Benefit Survey

Thank you for taking time to participate in our survey. Your feedback will be compiled with other employer's responses and a summary will be e-mailed to you. Your responses will not be used for marketing purposes and will only be shared with other willing participants in the survey group.

* Company Name

* Name / Title

* Email Address

Health Plan

Please answer questions based on network benefits only. If there are mutiple health plan offerings you will be prompted for 2nd / 3rd plans at the end of the health section.

* Do you have more than 1 health plan offered?

Yes

* What type(s) of plans are you currently offering?

PPO with Co-pays

Health Savings Account(HSA)

Health Reimbursement Arrangement(HRA)

* Indicates Response Required