Benchmark Your Plan Against Peers in Your Market

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Complete the fields below to request a custom benchmarking report tailored specifically for your company.

Name *

First

Last

Email *

Company Name *

Job Title *

Work Phone # *

State *

Zip Code *

Industry *

# of Employees *

Do you offer more than one health plan? *

Plan 1 - Type of Plan (Check all that apply) *

Does Your Plan Offer any of the following:

# of Participants on Health Plan *

In-Network Deductible - Individual (if none, enter $0) *

In-Network Deductible - Family (if none, enter $0)

In Network Coinsurance *

In Network Out of pocket max - Individual *

In Network Out of pocket max - family *

Copays are subject to medical plan deductible and % coinsurance *

Type of Premium Split *

Funding Method *

Maximum Lifetime Benefit *

Is Regular (post-65) Retiree Coverage Offered? *

Retiree Plan Type *

Is a Prescription/Rx Plan Being Offered? *

Rx Plan Design *

Rx Copay/Coinsurance Tiers *

Rx Mail Order - Number of Retail Copays/90-Day Supply *

Contribution Strategy *

Comments

Best Contact Method *

Submission Consent *

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