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* 1. How many Employees do you currently have?

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* 2. Do you currently offer or have in place a GROUP HEALTH PLAN?

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* 3. Would you be interested in buying GROUP HEALTH coverage through the NDTMA?

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* 4. Why would you be interested in buying GROUP HEALTH COVERGE through the NDTMA?

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* 5. How much of the Eligible Employees health costs are you willing to cover?

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* 6. What GROUP HEALTH BENEFITS are you considering?

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* 7. Would you like for someone to contact you to discuss what GROUP HEALTH options are available to you and your employees?

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* 8. Please provide contact information

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