"Among fully insured employers, satisfaction averages 709 (on a 1,000-point scale); among self-funded employers, satisfaction averages 696. Satisfaction across all factors among employers that do not intend to offer coverage five years from now is at least 76 points lower than employers who intend to offer coverage... In both the fully insured and self-funded segments, employer satisfaction with program offerings, such as preventive health programs, disease management or wellness initiatives, is a key area of differentiation between employers that intend to offer coverage in the future and those that intend to drop coverage."