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* 1. This survey is for clients who did NOT enroll in a Marketplace insurance plan last year to help us understand why. Please assist OPH by asking questions 2-8 directly to your clients who did not enroll in Marketplace plans.

Name of your agency:

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* 2. What was the MAIN reason that you did not enroll in a Marketplace plan?

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* 3. Were there any other reasons besides that one?

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* 4. Did you know that there is a program that could help you pay the cost of your insurance premiums and cost shares?

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* 5. Would you be interested in learning more about insurance plans in general (what different insurance words mean, how to use an insurance plan, etc.)

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* 6. Would you be interested in learning more about the plans available through the Marketplace?

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* 7. Would you be interested in hearing about the experiences of other people living with HIV who now have health insurance through the Marketplace?

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* 8. Is there anything else you would like to share about your feelings/experience with the Marketplace?

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