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Employer Survey
The HCC is currently providing a county wide group health insurance option for area employers. Our goal is to provide a dynamic program that caters to the needs of area employers, with two or more employees. This survey will help us refine our offerings with a cost effective option. As a not-for-profit organization, we have no profit centers or allegiances to any insurance companies. Our central goal is to make health care more accessible and affordable to Lafayette County residents as well neighboring counties. Thanks in advance for your participation.
1
. How many employees are enrolled full-time at your establishment?
How many employees are enrolled full-time at your establishment?
1-20
21-50
51-200
201 or more
2
. Does your establishment currently make efforts to promote wellness to employees? If not, please explain.
Does your establishment currently make efforts to promote wellness to employees? If not, please explain.
Yes
No
We don't offer this because:
3
. Does your company currently offer health insurance to its full-time employees? If not, please explain why in the space provided.
Does your company currently offer health insurance to its full-time employees? If not, please explain why in the space provided.
Yes
No
We don't currently offer health insurance because:
4
. In an effort to cut costs, what would you be willing to do bring down the cost of ensuring your employees? (Please select all that apply.)
In an effort to cut costs, what would you be willing to do bring down the cost of ensuring your employees? (Please select all that apply.)
Increase co-pays
Increase deductibles
Offer an HSA
Offer an HRAC
Consier a workplace wellness program
Implement a workplace wellness program
Other (please specify):
5
. If you are offering health care benefits to your employees, about how much do you pay into it? (If you don't offer health insurance, please go to question #6)
If you are offering health care benefits to your employees, about how much do you pay into it? (If you don't offer health insurance, please go to question #6)
I pay approximately
I have (insert number) employees
6
. Within the next 12-months, what type of employees are you looking to attract? (i.e. executives, full-time support staff, part-time support staff, etc.)
Within the next 12-months, what type of employees are you looking to attract? (i.e. executives, full-time support staff, part-time support staff, etc.)
7
. Does your company currently provide training and education regarding the following:
Yes
No
Would like to
Heart disease
*
Does your company currently provide training and education regarding the following: Heart disease Yes
Heart disease No
Heart disease Would like to
Stroke
Stroke Yes
Stroke No
Stroke Would like to
High blood pressure
High blood pressure Yes
High blood pressure No
High blood pressure Would like to
Cholesterol
Cholesterol Yes
Cholesterol No
Cholesterol Would like to
Healthy food choices
Healthy food choices Yes
Healthy food choices No
Healthy food choices Would like to
Physical activity
Physical activity Yes
Physical activity No
Physical activity Would like to
Stress management
Stress management Yes
Stress management No
Stress management Would like to
Smoking cessation
Smoking cessation Yes
Smoking cessation No
Smoking cessation Would like to
Other (please specify):
8
. If you answered yes to any of the above risk factors, how was this training offered? (If you haven't provided any risk factor training, please move on to question #8.)
If you answered yes to any of the above risk factors, how was this training offered? (If you haven't provided any risk factor training, please move on to question #8.)
Seminar or workshop provided by consultant
Webinar series
Online class
Video training series
Other (please specify):
9
. How would you prefer to learn about these risk factors?
How would you prefer to learn about these risk factors?
Brochures or booklets
Posters
Health screenings
Newsletters (paper)
Newsletters (electronic)
Webinars
Online video
Professional consultant
Lunch-n-learn presentation
Blogs
Other (please specify):
10
. Would you like for the HCC to provide you with a free quote for your health insurance?
Would you like for the HCC to provide you with a free quote for your health insurance?
Yes
No
If yes, please provide contact information (company name, contact name, phone number and or email):
11
. I would like to participate in the drawing for the $50 Office Depot Gift Certificate.
I would like to participate in the drawing for the $50 Office Depot Gift Certificate.
Contact Name:
Phone Number:
Email Address:
Mailing Address:
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