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Group Health Employee Benefits Survey


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

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Do you have any active employee's age 65 or older?
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How many full-time employees do you have working 25 hours or more a week?
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How many part-time, temporary or seasonal employees do you have?
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Do you currently have a flex plan in place?
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Are you familiar with the State and/or Federal employment laws regarding continuation of coverage for terminated employees (Cobra)?
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Are you familiar with the new Health Care Reform Regulations?
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Are you familiar with the rules regarding adding or removing members from your health plan?
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Have you reviewed your group life, group dental, disability or long-term care coverage recently?
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Have you considered voluntary benefits such as those offered by AFLAC?
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Are you interested in having your policy paid through your payroll service?
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Important Notice
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