While the employer must fill out a special Packaged Plan Application Form to avail this package, each employee and dependent (for Medical coverage only), must also fill out the Group Health Statement or G-42 Form.
Although it is a Pre-underwritten product package, MetLife underwriters hold the right to decline providing coverage to any employee or dependent who does not appear to represent acceptable risk or health condition either from initial screening of the G-42 Form or from further medical tests conducted by MetLife on the applicant at the former’s own cost.