The NC Center for Nonprofits is working with Marsh McLennan Agency, Capstone Administrators, and Blue Cross Blue Shield of NC to offer an Association Health Plan for Center Members. Please complete this brief survey letting the Center know if your organization would be interested in this exploring this new benefit.

Question Title

* 1. Full Name

Question Title

* 2. Organization

Question Title

* 3. Is your organization a current Center Member?

Question Title

* 4. Would you be interested in exploring (no obligation) an Association Health Plan offered by the Center in partnership with Blue Cross Blue Shield of North Carolina?

Question Title

* 5. If you are interested in exploring an association health plan, the Center needs census information on your employees. This information will help BCBS present the most competitive plan options and pricing for the group. Who on your team should the Center follow up with to collect census information? If not interested, enter NA below.

Question Title

* 6. Does your organization currently offer health insurance benefits to employees?

If you currently offer health insurance, please answer the following questions. If you don't currently offer insurance, you can skip questions 7-10 and click done to submit your survey responses.

Question Title

* 7. Who is your current health insurance carrier?

Question Title

* 8. Which month does your health insurance renew?

Question Title

* 9. How many full-time employees does your organization have?

Question Title

* 10. How many employees are currently enrolled in your health plan?

T