LockedSecure form

Application For Insurance

Need Help?

Get the Peace Of Mind Life Insurance Helps Provide

Our simple, secure online application can help you get the coverage your family needs.
It takes as little as 10 minutes to buy a policy – start now!

Please get a quote now to see your rate and start your application.

Have an application in progress?
Log In Now

Get An Instant Quote
Date of Birth
Gender
Your State
Coverage Amount

By clicking “Continue”, you agree that a MetLife company or a third party acting on MetLife’s behalf may contact you at the number you’ve provided, including, if applicable, a wireless number, possibly using an autodialer and/or including a prerecorded or artificial voice, for telemarketing or other reasons. You don’t need to give this permission to get a quote or make a purchase; instead, you can call us directly at 1-877-235-1139.

* A MetLife company or a third party acting on MetLife’s behalf.

 
VeriSignLogo

Save and Exit

You will need to create a password in order to log in and complete or review your application later. Please provide the required information below.

Your Username
Create Password

(6-10 characters, including at least one letter and one number, case sensitive)

Confirm Password

Thank You!


Your username and password has been saved. You may log in at any time to finish or review your application. You may now close your browser window to exit or click the button below to log in again.

Your Username
Your Password

Thank You for Contacting Us.


A representative will call you shortly.

You must be in the United States to apply online.


Please contact us when you're back in the U.S. at 1-877-726-9514.

Have A Rep Contact You.


Because of some of the information you entered you are no longer eligible for the online application, However a Metlife Representative will be able to assist you.

First Name
Last Name
State
Email Address
Primary Phone Number
Feedback
Frequently Asked QuestionsPrint