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CRN 2026 Retail Association Health Plan & Captive Interest Survey
Please complete one survey per employer. This short version is intended to help the association quickly gauge member eligibility, size, and interest in a possible group captive strategy.
1.
Legal business name
2.
Primary contact
Name
Title
Email
Phone
3.
Business type
Grocery / supermarket
Restaurant / food service
Convenience store / fuel
Apparel / soft goods
Home / hardware
Other retail (please specify)
4.
Approximate number of employees
Full-time
Part-time
Total eligible for benefits
5.
Do you currently offer a group health plan?
Yes
No
6.
If yes, current funding type
Fully insured
Level-funded
Self-funded with stop-loss
ICHRA / QSEHRA
Other (please specify)
7.
Approximate size of your covered group
Enrolled employees
Total covered lives
8.
Approximate average annual health plan renewal increase over last 3 years
0-5%
6-9%
10-14%
15%+
9.
Do you have claims or experience reports available from your carrier / TPA?
Yes, detailed
Yes, limited
No
10.
If level-funded or self-funded, do you currently have stop-loss coverage?
Yes
No
Not applicable
11.
How interested are you in learning about an association captive?
Not interested
Interested in more information
Interested in a feasibility study
Potentially interested in participating
12.
What are your main goals? (check up to two)
Lower long-term cost
More stable renewals
More transparency
More flexibility in plan design
Better Rx management
13.
Would you allow your de-identified, aggregated information to be used for feasibility analysis?
Yes
No
14.
Best person for follow-up
