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* 1. Do you have health insurance right now?

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* 2. If you do NOT have health insurance, what is stopping you from having health insurance? Answer all that apply.

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* 3. If you could only have 1 -- which would be MOST valuable to you?
Use your finger or mouse to drag THE BEST OPTION FOR YOU to the top of the options, then move your 2nd choice below that, and keep re-ordering until your least favorite option is on the bottom. Questions? Contact your union.

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* 4. If there were 1 or 2 State-offered health insurance plans available to providers to buy, I could afford to spend UP TO (but not more than) _____ per month.

(The State is only going to fund insurance for the provider on the license -- this is for an individual plan NOT a family plan. Please select the MAXIMUM you could afford to contribute NOT what you are willing to contribute -- this is strictly a budgeting question. Please do not lowball this answer because that won't help us negotiate a plan.)

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* 5. To have your answers validated and counted, we need to make sure that you are a licensed provider and that you only answer 1 time (no do-overs please).

What is the CF###### or RF###### found on your DELC-CCLD license posted in your family child care. Please include the letters and the numbers.

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