Health Plans Member Precertification&Utilization Satisfaction Survey

At Health Plans, we value your opinion and input. Please take a few moments to let us know how we are doing,
and how we can improve our service. Thank you for your participation!

What is your employer's name?

3-Digit Group Number (can be found on your ID card and does NOT start with HH)*

May we contact you regarding this survey?*

Your Name

Phone Number (with area code)

Email Address

Please enter the word in the image*
captcha

* Indicates Required Field.