Health Insurance Interest Survey
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1.
Do you currently have health insurance?
(Required.)
Yes, on myself and/or my family/dependents, through an employer plan
Yes, on myself and/or my family/dependents, through the marketplace
Yes, through my parents (though I will soon no longer be eligible for this coverage)
No, I have no insurance
2.
If you answered “no” to the previous question, why do you not have health insurance? (If you answered yes, please skip to #3.)
Cannot afford it
Do not understand it/do not know how to get it or why/did not know I needed it
In transition/between jobs/unemployed/recently lost coverage
Feel healthy/chose not to get it
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3.
What can you afford for you and/or your family/dependents on a monthly basis for insurance?
(Required.)
Nothing, genuinely
Less than $200
Up to $450
Greater than $451
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4.
What would happen if you had a catastrophic health event right now?
(Required.)
I would not be able to afford my deductible
I would not be able to afford my co-insurance
I have no insurance and would go deeply into debt and likely have to file for bankruptcy
I have good coverage and would be fine
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5.
If healthcare and/or insurance coverage could be affordable for your budget, which of the following sounds the best?
(Required.)
A low-cost monthly insurance premium with a high deductible of $12,500 before coverage starts
A mid-range monthly insurance premium with a set group of doctors (HMO) and no deductible
A monthly insurance premium with access to all doctors and a mid-range deductible of $6,500
Having a set medical team on retainer for a set annual fee of $2,000
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6.
Do you currently have access to full benefits?
(Required.)
Yes, I am a W-2 employee of a company with insurance, retirement savings, vacation and sick leave
Yes, I have access through my company but I am responsible for paying for all my benefits
Yes, I am self-employed and can get my own insurance and have a SEP IRA or Single 401K
No, I have no benefits and/or do not understand my options
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7.
If you had access to a comprehensive benefits platform with health insurance, retirement savings programs, investment advice, financial and health education and options for disability and/or life insurance, and those were offered at an affordable cost – much lower than pricing that could be obtained on your own, how likely would it be that you would take advantage of that platform?
(Required.)
Very likely – I would want to sign up immediately
Moderately likely – I would need to know that it was in my price range, but if it was, I would sign up immediately
Less likely – I would need to see the numbers, understand the offerings, and have some time to comparison shop on my own to see whether I could do better alone
Unlikely – I am not looking for this type of platform at all
8.
Please provide your zip code.
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9.
Please select your age range
as well as
the age range of any dependent(s).
(Required.)
Under 10
11-18
19-34
35-54
55-64
65+
10.
If you would like to be contacted about access to a health insurance coverage option, please provide your details below. (We will never share or sell your information!)
Current Progress,
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