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Aetna EAP Complaint Form
The Aetna EAP is eager to provide quality EAP services that meet every member's needs and are appropriately responsive to our members, providers, plan sponsors and other constituents. We also welcome your feedback and want to work together to address questions and concerns. The Aetna EAP can be contacted 24 hours a day, 365 days a year. Please feel free to call us at 1-888-AETNA-EAP.
If you would like to make a formal written complaint, you may complete this form and click the "Submit" button. Or, you may print this form and mail it to the address shown below.

Please Print or Type the Following Information
Member Name Last Name   First Name   Middle Initial
Address Home Telephone Number (Include Area code)
City,State,Zip    Work Telephone Number (Include Area code)
Name of Subscriber Employer or Group Date of Birth (MM/DD/YYYY)

If someone other than the member is filing this complaint, please provide the following information
Name
Address Daytime Telephone Number (Include Area code)
City,State,Zip    Relationship to Member

Write what your complaint is about. Give dates, times, people's names, places, etc. that are involved


  

Aetna EAP
1000 Middle Street, MB1H
Middletown, CT 06457
1-888-AETNA-EAP
www.aetnaeap.com

Aetna is the brand name used for products and services offered through the Aetna group of subsidiary companies. The EAP is administered by Aetna Behavioral Health, LLC and Aetna Life Insurance Company (Aetna).
©2008 Aetna Inc

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