Employment / Health Insurance Status
Have you been employed in the last 6 months?
-  If so, who was/is your employer?


-  Are you employed now?


-  Are you a State Employee?


-  Do you have health insurance through your employer?
                     - If yes Insurance Company Name
-  If not, why?
About how many employees work/worked for your employer?
When you had a job, did it offer health insurance?



-  If yes, did you enroll in your job's health inurance?
                     - If yes Insurance Company Name



-  If yes were you the only person in your family covered under this policy


-  If not, how many people were coverd under this policy?

-  If not or if you dropped your job's health insurance, why?