HDCI Telephone Questionnaire
Introduction [link to telephone script]
Does your company currently offer health benefits to its employees?
Plans that provide solely worker’s compensation, unemployment, or disability income benefits do not count as health benefits.
○ Yes- CONTINUE
○ No - STOP
Does the company health plan cover fewer than 2 employees who are not owners?
○ Yes - STOP
○ No - CONTINUE
(3) Is coverage provided through a multiemployer plan?
A multiemployer plan is generally one or more multiple employers contribute to and that is maintained according to one or more collective bargaining agreements.
○ Yes - STOP
○ No - CONTINUE
Interviewer check item:
From the company name that appears above it appears that the organization is:
○ A church or church sponsored organization -- GO TO question 5
○ A governmental entity - GO TO question 6
○ Neither - GO TO question 7
Is your organization a church or church sponsored organization?
○ No - GO TO question 8
○ Yes, it is a church or church sponsored organization - STOP
Is your organization a governmental entity?
○ No - GO TO question 8
○ Yes, it is a governmental entity – STOP
(7) From its name, it appears that your organization is not a governmental entity, not a church, and not a church-sponsored organization. Is that correct?
○ Yes- CONTINUE
○ No, church or church sponsored organization - STOP
○ No, governmental entity - STOP
Is your company’s health coverage provided by a parent company?
A parent-subsidiary relationship exists if a company is owned 50% or more by another company.
○ Yes - CONTINUE
○ No - STOP
(9) What is the name of the parent company?
____________________________________________________
What is the address of the parent?
____________________________________
____________________________________
____________________________________
____________________________________
Thank you so much for your time.
File Type | application/msword |
File Title | HDCI Telephone Questionnaire |
Author | A. Turner |
Last Modified By | Susan Lahne |
File Modified | 2006-11-01 |
File Created | 2006-11-01 |