Nominator First Name
Nominator Last Name
Nominator Email If you do not have an employer-based email address please email Emily Clevenger at eclevenger@employershealthco.com for assistance.
Nominator Company
Nominator Title
Nominator Phone
Affiliation with Nominee
Nominee Name
Nominee Title
Nominee Company
Nominee Phone Number
Nominee Email
About the Nominee Describe why the nominee should be recognized and the impact he/she has made in the field/delivery of employee benefits in 500 words or less.
Achieved Outcomes Examples include improved health outcomes, realized savings, innovative ideas. Please be specific about the level of cost savings, process improvement, etc. Outline the achieved outcomes in 500 words or less.
Industry & Civic Contributions Please provide details on any contributions the nominee has made to advance the profession of employee benefits and/or the betterment of the overall workplace and/or community.
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