Michigan Business & Professional Association - Healthcare offering questionnaire

Does your business offer healthcare benefits?

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* 1. Does your business offer healthcare benefits?

Yes - No additional responses needed. Please click All Finished below. Thank you for your time.

If you don't currently offer healthcare benefits, how likely are you to offer it in the future?

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* 2. If you don't currently offer healthcare benefits, how likely are you to offer it in the future?

Not at all likely

Unlikely

Unsure

Likely

Definitely Likely

Not at all likely

Unlikely

Unsure

Likely

Definitely Likely

If you are unsure, unlikely or not at all likely to offer healthcare benefits in the future, what are the contributing factors to this decision? Select all that apply.

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* 3. If you are unsure, unlikely or not at all likely to offer healthcare benefits in the future, what are the contributing factors to this decision? Select all that apply.

Too expensive for our company

Too expensive for my employees

Offering healthcare coverage is complex and time consuming

My employees haven't asked for healthcare coverage

Our company has high turnover

We are too small of an organization to offer healthcare coverage

Other (please specify)

If you indicated that you are likely or definitely likely to offer healthcare benefits, how soon are you looking to do so?

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* 4. If you indicated that you are likely or definitely likely to offer healthcare benefits, how soon are you looking to do so?

Within the next 30 days

In the next 3 - 6 months

In the next 6 to 12 months

After the next 12 months

If you are likely or definitely likely to offer healthcare benefits, what level of healthcare coverage are you interested in offering to your employees?

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* 5. If you are likely or definitely likely to offer healthcare benefits, what level of healthcare coverage are you interested in offering to your employees?

Rich coverage that may cost more in premium, but offers great benefits and low out of pocket costs when my employees use it

Moderately priced coverage that balances the premium and out of pocket costs to my employees

Low premium cost coverage that has high out of pocket costs when an employee needs care

I want to provide a set amount of money each month, per employee, and allow my employees to choose from multiple options. Employees will need to make up the difference if they choose coverage that's more expensive than what the company allots.

Other (please specify)

If you are interested in learning more about healthcare coverage options, please complete the form below and indicate how many employees you have.

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* 6. If you are interested in learning more about healthcare coverage options, please complete the form below and indicate how many employees you have.

Name

Company

Email Address

Phone Number

Number of employees:

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* 1. Does your business offer healthcare benefits?

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* 2. If you don't currently offer healthcare benefits, how likely are you to offer it in the future?

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* 3. If you are unsure, unlikely or not at all likely to offer healthcare benefits in the future, what are the contributing factors to this decision? Select all that apply.

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* 4. If you indicated that you are likely or definitely likely to offer healthcare benefits, how soon are you looking to do so?

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* 5. If you are likely or definitely likely to offer healthcare benefits, what level of healthcare coverage are you interested in offering to your employees?

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* 6. If you are interested in learning more about healthcare coverage options, please complete the form below and indicate how many employees you have.

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* 7. Number of employees: