Risk Survey

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Risk Survey

Please respond to the following questions and we can begin the process of preparing your no-obligation risk assessment.

Let's start by gathering some information.

* Indicates required field

What is your full name? *

What is your Title? *

What is your Email? *

I your company self-insured for Health Benefits or Workers Compensation? *

Health Benefits Workers Compensation Both None

Are you interested in lowering your Stop-Loss Coverage? *

Absolutely Not Really

How important is it for you to Lower Medical Costs? *

Very Important Important Somewhat Important Not Important

Do you believe our product is needed? *

Yes No

If Yes, Why? *

If No, Why? *

If Yes, what features did you find most compelling? *

Lower Stop-Loss Coverage Lower Medical Costs Lower Employee Premiums Better Healthcare Outcomes Personalized Health Plans Share Risk with Other Employers Direct Contacting with Healthcare Providers

Would you like to speak with one of our Representatives about a no-obligation Risk Assessment? *

Yes No Maybe Later

Please Provide Additional Comments *

Thank you for your time.

Submit

Home
About
- Case Study
Presentation
Our Team
Contact

Please respond to the following questions and we can begin the process of preparing your no-obligation risk assessment.Let's start by gathering some information.

Thank you for your time.

Please respond to the following questions and we can begin the process of preparing your no-obligation risk assessment.

Let's start by gathering some information.