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City of Jacksonville
JACKSONVILLE
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City of Jacksonville, Florida
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Benefits Division
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2025 Benefits Information
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Life Insurance
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Life Insurance
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Beneficiary Forms
Have you reviewed and updated your life insurance beneficiary information?
Beneficiary designation forms submitted via mail
MUST
be
NOTARIZED.
COJ Life Insurance Beneficiary Designation Forms
Full Time Employee
Full Time Employee under BU 011
Part-time Employee
Public Safety Officer
Retiree Beneficiary Form
Former Elected Official
Life Insurance Premiums
Supplemental Life Insurance Full-time & Part-time Employees Premiums
Retiree Voluntary Life Insurance Premiums
Dependent Life Insurance Premiums
Life - Basic, Supplemental, Dependent, Statutory Life Insurance
MetLife Group Number:
261599
MetLife Customer Service:
1-866-492-6983
Plan Documents and Forms
MetLife Statement of Health Form (SOH)
Beneficiary Frequently Asked Questions
MetLife Insurance Certificates by Bargaining Unit
BU 11 MetLife Insurance Certificate
BU 40 (Excluding Flight Officers, Sergeants & Bomb Squads)
BU 23 & BU 83 MetLife Insurance Certificate
BUs 30, 42, 141 & 5555 MetLife Insurance Certificate
BU 40 Flight Officers, Captains & Bomb Squads MetLife Insurance Certificate
BU 41 (Excluding Flight Officers, Captains & Bomb Squads)
BU 104 MetLife Insurance Certificate
BU 179 MetLife Insurance Certificate
BU 41 Flight Officers, Captains & Bomb Squads MetLife Insurance Certificate
BU 190 MetLife Insurance Certificate
BU 1111 MetLife Insurance Certificate
BU 2222 MetLife Insurance Certificate
BU 4444 MetLife Insurance Certificate
BUs 10, 12, 13, 45, 46, 70, 90, 120, 130, 240 & 279 MetLife Insurance Certificate
BUs 37 & 140 MetLife Insurance Certificate
BUs 81, 82, 83, 86, 87 & 89 (Excluding Bomb Squads) MetLife Insurance Certificate
BUs 7, 21, 22, 23, 24, 25, 26, 27, 28, 29, 84 & 88 MetLife Insurance Certificate
Retirees Policyholder (Excluding Those Previously Employed Under BU 70)
Retirees Policyholder (Previously Employed Under BU 70)
Policyholder on Waiver of Premium (Disabled Prior to January 1, 2025)
State of Florida Statutory and Federal Death Benefits - Law Enforcement / Fire and Rescue