Does your business offer healthcare benefits?

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* 1. Does your business offer healthcare benefits?

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?

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.

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?

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?

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.

Number of employees:

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* 7. Number of employees:

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