This suvey was developed to see if our employees would appreciate the opportunity to purchase additional individual coverage at lower payroll deduction rates.

Would you consider purchasing additional coverage to mimimize the out of pocket expenses incurred for medical visits? Yes No

If modestly priced programs were available on a payroll dedcution basis, I would consider taking advantage of the following programs; Check all that apply.

1. Accident programs that could cover unforeseen events.

2. Hospital coverage that could cover extended hospital intensive care.

3. Cancer programs that could cover the cost of experimental drugs and many of the costs that are not normally covered under major medical.

I would be interested in a program that has rate stability, and is portable. (not tied to your employment at your current firm.) Yes No