Holloway Benefit Concepts - Unique Benefit Solutions Crafted By A Human Agency
+1-214-329-0097
info@hollowaybenefitconcepts.com
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Employee Benefits
Engagement Survey
ABC Company
We Want To Hear From You!
Welcome to ABC company's Employee Benefits Engagement survey! We want to hear from you about the kinds of benefits that are most important to you and your family so we can develop a program that best serves your needs. Please take a few moments to fill out this brief survey. Note: asterik denotes required fields.
Age Range
*
18-24
25-30
31-35
36-40
41-45
46-50
51-55
56-60
61+
Gender
*
Male
Female
Employee Only Per Paycheck Premiums
*
Would you enroll in an employer sponsored medical plan if the Employee Only, per paycheck premium was (please choose one or more choices)
$25-$30
$30-$35
$35-$45
$45-$55
$55-$65
If your employer offered a health program within the price ranges you selected above, would you keep your current coverage, move to the company sponsored program or remain uncovered?
*
Keep Coverage
Move to Company Plan
I would not enroll in coverage
Are you covered by a plan now?
*
Yes
No
If Yes, who do you cover under your plan?
Employee Only
Employee + Spouse
Employee + Children
Family
Would you be interested in Dental for either yourself or your family offered through your employer?
*
Yes
No
Would you be interested in Vision for either yourself or your family offered through your employer?
Yes
No
Do you see value in having the opportunity to pay for your health insurance, dental insurance or vision insurance on a pre-tax basis through payroll deductions?
Yes
No
Would 24/7 access to a no-cost over-the-phone doctor service be of interest to you or your family?
*
Yes
No
Additional Benefits
Are there any benefits or programs that you would be interested in as an employee that we have not mentioned that would bring value to our organization? If so, please write in your thoughts / concerns in the space provided below.
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Contact Us.
Request A Quote
Name
*
First
Last
Email
*
Phone Number
*
Let's start strategizing on
*
Let's Start Strategizing On
Employee Benefits
International Health
Executive Benefits
Compliance
Wellness
Short Term Medical
Other
How did you find us?
*
How did you find us?
The Health Exchange HealthCare.gov
Referral
Online Search (Google/Bing)
Social Media
Mailer
Jarrad Brandt
Ryan Holloway
Message
*
CAPTCHA
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CONTACT INFORMATION
+1-214-329-0097
info@hollowaybenefitconcepts.com
4325 Elm St
Suite 200
Dallas
TX
75226