Consumers from Connecticut, Nebraska, New Hampshire, Texas and Virginia can use this form to exercise rights concerning personal information, subject to applicable law. If you have questions about data privacy at Via Benefits, you can access the privacy policy with this link.


Please select the appropriate request type below and provide any details that might be helpful. This information will only be used to process your request.


If you are from California and wish to exercise your rights under the CCPA, please use this link instead. CCPA requests submitted through this form below will be rejected.


For non-privacy related questions, please refer to the contact information on the Via Benefits home page.

Confirm if Via Benefits Processes My Personal Information
Access or Obtain a Copy of My Personal Information
Correct My Personal Information
Delete My Personal Information
Appeal Denial of Rights Request
Enter the first name of the data subject
Enter the last name of the data subject
Enter email for correspondence with the data request.

If you are submitting a privacy request on behalf of another consumer or a parent representing a minor, please let us know in the field below. We will reach out to you for verification purposes.

Enter any additional information in this section that will help us process your request. Please refrain from entering any personal information.