Level's Anti-Fraud Hotline
Level's Anti-Fraud Hotline is a reporting mechanism to anonymously report fraud, waste and/or abuse as outlined in Level's Anti-Fraud Policy.  Please fill out this form with as many details as possible. This can be used when:

 • You’re uncomfortable using Level's normal channels of communication (e.g. reporting the matter to a
    Supervisor or Compliance); OR
 • You’ve used other channels to raise concerns but have found them to be ineffective in resolving the issue; OR
 • You want to report a concern anonymously.

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Name and Title (if applicable)
Insured Name and ID Number (if applicable)
Policy; Type of Coverage; State *
Effective Date & Benefit Amount *
File Description (Complaint): *MUST INCLUDE WHEN AND WHY REFERRED TO LEVEL *
Red Flags (including but not limited to behavior, patterns, trends, events or circumstances that point to possible fraud) (may use additional pages attached to this page): *
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