About the Survey
The intent of the survey is to gain knowledge about the structure of your employer group. This information will help your employer, employees, and agent make decisions to provide you the very best and most affordable healthcare benefits package possible. Please take the time to fill out the survey to the best of your knowledge. If your child or dependent makes an income you must include it below.
Tell us about yourselef
Does your spouse have coverage through his or her employer? YesNo
Does it include spousal coverage? YesNo
In other words, can you buy insurance through there work for your spouse? YesNo
I would like someone to contact me about getting an ACA Plan or commonly called "Obama Care"? YesNo
If you have questions about filling out the form on this page or need help determining what insurance coverages are right for you, simply give us a call or contact us.
136 E 5th
Wahoo, NE 68066