Filling out our quick survey below will help us understand more about your current situation, and hopefully get us on the way to providing you a healthcare and benefit solution that fits your budget, risk tolerance, and needs for your business. Please enable JavaScript in your browser to complete this form.Name *FirstLastBusiness / Organization *What's your role in the company? *Email *Phone *How many total employees do you have? *How many of your employees are Full Time Employees (FTE's)? *Please check all that you currently offer your employees... *Traditional Health Insurance (Regence, Premera, Kaiser, etc.)Dental InsuranceVisionLife InsuranceSupplemental Health Insurance (like Aflac or similar)A stipend to help purchase insuranceHealth Insurance Alternative (Cost Sharing / Health Sharing)Health Reimbursement Arrangement (HRA) / Flexible Spending Account (FSA) or similarI currently don't offer any benefitsCheck any of the above that your employees are able to purchase through you as an employer, whether you contribute all, some, or nothing to each plan.What is your current deductible?How many employees are on your current plan?What is your approximate total monthly cost for your health benefit package (including employee contributions)?What insurance company provides this plan? (Usually Regence, Premera, Cigna, United Healthcare, Kaiser, etc.)Pick the statement(s) which best describe your current situation... *I'm tired of spending money on something my employees aren't usingI need to provide insurance or something to take care of some key employeesI want to provide something to attract new employeesI'm happy with my product, but unhappy with the service from my current brokerI want to provide healthcare, but I can't afford traditional insuranceI'm really happy with what I have, I just want to see what else is availableMy boss told me I have to do research, so here I amIf you had to choose between the extremes of cost savings versus benevolence (taking great care of employees), where you would land on the scale? * Saving money is my top priority right nowI need to save money, but I'll spend a little bit if it gives me enough value for my employeesI'm right in the middleI'll spend more for my employees, but only to a certain pointI don't care what it costs, I want the absolute best for my employees I would say that... Saving money is my top priority right nowI would say that... I need to save money, but I'll spend a little bit if it gives me enough value for my employeesI would say that... I'm right in the middleI would say that... I'll spend more for my employees, but only to a certain pointI would say that... I don't care what it costs, I want the absolute best for my employees In crafting a healthcare plan, where would you say you land on the scale below? * I'd call myself very conservative when it comes to healthcare - I'm only looking for insurance optionsI'm willing to at least look at non-traditional options for healthcareI could imagine that someday I might try a non-traditional healthcare optionI'm fairly motivated to look at non-traditional healthcare payment optionsI'm ready to try non-traditional approaches to health care payments I would say that... I'd call myself very conservative when it comes to healthcare - I'm only looking for insurance optionsI would say that... I'm willing to at least look at non-traditional options for healthcareI would say that... I could imagine that someday I might try a non-traditional healthcare optionI would say that... I'm fairly motivated to look at non-traditional healthcare payment optionsI would say that... I'm ready to try non-traditional approaches to health care payments How would you prefer we communicate with you from here? (check all that could apply)In Person at your officeIn Person at Frank BenefitsTelephoneEmailVideo CallPersonalized VideosSnail MailTelepathyIs there anything else you would like to share with us?NameSubmit
