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.)

This survey is voluntary; however completing it will help us improve our service.

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.

If you have any questions about your insurance policy, then please feel free to contact us.

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. The overall quality of our service was good.	[ ]	[ ]	[ ]	[ ]	[ ]
6. Our service was good when compared with other life insurance companies.	[ ]	[ ]	[ ]	[ ]	[ ]	[ ]

7. How can we improve our service?

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)