Word-Import - 1 | QuestionPro

1.Are you currently enrolled in the American Fence employee health plan?

Yes

No

2.If you answered no to question 1, are you:

Covered under spouse’s plan?

Covered under another plan?

Uninsured?

If you do not have health insurance, are you uninsured because of:

Cost

Other

Are you currently enrolled in the American Fence employee dental care plan?

Yes

No

3.If you answered no to question 4, are you:

Covered under spouse’s plan?

Covered under another plan?

Uninsured?

4.How would you rate the information you receive from [C_OfficialName] about your benefit plans?

5.When you want detailed information about how your benefits work, where would you turn? Please rank your answers as 1 being the first place you would turn and 5 being the last place you would turn.

12. Which benefits are most important to you? Rank the following benefit plans in order of importance, with number 1 being most important, and number 6 being least important.

13. Is your spouse eligible for medical insurance and/or other benefits from his or her own employer?

Yes

No

Not applicable

14. If your spouse is eligible for benefits from his or her own employer, does he or she participate in those benefit plans?

Yes

No

Not applicable

15. If coverage were available for your spouse from his or her own employer, would you be willing to have your spouse use his or her employer’s plan (rather than the dependent coverage offered by the American Fence plan) if you were paid a fee to do so?

Yes

No

Not applicable

16. Please mark the answer that best describes your overall feeling about the indicated [C_officialname] benefit plans or plan elements.

17. What do you think is the annual cost per employee for providing medical and dental benefits?

$1,000 - $2,500

$2,500 - $5,000

$5,000 - $7,500

$7,500 +

18. Would you prefer to pay more money from your paycheck for medical insurance or more money when you actually go to the doctor or hospital (for example, pay higher deductibles and higher co-payments)?

20. On a scale of 1 to 5 where 5 equals “a lot” and 1 equals “not at all,” how much of an impact did benefits have on:

c_officialname

21. Rate your benefits in terms of importance. Please circle the number that best corresponds to the degree of importance you place on the following benefits. Very Important