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If DC Dental began offering a family health insurance plan that met your needs, how much would you possibly contribute per paycheck through pre-tax payroll withholdings to join?
 
None, I already have insurance that I am happy with or I am not interested in obtaining insurance if it costs me money
 
Up to $100
 
Up to $200
 
Up to $500
 
More than $500

 
 
 
If DC Dental began offering a basic dental insurance plan, how much would you possibly contribute per paycheck through pre-tax payroll withholdings to join?
 
None, I already have insurance that I am happy with or I am not interested in obtaining insurance if it costs me money
 
Up to $10
 
Up to $25
 
More than $25
 
 
 
What other benefits would you possibly participate in if you had to pay for a portion of its cost?
 
Life Insurance
 
Long-term disability
 
Short-term disability
 
Retirement/401K plan
 
None

 
 
 
Do you currently have health insurance from somewhere else?
 
Yes
 
No
 
 
 
If you do have health insurance from somewhere else, from whom is it through?
 
Spouse
 
Self
 
Parent

 
 
 
If you do have health insurance from somewhere else, what type of coverage is it?
 
Single
 
Employee & Spouse
 
Employee & Children
 
Family
 
 
Other

 
 
 
If you do have health insurance from somewhere else, how much does the plan cost you per month?
   
 
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