Section 1:  The Basics (5 Questions)

Please have medical plan designs, a current bill, your last renewal and employee payroll contributions available while completing the survey.

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* 1. Please advise if you are located in Northern New Jersey or Southern New Jersey (using I-195 as the dividing line).

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* 2. Please tell us the name of your present health insurance carrier.

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* 3. Please identify which of the following most closely shows what your final rate change (after carrier and/or plan changes) was on your 2019 medical renewal.

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* 4. In accepting the above renewal level, did you do any of the following?  (Check ALL that apply)

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* 5. Please indicate which of the following most accurately describes your group size:

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