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INDICATE YOUR COMPANY'S SURVEY PARTICIPATION AND RESULTS PURCHASE INTENTIONS

We will participate in the Survey and purchase the results for $3,350*.

*Submit your fully completed survey questionnaire (compensation and policy tabs) by April 15 to earn the Early Return Discount of $355. Submissions received between April 16-30 will be considered on-time and not eligible for any discounts.
A discount of $400 will be applied for continued year-over-year participants.
If payment of the first invoice is not received by the time of results publication, any deliverables (e.g., Results Report) will be withheld, as outlined in the Survey’s Registration Terms & Conditions.

We will participate in the Survey, but not purchase the results.

Purchase Order (PO#) to be used for invoicing, if required by your company:

CONFIRM YOUR AGREEMENT

Select the checkbox to indicate you have read and agree to the Terms & Conditions.*
*Click here to read the Terms & Conditions; you may also print a copy for your records.

ADDITIONAL CONTACT INFORMATION

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HEALTH INSURANCE INDUSTRY EXECUTIVE & MANAGEMENT TOTAL POTENTIAL REMUNERATION SURVEY (TPR)

Survey Registration: Agreement to Participate

Register your company to participate in the upcoming Survey.

ENTER YOUR CONTACT AND COMPANY INFORMATION

INDICATE YOUR COMPANY'S SURVEY PARTICIPATION AND RESULTS PURCHASE INTENTIONS

CONFIRM YOUR AGREEMENT

ADDITIONAL CONTACT INFORMATION