EXHIBIT (5)(c)
Filed as Exhibit (10)(c) with the Initial Filing of this
Registration Statement on Form S-6 on April 6, 1984.
Group Pension
(LOGO OF "METROPOLITAN INSURANCE COMPANIES" APPEARS HERE)
______________
EGN
______________
PARTICIPATION REQUEST
AND
AGREEMENT
FOR THE
MULTIFUNDED ANNUITY CONTRACT
(VESTMET)
TAX DEFERRED (TDA) ANNUITIES OR PUBLIC EMPLOYEE DEFERRED COMPENSATION (PEDC)
PLANS
________________________________________________________________________________
Name of Plan ____________________________________________________________
or Arrangement
____________________________________________________________
Name of Employer ____________________________________________________________
____________________________________________________________
Address of Employer ____________________________________________________________
____________________________________________________________
City______________________________State_____________________
Zip_______________________________
I request that Employees covered under the above Plan or Arrangement be
permitted to become Participants under Metropolitan's Multifunded Annuity
Contract ("the Contract") and for this purpose I request to participate in the
Metropolitan Group Annuity Contracts Trust ("the Trust").
I certify that (1) I have been given a specimen copy of the Contract issued by
Metropolitan to the Trustee of the Trust; (2) I am an "Employer" as defined in
the Contract which describes the rights of persons participating in the
contract; (3) should I cease to be such an Employer I will so notify
Metropolitan; (4) either all of my employees, or all employees of certain
specified classes, are eligible to become Participants under the Contract; (5) I
have received a copy of the Multifunded Annuity Prospectus from Metropolitan.
I understand that no sales representative or other person, except an authorized
officer of Metropolitan, has the authority to make or change any contract, to
waive or alter any rights of Metropolitan, or to make any binding promises about
any contract.
_____________________________________
Signature for the Employer
________________ _______________ _______________________________________________
Title Date City and State of Signing