Thank you for participating in our annual employee benefits survey.  Your participation is vital to our understanding of the Indiana market and can help you evaluate how you compare to other employers you may be competing with for the best talent.
If you are already an Apex Benefits client, your data will automatically be included and you will receive a copy of the report.  It is not necessary for current clients to complete this questionnaire.
This survey will take between 15 and 30 minutes, depending on the number of health plans you offer.  Having copies of your benefit summaries, rates and contributions will help you answer questions.  To thank you for your participation, you will receive a copy of our full report.

* 1. What is your name?

* 2. Company

* 3. Company mailing address

* 4. What is your role in the company?

* 5. Email Address

* 6. Please select your industry

* 7. How many total employees do you have?

* 8. Which of the following benefits do you offer your employees?

* 9. How many employees are enrolled in your medical plan(s)?

* 10. Please indicate when your plan year begins

* 11. What funding method does your medical plan use?

* 12. How many health plans can your employees choose from?

* 13. What kind of health plan is your first plan?