ROI Data Analysis Request

ROI Analysis Data Request Form

"*" indicates required fields

Your name*

Your email*

Organization name*

Organization website URL*

Number of US, full-time employees*

Health plan funding method*

Fully-insured

Self-funded

Level-funded

Does your company subsidize COBRA for some involuntary terminations?*

Yes

If you would like more tailored results for your organization, please complete the optional questions below

% of eligible employees who are enrolled in a medical plan

Annual involuntary turnover rate (% of employees)

Annual voluntary turnover rate (% of employees)

If you subsidize COBRA for involuntary terminations, what percentage of involuntary terms receive a COBRA subsidy benefit?

If you subsidize COBRA for involuntary terminations, what is the average duration of subsidized COBRA? (in months)

Total monthly premium of your company's most popular medical plan (Employee Only/Single tier)

Total monthly premium of your company's most popular medical plan (Employee + Family tier)

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