BENE F I T S SURVEY
7) WHEN YOU WANT DETAILED INFORMATION ABOUT HOW YOUR BENEFITS WORK, WHAT RESOURCE(S) DO YOU TURN TO (CHECK ALL THAT APPLY)?
Supervisor Human Resources Carrier Website Benefits Booklet Google Other_____
8) ARE THERE ANY CHANGES YOU WOULD LIKE TO MAKE TO THE EXISTING BENEFITS PLAN?
Yes (please specify) No
9) ARE YOU ABLE TO FIND PHYSICIANS THAT ARE WITHIN OUR MEDICAL NETWORK?
Yes No Not Applicable/ Covered under other plan
10) ARE YOU ABLE TO FIND PHYSICIANS THAT ARE WITHIN OUR DENTAL NETWORK?
Yes No Not Applicable/ Covered under other plan
11) IF YOU USE CERTAIN MEDICATIONS THAT ARE COVERED UNDER A SPECIFIC CO-PAY OR HAVE THE SAME CO-PAY FOR A PRIMARY CARE PHYSICIAN OR SPECIALIST, WOULD YOU BE WILLING TO HAVE THESE CO-PAYS CHANGE OR BE ADJUSTED FOR LOWER PREMIUMS AND HIGHER CO-PAYS AND/OR HAVE THESE FALL UNDER YOUR DEDUCTIBLE?
Yes No I do not understand the question
12) ARE THERE BENEFITS YOU ARE USING THAT YOU DO NOT WANT TO LOSE? IF SO, SELECT ALLTHAT APPLY
Medical Dental Vision Life Insurance
Long-Term Disability Short-Term Disability Employee Assistance Program HRA Carrier Wellness Program Gym Membership
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