As a subset of the larger rural provider interview project, the Arizona Health Care Cost Containment Administration interviewed a small group of rural employers and employee benefit specialists who were considered to be major purchasers of health care in their rural communities. The project goals were to gain 1) a better understanding of the strategies used by these employers to ensure accessible and affordable coverage for their employees as well as themselves and 2) an insight as to the barriers these purchasers faced in providing health care to their employees.