Association Health Plan Interest Survey
Please take a few moments to answer the following questions to help us better serve you.
Your First Name *
Your answer
Your Last Name *
Your answer
Your Title *
Your answer
Your Email Address *
Your answer
Your Company Name *
Your answer
Your Company Zip Code (Headquarters) *
Your answer
Total Number of Full-Time Employees *
Your answer
Do you have worksite locations with full-time, benefits-eligible employees located outside of Illinois? *
If "Yes," please indicate the states in which you have worksite locations with full-time, benefits-eligible employees. (If "No," please type "N/A.") *
Your answer
Please indicate the types of benefits your organization currently provides to your employees. (Check all that apply.) *
Required
If you currently offer group medical coverage to your employees, please indicate your current funding approach: *
If you currently offer group medical coverage to your employees, please indicate the name of your current insurer. (If you are not currently offering group medical coverage, please indicate "N/A.") *
Your answer
How do you rate your interest level in the development of an Association Health Plan that is designed for and offered to members of the IMA? *
Not Interested
Extremely Interested
How do you rate the importance of maximizing the "pre-tax" nature of your organization's healthcare program with innovative products and strategies? *
Not Important
Extremely Important
How do you rate the importance of providing your employees with a concierge team that assists them in finding doctors, selecting insurance plans, reviewing and correcting medical bills, and advocating with claims issues? *
Not Important
Extremely Important
How do you rate the importance of providing your employees with an online benefits education and enrollment experience (either on a computer and/or a mobile device)? *
Not Important
Extremely Important
How do you rate the importance of using technology to assist with the administration of your employee benefits program? *
Not Important
Extremely Important
Please indicate any tax-preferred offerings you make available to your employees for their healthcare expenses. (Check all that apply.) *
Required
In which areas can the IMA provide you and your organization with more support? (Check all that apply.) *
Required
In which areas have you consider leveraging voluntary benefit strategies to help control cost within your organization? (Check all that apply.) *
Required
Are you interested in participating in the IMA's next Healthcare Advisory Group meeting in late August / early September? *
Please share any other thoughts or comments that you feel would be helpful as the IMA continues to evaluate the viability of an AHP strategy for you as a member.
Your answer
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