Health Care Reform Questions/Insurance Stories
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Montana Commissioner of Securities and Insurance Monica Lindeen wants to hear your questions about the federal health insurance reform law. You may also tell us your experience with (or without) health insurance.

If you have a complaint about your current policy, please call the consumer protection hotline at 1-800-332-6148.

Commissioner Lindeen is responsible for putting the new federal health insurance law into place. Please share your story or concern with her as she begins the process.

By filling out this form, your information will be shared in our office and you may be contacted. The information on this form will not be shared with your insurance company or with anyone outside of the office without your written consent.

1. Your information (We cannot contact you unless you fill this out)

Your information (We cannot contact you unless you fill this out) Name:
City/Town:
Email Address:
Phone Number:

2. Do you have a question about the new health insurance reform law?

Do you have a question about the new health insurance reform law?

3. Have you had health insurance coverage in the previous 6 months?

Have you had health insurance coverage in the previous 6 months? Yes

No (If no, skip to question 7)

Company Name

4. Type of private coverage:

Type of private coverage: Individual coverage

Large group coverage (employer has 50+ employees)

Small group coverage

Public plans (Medicare, Medicaid, etc.)

5. Did your premium increase this plan year?

Did your premium increase this plan year? yes

6. If yes, how much did your premium increase?

If yes, how much did your premium increase? Previous premium
Current premium

7. Please let us know any other details about your story.

Please let us know any other details about your story.

Health Care Reform Questions/Insurance StoriesExit this survey

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