* 1. Why are you considering distributing your products at the workplace?

* 2. How are you currently distributing your products?

* 3. Are you currently offering a product and or service to employers?

* 4. If yes, which products are you currently offering?

* 5. What type of institutional relationships do you currently have that can be approached with the Voluntary Employee Benefit program?

* 6. Which distribution channel do you utilize to access employers?

* 7. What size employee market are you currently in?

* 8. What products are you currently distributing?

  Individual Group

* 9. Please provide any additional comments or specific issues you would like to have addressed. (e.g. new country launch)

* 10. Contact Information. Name, company and email are required.