Insurance Surveys

310-290-S

XXXXXXXXXXXXX In Reply Refer To:

XXXXXXXXXXXXX 310/295-S

XXXXXXXXXXXXX XXXXXXXXXXXXX

XXXXXXXXXXXXX

Dear XXXXXXXXXXXXXX:

We recently processed a beneficiary designation for you 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.

These surveys are anonymous. Names and personal identifiers will be used to locate survey participants when appropriate and/or necessary and will thereafter be stripped from any files as well as reports.

Sincerely yours,

JOE TOMASELLI

Chief, Insurance Claims Division

Enclosures

Survey

Postage Paid Envelope

VA GOVERNMENT LIFE INSURANCE

BENEFICIARY DESIGNATION SURVEY

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree	No Other Insurance
1. It was easy to request the designation form.	[ ]	[ ]	[ ]	[ ]	[ ]
2. You received the form quickly.	[ ]	[ ]	[ ]	[ ]	[ ]
3. It was easy to complete the form.	[ ]	[ ]	[ ]	[ ]	[ ]
4. You received a copy of the processed designation timely.	[ ]	[ ]	[ ]	[ ]	[ ]
5. Overall quality of service was good.	[ ]	[ ]	[ ]	[ ]	[ ]
6. Our service was good when compared with other life insurance companies.	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]

7. 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)