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Participant Demographic Data
Before participating in the survey, please provide your organization's demographic data in the fields below.  When finished click "Submit" below.
 
Contact Name:
Organization:
Email:
City:
State:
Zip Code:
Type of Ownership:
Industry:
Please provide data, if available, for one of these three categories.
2018 Annual Revenues:
2018 Annual Operating Budget:
2018 Asset Size:
 
Employee Base
Number of full-time employees:
Number of part-time employees:
 
Wage and Budget Information
2018 Actual General Salary Budget Increase:
2018 Actual Pay Range Adjustment Budget:
 
Turnover Rates
2017 Overall Turnover Rate:
2018 Overall Turnover Rate: 
2019 Year to Date Overall Turnover Rate: 
 
Workweek
Average workweek (in hours):
 
Ratio of HR staff to total employees::
(For example, 10:1732)
 
Payroll Department Location
Payroll Department reports to:
 
This survey section is repeated for all surveyed job positions.
Click here to view sample job titles covered in this survey.

Compensation Data
Please provide the compensation data for this position.  Please provide pay data as of January 1, 2019.  When finished click "Submit" below for your data to be accepted.
 
My organization does not have this position.
 
Degree of Match:  
Number of Employees:    
Range Minimum:
Maximum Hire:
Range Maximum:
Actual Average Base Pay:
Actual Lowest Paid:
Actual Highest Paid:
Union Position:   Yes   No
Incentive Paid in 2018:   Yes   No
Shift Differential Paid:   Yes   No
FLSA Status:   Exempt   Non-Exempt
 
Comments: 

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
1. What is the current split of healthcare costs between employer and employee?
 
Employer:
Employee:
 
How long must employees be employed to be eligible for coverage?
0 months
1 month
2 months
3 months
More than 3 months
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
2. Does your company offer a high deductible healthplan?
Yes   No


a. How do you contribute to the HSA?
What portion of the premium do you pay?:  
 
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
3. Do you have a surcharge for smokers for healthcare benefits?
Yes   No
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
4. Does your company offer supplemental disability benefits?
Yes   No

If so, please provide details in the comments.

 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
5. Is there a defined contribution plan, such as a 401[k], 403[b], or Simple IRA at your organization?
Yes   No
  
What is the maximum employees may contribute?
   OR
What is the maximum against which the organization will make a matching contribution?
   OR
What is the matching contribution in cents on the dollar provided by the organization?
Which of the following is true?
The organization plans to implement an employer contribution.
The organization plans to keep the employer contribution at the same level.
The organization plans to increase an employer contribution.
The organization plans to decrease the employer contribution.
The organization plans to eliminate the employer contribution.
The organization does not provide an employer contribution and does not plan on adding an employer contribution in the near future.

The organization suspended contributions in 2017.
Yes
No
 
The organization suspended contributions in 2018.
Yes
No
 
Does the plan allow for loans to employees?
Yes
No

If yes, how many loans are permitted?

 
Does the plan allow for hardship withdrawals to employees?
Yes
No
 
Do you have an auto enrollment feature?
Yes
No
 
Do you have an auto increase feature?
Yes
No
 
If so at what percentage and cap?
  
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
6. Do you have a Paid Time Off, or PTO, bank?
Yes   No
 
How many days in total do you offer?:  
Do you provide options to cash out unused time?:
Yes   No
Do you provide options for unused time to roll over into the next year?:
Yes   No
Do you provide options to roll unused time into a 401(k) or other defined contribution plan?:
Yes   No
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
7. Do you offer a retiree benefits plan?
Yes   No
 
a. Do you offer retiree healthcare coverage?
Yes   No
 
What percentage does the retiree pay?

 
Have you limited eligibility for retiree healthcare coverage within the last two years?
Yes
No

Are you considering whether to limit coverage in the next two years?
Yes
No

Are you considering whether to discontinue coverage in the next two years?
Yes
No
 
Are you planning to add coverage within the next two years?
Yes
No

 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
8. Do you have a plan in place for Medicare eligible employees who are still working?
Yes   No
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
9. Does your organization offer a tuition assistance plan?
Yes   No
 
a. In order to receive payment, do courses need to be job related?
Yes
No
 
b. Does the program cover graduate level courses?
Yes
No
 
c. Must the employee successfully complete the course?
Yes 
No 
 
d. Do you provide assistance for fees?
Yes
No
 
e. Do you provide assistance for books?
Yes
No
 
f. What percent of tuition is reimbursed?
Less than 50%
At least 50%, but less than 100%
100%
 
g. What is the maximum tuition reimbursed per year?
Less than $3,000
At least $3,000 but not unlimited
No limit on reimbursement received
 
h. If reimbursement is based on the grade received, what amount is provided for the following grades?
A
B
C
D
F


i. Length of time employee is required to pay back reimbursement if employee leaves the organization?
No length
Less than a year
3 or more years

If so, how long must an employee stay to avoid payback requirement:


 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
10. Do you provide reimbursement for professional association memberships?
Yes   No
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
11. Do you provide reimbursement for the cost of attending professional conferences or seminars?
Yes   No
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
12. Does your organization offer wellness programs?
Yes   No
 
a. Who provides the wellness program?
Paid by employer
Provided by medical carrier at no cost to the employer
Provided by other benefits carrier at no cost to the employer

 
b. What types of wellness programs are offered? Check all that apply.
Reduced Insurance Premiums
Gym/Fitness Reimbursement or Subsidies
Nutrition
Smoking cessation
Exercise programs
On-site fitness center
Healthy cafeteria and vending machine choices
Weight loss programs
Health risk assessments
Biometric screening
Flu shots
EAP
Gym membership
If other, please explain

 
 
c. Is the program a formal one that includes incentives?
Yes
No
 
d. If yes, what incentives are offered?
Prizes
Premium reductions
Other
     
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
13. Do you offer any of the following voluntary benefits?
Accident insurance:
Yes   No
 
Life insurance:
Yes   No
 
Long term disability insurance:
Yes   No
 
Short term disability insurance:
Yes   No
 
Pet insurance:
Yes   No
 
Long term care:
Yes   No
 
Critical Care insurance:
Yes   No
 
Spousal life insurance:
Yes   No
 
Child life insurance:
Yes   No
 
Identity Theft:
Yes   No
 
Auto/Home Insurance:
Yes   No
 
Other (please list below in comments):
 
 
Comments:

 
Benefits Data
Please provide your organization's benefits data in the provided fields. When finished click "Submit" below.
 
14. Which of the following does your organization offer as non-traditional or work/life balance benefits:
Flexible schedules
Telecommuting
Adoption
Dry-cleaning service
Cafeteria/restaurant
Bank/ATM
Summer hours
Lunch-n-learn
On-site daycare
Paid volunteer time
Homeowners Insurance
Adoption Insurance
Estate/Funeral Planning
Elder Care
Other (Specify in comment box below)
 
 
Comments: