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Survey Overview

You are invited to participate in the 2021 TriBridge Partners & United Benefit Advisors survey.

The United Benefit Advisors Annual Plan Benchmarking Survey is widely regarded as the largest in the US with over 11,700 responses annually. The survey is regularly used by Congress to analyze the group healthcare marketplace in the US. The results can be broken down nationally, regionally, by state, employer size and industry.

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* 1. Employer Contact Information

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* 2. Employer Demographic Information

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* 3. Which of the following benefits do you offer? Which of the following benefits do you offer?

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* 4. How many medical plans do employees have to choose from?

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* 5. What types of medical plan(s) do you offer employees?

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* 6. What best describes the funding of your medical plan(s)?

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* 7. Please provide information on the In-Network Benefits.

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 8 & 9 blank.

Benefit Plan 1:

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* 8. Please provide information on the In-Network Benefits.

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 8 & 9 blank.

Benefit Plan 2:

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* 9. Please provide information on the In-Network Benefits.

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 8 & 9 blank.

Benefit Plan 3:

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* 10. Please provide any Copay amounts for visits in the medical plan?

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 11 & 12 blank.

Benefit Plan 1:

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* 11. Please provide any Copay amounts for visits in the medical plan?

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 11 & 12 blank.

Benefit Plan 2:

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* 12. Please provide any Copay amounts for visits in the medical plan?

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 11 & 12 blank.

Benefit Plan 3:

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* 13. Please provide information on the Out-of-Network Benefits.

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 14 & 15 blank.

Benefit Plan 1:

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* 14. Please provide information on the Out-of-Network Benefits.

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 14 & 15 blank.

Benefit Plan 2:

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* 15. Please provide information on the Out-of-Network Benefits.

Please provide the information for the benefits plans you offer. If you only offer one benefit plan, please leave questions 14 & 15 blank.

Benefit Plan 3:

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* 16. Do your medical plan(s) have a separate Rx deductible?

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* 17. If yes, what is the deductible amount?

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* 18. What best describes the Rx copay or coinsurance structure?

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* 19. How many tiers does your Rx coverage have?

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* 20. Please indicate your Rx plan copay or coinsurance level.

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* 21. Do you offer a Health Reimbursement Account (HRA)?

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* 22. If yes, what is the annual employer contribution amount?

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* 23. Do you offer a Health Savings Account (HSA)?

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* 24. Do you offer an employer contribution to employees (HSA)?

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* 25. If yes, what is the annual employer contribution amount?

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* 26. What percentage increase/decrease was your most recent medical renewal?

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* 27. What is your average annual medical premium cost per employee?
If you offer more than one plan please respond based on the plan with the highest enrollment.

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* 28. What are your TOTAL monthly premiums for the medical plan?
If you offer more than one plan please respond based on the plan with the highest enrollment.

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* 29. What is the EMPLOYEE monthly share of the premium in dollars ($)?
If you offer more than one plan please respond based on the plan with the highest enrollment.

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* 30. What is the EMPLOYEE monthly share of the premium in percentage (%)? If you offer more than one plan please respond based on the plan with the highest enrollment.

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* 31. Do you offer an incentive to waive medical coverage?

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* 32. If yes, what is the waiver incentive amount annually?

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* 33. What percentage of employees waive medical coverage?

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* 34. Do you offer medical coverage to domestic partners?

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* 35. Which of the following Section 125 plans do you offer?

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