Enrollment form (Financial Freedom Account [Non-Exclusive

SECTION 1: Participant I am an employee of and on behalf of the employer I am requesting

(Name of Employer)enrollment as a participant of the plan.

(Name of Employer/Plan)

Group plan #:First name Middle name Last name

Address

City State ZIP

Sex MaleFemale

Home telephone # Work telephone # Marital Status Date of birth Social Security #

Employee Identification # (If other than Social Security #) Plan Participation Date (mm/dd/yyyy)

Occupation Are you retired?Yes No

Country of citizenship

Email

SECTION 2: Primary and Contingent Beneficiary(ies) Please note: Both Primary and Contingent Beneficiary percentages must each add up to 100%. Percentages must be in whole numbers, or go out just one decimal place (e.g. 12.5%).

Enrollment form (Financial Freedom Account [Non-Exclusive] Variable Annuity) Non-ERISA Money Purchase, Profit Sharing or IRC §401(k) Plan

Express mail only: MetLife 4700 Westown Parkway Suite 200 West Des Moines, IA 50266

Regular mail: MetLife PO Box 10356 Des Moines, IA 50306-0356

How to submit this form: Please send us the entire form by mail.

Plan funded by the Financial Freedom Account product issued by Metropolitan Life Insurance Company (MetLife), New York, NY 10166 New York: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

Primary BeneficiaryFirst name Middle name Last name % of

Proceeds

Relationship to Owner(s) Date of birth Social Security number Phone number

Permanent street address City State ZIP

Page 1 of 7 FFA-401NONERISA-NonExclusive (05/22) FsFFA-401NONERISA-NonExclusive (11/20)

I elect to contribute of my pre-tax pay per pay period.

Primary ContingentFirst name Middle name Last name % of

Proceeds



Primary ContingentFirst name Middle name Last name % of

Proceeds



SECTION 3: Contribution(a) Contribution (Pre-Tax) Election (Complete for 401(k) plans only). If an election is made below, such election revokes any election made in a prior period.

I elect to participate in the 401(k) plan identified above. I authorize my employer to withhold a portion of mypay and make pre-tax contributions to the plan according to this election. I understand amounts deferred under this election will be exempt from Federal income tax but subject to FICA payroll taxes. This election is effective with the payroll beginning on and shall remain in effect until modified or revoked. Complete one of the following:

I elect to contribute of my pre-tax pay per pay period. %ORI elect to contribute of my pre-tax pay per pay period. $

I do not wish to make pre-tax contributions at this time.(b) Optional Payroll Deduction (After-Tax) Election (Complete only if your plan allows employee after-tax contributions). If an election is made below, it revokes any election made in a prior period.

I authorize my employer to deduct a portion of my pay and make after-tax contributions to the plan according to this election. I understand amounts deducted under this election will be subject to both Federal income tax and FICA payroll taxes. This election is effective with the payroll beginning on and shall remain in effect until modified or revoked. Complete one of the following:

$

I elect to contribute of my pre-tax pay per pay period. %OR

I do not wish to make after-tax payroll deductions at this time.Employee after-tax payroll deductions not allowed.


SECTION 4: Investment objective and allocationA. Optional Automated Investment Strategies. (If applicable, choose one.)

Equity Generator® MetLife Stock Index Division B. Allocations

Indicate the percentage of your initial contribution to be allocated to each funding choice. Percentages must be in whole numbers. This allocation will apply to future contributions unless you make a change. You may change your allocation at any time. (Note: Total of both columns must equal 100%.)

Percentage Funding Options

% Fixed Interest Account% Fidelity VIP Government Money Market% American Funds Insurance Series®

% BlackRock Bond Income

% Brighthouse/Franklin Low Duration Total Return

% Fidelity VIP Investment Grade Bond% MetLife Aggregate Bond Index% PIMCO Inflation Protected Bond% PIMCO Total Return

% Western Asset Management U.S. Government

% American Funds Growth Fund% American Funds Growth-Income Fund% BlackRock Capital Appreciation

% Brighthouse/Wellington Core Equity Opportunities

% Brighthouse/Wellington Large Cap Research

% Calvert VP SRI Balanced% Loomis Sayles Growth % Fidelity VIP Equity-Income% Fidelity VIP Growth% Jennison Growth% MetLife Stock Index% MFS® Value% T. Rowe Price Large Cap Growth% Baillie Gifford International Stock% Harris Oakmark International% MSCI EAFE® Index% MFS® Research International% Brighthouse/Artisan Mid Cap Value

Percentage Funding Options

% Calvert VP SRI Mid Cap Growth% Frontier Mid Cap Growth% MetLife Mid Cap Stock Index% Morgan Stanley Discovery% T. Rowe Price Mid Cap Growth% Victory Sycamore Mid Cap Value

% American Funds Global Small Capitalization

% Invesco Small Cap Growth% Loomis Sayles Small Cap Core% Loomis Sayles Small Cap Growth% MetLife Russell 2000® Index% Neuberger Berman Genesis% T.Rowe Price Small Cap Growth% CBRE Global Real Estate% SSGA Growth and Income ETF% SSGA Growth ETF% Brighthouse Asset Allocation 20% Brighthouse Asset Allocation 40% Brighthouse Asset Allocation 60% Brighthouse Asset Allocation 80% Brighthouse Asset Allocation 100% American Funds® Moderate Allocation% American Funds® Balanced Allocation% American Funds® Growth Allocation% Fidelity VIP Freedom 2020% Fidelity VIP Freedom 2025% Fidelity VIP Freedom 2030% Fidelity VIP Freedom 2035% Fidelity VIP Freedom 2040% Fidelity VIP Freedom 2045% Fidelity VIP Freedom 2050% Brighthouse/Wellington Balanced% Loomis Sayles Global Allocation% MFS® Total Return% Invesco Global Equity

% Western Asset Management Strategic Bond Opportunities

100% Total of both columns must equal 100%.


