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Do Not Sell My Personal Information: California Consumers Privacy Act

Tuesday, December 31, 2019

Per the California Consumers Privacy Act, the California Consumers Privacy Act (CCPA) Request Form may be used by California residents to request the following:

  • accounting (report) of personal information collected, used or shared, 
  • deletion of personal information or
  • opt-opt of the sale of personal information. 

We do not sell personal information for money; however, we may disclose personal information for business purposes to certain third parties. Subject to exceptions, we may be able to honor certain opt-out requests.

Return this form via fax or mail.

Fax: 1-844-813-7788


Health Net Federal Services, LLC
Privacy Compliance Office
10730 International Drive
Rancho Cordova, CA 95670

Learn more on our Privacy page.