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* 1. Do you currently have health insurance, or not?

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* 2. If yes, what kind of coverage do you have?

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* 3. If you DO NOT currently have health insurance, are you eligible for coverage under a spouse's plan?

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* 4. Do you currently have health insurance through the Exchange (healthcare.gov)?

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* 5. If you do not have health insurance, why not?

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* 6. If Excel were to offer group health insurance to its employees, which of the following benefit offerings would you prefer?

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* 7. Would you cover any dependents or just self?

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* 8. If Excel were to offer group health insurance to its employees, what is the HIGHEST you would be willing to pay for SELF (monthly premium)?

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* 9. How much would you be willing to pay for your DEPENDENTS?

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