SECTION 5: Replacement (Must be completed)a. Do you have any existing life insurance policies or annuity contracts? Yes Nob. Will the proposed annuity replace, discontinue, or change any existing policy or

contract?Yes No

If "Yes" to either, ensure that any applicable disclosure and replacement forms are attached. Replacement includes any surrender, loan, withdrawal, lapse, reduction in or redirection of payments on an annuity or life insurance contract in connection with this enrollment form.

SECTION 6: Authorization & signature(s)(a) Notice to Participant

Alabama, Arkansas, District of Columbia, Louisiana, New Mexico, Ohio, Rhode Island and West Virginia Residents Only: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. Colorado Residents Only: It is unlawful to knowingly provide false, incomplete or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies to the extent required by applicable law. Florida Residents Only: Any person who knowingly and with intent to injure, defraud or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. Kentucky Residents Only: Any person who knowingly and with the intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime. Maine, Tennessee, and Washington Residents Only: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. Maine Residents Only: A Premium Tax may be assessed. The State Premium Tax is currently 2%. Maryland Residents Only: Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. New Jersey Residents Only: Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. Oklahoma Residents Only: WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony. Kansas and Oregon Residents Only: Any person who knowingly presents a materially false statement in an application for insurance may be guilty of a criminal offense and may be subject to penalties under state law. Pennsylvania and all other states: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties. Puerto Rico Residents Only: Any person who knowingly and with the intention to defraud includes false information in an application for insurance or files, assists or abets in the filing of a fraudulent claim to obtain payment of a loss or other benefit, or files more than one claim for the same loss or damage, commits a felony and if found guilty shall be punished for each violation with a fine of no less than five thousand dollars ($5,000), not to exceed ten thousand dollars ($10,000); or imprisoned for a fixed term of three (3) years, or both. If aggravating circumstances exist, the fixed jail term may be increased to a maximum of five (5) years; and if mitigating circumstances are present, the jail term may be reduced to a minimum of two (2) years.


I have read and understand the information above. I agree that the above information and statements and those made on all pages of this enrollment form are true and correct to the best of my knowledge and belief and are made as the basis of my enrollment. I have received MetLife’s Customer Privacy Notice, the current prospectus for the Financial Freedom Account, and all required fund prospectuses. I ACKNOWLEDGE CONTRACT/CERTIFICATE VALUES AND BENEFITS BASED ON THE SEPARATE ACCOUNT ASSETS ARE NOT GUARANTEED AND WILL DECREASE OR INCREASE WITH INVESTMENT EXPERIENCE. I understand that my employer’s plan document may impose restrictions on distributions. Further, I understand that I must contact the plan administrator/trustee to determine when and/or under what circumstances I am eligible to receive distributions. I/The Owner(s), agree to authorize the Annuitant to reallocate future annuity income and the right to change the beneficiary designation. I agree that neither MetLife nor its representatives shall be liable for any adverse consequences as a result of this authorization.

Note: FATCA, as mentioned below, refers to the Foreign Account Tax Compliance Act.

US Tax Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number, and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I

have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (If you have been notified by the IRS that you are currently subject to backup withholding because of under reporting interest or dividends on your tax return, you must cross out and initial this item.)

3. I am a U.S. citizen or other U.S. person, and 4. I am not subject to FATCA reporting because I am a U.S. person and the account is located within

the United States. (If you are not a U.S. Citizen or other U.S. person for tax purposes, please cross out the last two certifications and complete appropriate IRS documentation.)

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. New York: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

(b) Signature(s)

City & State where enrollment form signedCity State

Signature of Participant Date (mm/dd/yyyy)

Signature of Plan Administrator Date (mm/dd/yyyy)


Vermont: Any person who knowingly presents a false statement in an application for insurance may be guilty of a criminal offense and subject to penalties under state law. Virginia Residents Only: ANY PERSON WHO, WITH THE INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT MAY HAVE VIOLATED THE STATE LAW.

SECTION 7: Representative information Writing agent completes Section 1. All other agents complete Section 2. Commissions will be split in the agreed proportion. Use whole percentages only.a. Does the participant have any existing life insurance policies or annuity contracts? Yes Nob. Will the proposed annuity replace, discontinue, or change any existing policy or

contract?Yes No

If "Yes" to either, ensure that any applicable disclosure and replacement forms are attached. Replacement includes any surrender, loan, withdrawal, lapse, reduction in or redirection of payments on an annuity or life insurance contract in connection with this enrollment form.

Statement of Representative: All answers are correct to the best of my knowledge. I have provided the Proposed Participant with MetLife's Customer Privacy Notice, prior to or at the time he/she completed the enrollment form. I have also delivered a current Financial Freedom Account Variable Annuity prospectus, and all required fund prospectuses. I am properly FINRA registered and licensed in the state where the Proposed Participant signed this enrollment form.

Section 1

Representative’s name First name Middle name Last name

DAI # Sales Office Name & Number % Credit

Signature of Representative Date (mm/dd/yyyy) State License I.D.#

Section 2

2nd Representative’s name First name Middle name Last name


Representative’s signature

3rd Representative’s name First name Middle name Last name




c. Have you separately completed a suitability questionnaire with the participant prior to completing the enrollment form?

If no, please complete the suitability requirements before moving forward with the enrollment process. Confirmation of completed suitability is required in order to complete the representative assignment.

NoYes

Section 2 (continued)

4th Representative’s name First name Middle name Last name



5th Representative’s name First name Middle name Last name




Documents

Enrollment form (Financial Freedom Account [Non-Exclusive