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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.
*
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What is your full name?
*
What is your Title?
*
What is your Email?
*
I your company self-insured for Health Benefits or Workers Compensation?
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Health Benefits
Workers Compensation
Both
None
Are you interested in lowering your Stop-Loss Coverage?
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Absolutely
Not Really
How important is it for you to Lower Medical Costs?
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Very Important
Important
Somewhat Important
Not Important
Do you believe our product is needed?
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Yes
No
If Yes, Why?
*
If No, Why?
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If Yes, what features did you find most compelling?
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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
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