Health Insurance Interest Survey

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* 1. Do you currently have health insurance?

Yes, on myself and/or my family/dependents, through an employer plan

Yes, on myself and/or my family/dependents, through the marketplace

Yes, through my parents (though I will soon no longer be eligible for this coverage)

No, I have no insurance

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* 2. If you answered “no” to the previous question, why do you not have health insurance? (If you answered yes, please skip to #3.)

Cannot afford it

Do not understand it/do not know how to get it or why/did not know I needed it

In transition/between jobs/unemployed/recently lost coverage

Feel healthy/chose not to get it

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* 3. What can you afford for you and/or your family/dependents on a monthly basis for insurance?

Nothing, genuinely

Less than $200

Up to $450

Greater than $451

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* 4. What would happen if you had a catastrophic health event right now?

I would not be able to afford my deductible

I would not be able to afford my co-insurance

I have no insurance and would go deeply into debt and likely have to file for bankruptcy

I have good coverage and would be fine

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* 5. If healthcare and/or insurance coverage could be affordable for your budget, which of the following sounds the best?

A low-cost monthly insurance premium with a high deductible of $12,500 before coverage starts

A mid-range monthly insurance premium with a set group of doctors (HMO) and no deductible

A monthly insurance premium with access to all doctors and a mid-range deductible of $6,500

Having a set medical team on retainer for a set annual fee of $2,000

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* 6. Do you currently have access to full benefits?

Yes, I am a W-2 employee of a company with insurance, retirement savings, vacation and sick leave

Yes, I have access through my company but I am responsible for paying for all my benefits

Yes, I am self-employed and can get my own insurance and have a SEP IRA or Single 401K

No, I have no benefits and/or do not understand my options

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* 7. If you had access to a comprehensive benefits platform with health insurance, retirement savings programs, investment advice, financial and health education and options for disability and/or life insurance, and those were offered at an affordable cost – much lower than pricing that could be obtained on your own, how likely would it be that you would take advantage of that platform?

Very likely – I would want to sign up immediately

Moderately likely – I would need to know that it was in my price range, but if it was, I would sign up immediately

Less likely – I would need to see the numbers, understand the offerings, and have some time to comparison shop on my own to see whether I could do better alone

Unlikely – I am not looking for this type of platform at all

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* 8. Please provide your zip code.

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* 9. Please select your age range as well as the age range of any dependent(s).

Under 10

11-18

19-34

35-54

55-64

65+

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* 10. If you would like to be contacted about access to a health insurance coverage option, please provide your details below. (We will never share or sell your information!)