURANCE POLICY. Like most group accident and health insurance policies, MetLife's CII policies contain certain exclusions, limitations and terms for keeping them in force. Product features and availability vary by state. There may be a preexisting condition exclusion. There may be a Benefit Reduction Due to Age provision. There may be a Benefit Suspension Period between recurrences of the same Covered Condition or occurrences of different Covered Conditions. Issue Age rates will not increase due to age. Rates are subject to change. MetLife reserves the right to raise premium rates for Issue Age CII on a class-wide basis. A more detailed description of the benefits, limitations, and exclusions applicable to MetLife’s CII product can be found in the applicable Disclosure Statement or Outline of Coverage/Disclosure Document available at time of enrollment. For complete details of coverage and availability, please refer to the group policy form GPNP07-CI, GPNP09-CI, GPNP10-CI, GPNP14- CI, GPNP19-CI or contact MetLife for more information. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York. MetLife's Critical Illness Insurance is not intended to be a substitute for Medical Coverage providing benefits for medical treatment, including hospital, surgical and medical expenses. MetLife's Critical Illness Insurance does not provide reimbursement for such expenses. Metropolitan Life Insurance Company I 200 Park Avenue I New York, NY 10166 If you’re thinking about suicide, are worried about a friend or loved one, or would like emotional support, the 988 Suicide and Crisis Lifeline is available 24/7 across the United States. Simply dial 988 from any phone to connect now. Also, people can chat at 988lifeline.org for themselves or a loved one who may need crisis support. Cancer/Critical Illness Insurance Products P.O. Box 80826 Lincoln, NE 68501-0826 Fax: 1-[PHONE REDACTED] 1 2