Tell us about your company.
Your Name
*
First Name
Last Name
Your Company Name
*
Your Position
Your Company Email
*
example@example.com
Your Mobile Number
*
example@example.com
Your Contact Number
*
Your Company's Website
Your Company's Industry
*
Please Select
Automobiles and Components
Banks
Capital Goods
Commercial and Professional Services
Construction (Office Based)
Consumer Durables and Apparel
Consumer Services
Diversified Financials
Education (except pre schools tutorials & review centers)
Energy
Food, Beverage, and Tobacco
Food and Staples Retailing
Health Care Equipment and Services
Household and Personal Products
Insurance
Law Firms
Materials
Media and Entertainment
Pharmaceuticals, Biotechnology, and Life Sciences
Real Estate
Retailing
Semiconductors and Semiconductor Equipment
Sauna, Turkish bath, massage parlors (except spa, salons)
Software and Services
Technology Hardware and Equipment
Telecommunication Services
Transportation
Utilities
Other
Other
Number of Employees
*
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Do you currently have an HMO?
*
None. This is our first time getting an HMO.
Yes, but our existing plan is about to expire.
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Great! Can you share a few more details?
Current HMO Provider
*
Renewal Date
*
-
Month
-
Day
Year
Date
Any budget per employee?
Type N/A if none.
Any desired coverage/benefit limit amount per employee?
Type N/A if none.
Why are you interested in changing your HMO provider?
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Great! Can you share a few more details?
Why are you interested in getting an HMO provider?
*
Any budget per employee?
Type N/A if none.
Any desired coverage/benefit limit amount per employee?
Type N/A if none.
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Thank you for considering Hive Health as your health plan partner!
We are currently only accepting companies with at least 3 people, but we'll reach out to you if we can serve your team. Can we please for additional information below?
Current HMO Provider (if applicable)
Type N/A if none
Renewal Date
-
Month
-
Day
Year
Date
What are you looking for in an HMO provider?
*
Any budget per employee?
Type N/A if none.
Any desired coverage/benefit limit amount per employee?
Type N/A if none.
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Thanks for sharing your company's healthcare needs!
Anything else you want to ask about?
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