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* 1. Do you currently have health 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.)

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

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

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

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

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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?

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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). 

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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!)

0 of 10 answered
 

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