Current Health Benefits Scorecard
Name
*
Email
*
example@example.com
Business Name
*
What is the biggest problem you are facing with your benefits program?
*
What would it mean if you could solve this problem?
*
How Committed are you to solving this problem
*
Not Committed
1
2
3
4
5
6
7
8
9
Fully Committed
10
1 is Not Committed, 10 is Fully Committed
Areas of Concern
Current Benefits Attracting and Retention
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Current Benefits Valued by Employees
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Employee Participation & Open Enrollment Process
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Spouse and Children Coverage
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Insurance Carrier
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Relationship with Current Broker
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Onboarding new hires, terminations-Eligibility
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Renewal Process and Timing
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Cost of current plan
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Compliance
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Total Score
You Scored:
{totalScore}/100
Submit
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