The Affordable Care Act and Higher Education Question Title * 1. Name Question Title * 2. E-mail address Question Title * 3. AFT local name. If not an AFT member, please skip to question 5. Question Title * 4. Your position in AFT local Officer Steward Negotiating Committee Member Staff Member AFT Member Non AFT Member Other (please specify) Question Title * 5. Name of College or University where you are employed Question Title * 6. City were college/university is located Question Title * 7. State where college/university is located Question Title * 8. Are you a: Contingent Faculty Member Non-Contingent Faculty Member Part-Time Staff Member Full-Time Staff Member Other (please specify) Question Title * 9. Has your institution reduced hours or cut course loads for contingent faculty, or is it planning to do so? Yes, hours have been reduced and/or course load has been cut No, but there is a plan to reduce hours and/or cut course loads No, hours have not been reduced and course loads have not been cut Question Title * 10. If hours have been reduced or course loads have been cut, please provide more detail Question Title * 11. Has there been an official announcement of these cuts? Yes No Don't Know If an official announcement has been made, please email a copy or hyperlink to aftresearch@aft.org Question Title * 12. If cuts have been made, has the institution blamed them on the Affordable Care Act? Yes No Don't Know Question Title * 13. Do you have a collective bargaining agreement that governs hours of work? Yes No Don't KNow Question Title * 14. If cuts have been made, did the institution negotiate with the union over the cuts in hours and/or course load? Yes No Don't Know Doesn't Apply Question Title * 15. Do you have the opportunity to purchase insurance coverage through the employer's group plan? Yes No Question Title * 16. How many hours or how many courses do you have to work to be eligible for that coverage? Question Title * 17. If you have health coverage through your employer, what is your monthly premium payment? Question Title * 18. What type of health coverage do you have through your employer? Single Employee + Spouse/Partner Family Do Not Have Health Coverage Through My Employer Other (please specify) Question Title * 19. If you do not have health coverage through your employer, where is your coverage from? Spouse/Partner Another Employer Medicare Medicaid Retirement Health Plan No Health Coverage Another Source Question Title * 20. Please feel free to add additional comments Done