EMPLOYEE REVIEW OF YOUR CURRENT GROUP BENEFITS YOUR FEEDBACK HELPS US IMPROVE FOR YOU Name Employee First Name: Employee Last Name: e-mail (so we can contact you, should you have any questions): Are you happy with your plan design? * Yes No Did your claims get reimbursed to your satisfaction? * Yes No Are you using your claim portal login to submit your claims? * Yes No What additional benefits would you like to see as part of your plan design? Thank You *
