Commercial Appeals and Grievances

Many issues or concerns can be promptly resolved by our Member Services Department. If you have not already done so, you may want to first contact Member Services before submitting one of the forms below.

Health Net of California, Inc. and/or Health Net Life Insurance Company (collectively, Health Net) encourages you to provide a detailed account of your experience. Your feedback is important to us and we appreciate the time you have taken to share this information.

If you believe a delay in the decision making may impose an imminent and serious threat to your health, please contact customer service at:

• Small Group Plans through Covered California: 1-888-926-5133 TTY 1-888-926-5180
• Group Plans through Health Net: 1-800-522-0088 TTY 1-800-995-0852

File a Grievance Online

• Health Net Commercial Online Grievance Form

File a GRIEVANCE FORM – Mail or Fax

If you prefer to file a grievance by mail or fax, or if you need to complete the form in another language other than English, download and print a GRIEVANCE FORM.

• Commercial HMO - English (PDF) 
  
• Commercial HMO - Spanish (PDF) 
• Commercial PPO - English (PDF) 
• Commercial PPO - Spanish (PDF)