Insurance Surveys

XXXXXXXXXX In Reply Refer To XXXXXXXXXX 310/295-S

XXXXXXXXXX CXXXXXXXXXX

Dear XXXXXXXXX :

We recently processed a claim for waiver of premiums on your government life insurance. Now we would like to know if we did the best possible job. You can help us by doing the following:

1. Fill out the enclosed survey.

2. Send it to us in the enclosed envelope. (We've paid for the postage.)

Completing the survey is voluntary, and it will help us improve our service.

If you have any questions and would like us to call you, fill in the box at the bottom of the survey.

Thank you for taking your time to help us. Please return your survey as soon as possible to make sure we can include your responses in the results.

Sincerely yours,

JOE TOMASELLI

Chief, Insurance Claims Division

Enclosures

Survey

Postage Paid Envelope

VA GOVERNMENT LIFE INSURANCE

WAIVER OF PREMIUMS SURVEY

	Strongly		Neither Agree		Strongly	No Other
	Agree	Agree	nor Disagree	Disagree	Disagree	Insurance
1. It was easy to apply for the waiver of premiums.	[ ]	[ ]	[ ]	[ ]	[ ]
2. The instructions for applying were clear.	[ ]	[ ]	[ ]	[ ]	[ ]
3. Our communications were understandable.	[ ]	[ ]	[ ]	[ ]	[ ]
4. Our communications were courteous.	[ ]	[ ]	[ ]	[ ]	[ ]
5. Your claim was processed in a timely manner.	[ ]	[ ]	[ ]	[ ]	[ ]
6. The overall quality of our service was good.	[ ]	[ ]	[ ]	[ ]	[ ]
7. Our service was good when compared with other life insurance companies.	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]

8. How can we improve our service?

Complete This Section ONLY If You Would Like Someone To Call You About This Insurance

• Yes, I would like an Insurance Representative to call me about my recent request.

Name:______________________ Daytime Phone Number:__________________________

Insurance File Number:____________________ Best time to call during the day:_______________

MMMMYYYY (survey #)

Insurance Toll-free (1-800-669-8477) Insurance Toll-free fax (1-888-748-5828)

Website & E-mail (www.insurance.va.gov) Hours of operation: (Mon. – Fri. 8:30 a.m. – 6:00 p.m. ET)

Best days to call (Wed. and Thurs.) Automated policy access (24 hours, 7 days a week)