Healthcare Bargaining Issue Survey Fall 2025

Healthcare Bargaining Issue Survey

* Please provide your contact information: This will be used to exclude you from reminder emails and/or to follow up if indicated. Your personal information will not be attached to your responses on the survey and will not be shared with anyone.
If you get an error when trying to submit to this form, please submit your survey here.
Name*

First NameLast Name
Campus*
Academic Department*
Appointment Type*
Work Department (if different)
Personal Email
Phone Number (XXX) XXX-XXXX
Monthly Housing Costs (optional, rent/mortgage + utilities avg)
Monthly UA Income (optional)
Average annual health costs (optional)
May we contact you to follow up on information you provide below?

YesNo
Date

MonthDayYear
Date
Are you a current AGWA-UAW 1907 Member?*

YesNoUnsure
ONLY MEMBERS MAY COMPLETE THIS BARGINING SURVEY.

We encourage you to sign up for membership NOW!
Members will have the ability to vote on healthcare bargaining decisions, including running for the bargaining committee.
Please reach out to your AGWA Steward or to organize.agwa@gmail.com to check your status.

You may also fill out a membership form now to be safe, and if you are already a member it will nothing will change!

Using the current UA grad student insurance.
Do you have (or have you had) UA graduate student health insurance?*

YesNo.
Do you have dependants?

YesNo
Are you an international student?

YesNo
Is (or was) your UA insurance a secondary insurance (you have primary insurance through a spouse/parent/other job etc)?

YesNo
Have you had trouble getting coverage from either insurance because of having two policies? Please describe.
Have you used your on-campus Student Health Center?

YesNoI do not have access to one.
How many times?
Have you had difficulties accessing care on campus? Please describe.
(e.g. long wait times for appointments, not being able to provide the care you need, not knowing what care is covered through insurance, unexpected charges....)
Have you used your UA insurance off-campus?

YesNo
How many times?
Were you able to find a local in-network doctor?

YesNo
What kind of medical care (or type of specialist) were you unable to access in-network care for.
Was the procedure easy to find and to implement when applying for out-of-network claim exemptions?
Have you had claims (including out-of-network exemptions) denied? If so, how did you handle it?
Have you encountered other difficulties with using your UA insurance off-campus? Please describe.
Importance of benefits
For your reference, here are the coverage summary brochure (with plan cost and coverage summary), and the full coverage plan (including specific benefits and exclusions) of the current UA health insurance plan.
Survey Guide

1 = Not important to me. This is an issue that doesn't matter much to you.

2 = Protect what I have. This is an issue where existing benefits/policies work well. You don't need/want improvements, but do want to keep what already exists.

3 = Important/Making improvements would be good. This is an issue you want to see improved.

4 = Extrememly Important/ Improvement critical. This is an issue that needs urgent improvements. Improvements on this issue are critical.

Not applicable. This is an issue that doesn't affect you and you don't want to comment upon it.

Please leave any other comments/thoughts about healthcare and benefits that aren't covered above, including why these issues are important to you:
Changes to our plan
Here is a brief summary of our current health insurance for a single graduate student (Please view the coverage summary brochure and full coverage document for more details):
- the "premium" (cost), currently paid 100% by UA, for a single graduate student for a year of health insurance is: $4174
- for IN-network care:
  - you have to pay the "deductible": the first $400 each year (except for the few things 100% covered)
  - after that, insurance covers 80% of costs (for covered things), untill the 20% you pay adds up to the "out-of-pocket maximum" $3000 (after that they cover 100% of the costs)
- For OUT-of-network care (with the same caveats above):
  - the deductible is $800
  - after that, insurance covers 70%, untill out-of-pocket maximum of $13,700 is reached.
- All "excluded" care is paid 100% by you and does not count toward the out-of-pocket maximums
As the costs to you (deductable and out-of pocket maximum) go down and the care that is covered goes up, the premium goes up.
What deductible amount sounds reasonable to you? (you may enter a single number or a range)
in-network
out-of-network
What out-of-pocket maximum amount sounds reasonable to you? (you may enter a single number or a range)
in-network
out-of-network
Would you be willing to pay some portion of the premium (instead of UA paying all of it) for better coverage?

YesMaybe, depending on the improvementsNo
Please enter the portion (in $) of the premium you would be willing to pay out of pocket.
maximum amount or range
How much, if any, would you be willing to have deducted from your pay for vision and dental coverage?
Do you have any personal stories you would like to share about healthcare issues you have dealt with?
May we share this story (anonymized and with sensitive details removed) with members to increase engagement and discussion?

YesNo
This is a collective effort! We can only win strong and improved healthcare coverage if we all come together and help organize with our coworkers. We need people to help share this survey with coworkers, and we’ll also need help researching healthcare options, creating proposals, and deepening our community across campus. PLEASE Let us know if you can help out! There are many ways to help and get involved, big and small!
I can attend membership meetings and Town Halls to talk about healthcareI can send emails and disseminate information to colleagues in my departmentI can help with social media and online communicationsI can talk to people outside my departmentI’m not sure but I want to help - please contact me!
We all need your input to negotiate the best possible healthcare plan for everyone that we can.

Please sign up for AGWA-UAW 1907 membership to complete this survey and continue to give input throughout the bargaining process!
Should be Empty:

	1 - Not important to me	2 - Protect what I have	3 - Important/ Improvements needed	4 - Extremely Important/ Improvements Critical	Not Applicable
Include vision coverage
Include dental coverage
Having prescription coverage
Improve procedures for dealing with lack of in-network providers and/or increase the number of in-network providers in area
Lower deductibles, copays, and other out-of-pocket costs
Decrease max out-of-pocket costs
Improve access to mental health care
Decrease the cost to enroll dependents
Improve access to gender-affirming care
Provide summer insurance for all UA grad workers with Spring appointments
Allow grad workers to opt out of the health insurance plan and use funds for their own insurance plan

Healthcare Bargaining Issue Survey

Using the current UA grad student insurance.

Importance of benefits

Changes to our plan