Cross_Industry_Benefits_Questionnaire

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					                              THE CAPE COD HUMAN RESOURCES ASSOCIATION’S
                             2003 Cape Cod Compensation & Benefits Survey


                                        SALARY AND RELATED PRACTICES

Salary Increases              (Merit increases and Cost of Living Adjustments – COLA)
                                                       Manager                       Exempt            Non-exempt (hourly)

2002 Merit Increase (Actual):                           _____%                        _____%                  _____%
2003 Merit Increase (Budgeted):                         _____%                        _____%                  _____%
2003 COLA increase (if separate from Merit):            _____%                        _____%                  _____%
2004 Merit Increase (Projected):                        _____%                        _____%                  _____%

Number of months between increases:                     _____                         _____                   _____
Are you planning to extend the time between salary increases?  yes  no                       If so, # months between increases:_____
Are performance evaluations & salary decisions made on:                   anniversary date    common date (all at one time)
                                                                          other: _______________________________________



Salary Ranges

   Do you have a formal salary structure for:
    Senior Managers ManagersExemptNon-exempt (hourly)

   By what percentage did you increase the salary range structure for 2003?
    ____% Senior Managers ___% Managers ___% Exempt___% Non-exempt (hourly)

   By what percentage do you plan to increase the salary range structure for 2004?
    ____% Senior Managers ___% Managers ___% Exempt___% Non-exempt (hourly)
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Incentive / Variable Pay Plans                     Do you have any of the following incentive /variable pay plans:

                                                   Senior Mgrs                 Managers              Exempt             Non-exempt
 Discretionary Bonus                                                                                                   
 Formal Bonus Plan                                                                                                     
 Team Incentives                                                                                                       
 Individual Incentives                                                                                                 
 Spot Awards                                                                                                           
 Gainsharing Plan                                                                                                      
 Profit Sharing (cash, nonqualified)                                                                                   
 Christmas or other bonus payments                                                                                     




Survey Conducted by: The HR Consulting Group  781-784-1712, ext 4 www.cfohr.com                                                 7
                                                     BENEFITS PRACTICES
Please complete Sections 1 - 4 for FULL-TIME Employees. Section 5 is for PART-TIME Employees.

1. PAID TIME OFF
 Vacation          How many vacation days do you offer to employees after:
                                                                 Non-management                                   Management
        1 year of employment:                                                       ______ days                  ______ days
       5 years of employment:                                                       ______ days                  ______ days
      10 years of employment:                                                       ______ days                  ______ days
      15 years of employment:                                                       ______ days                  ______ days
      20 years of employment:                                                       ______ days                  ______ days
      25 years of employment:                                                       ______ days                  ______ days:

  Accumulation: Can vacation days be carried over to the following year?                            yes     no
                       If yes, maximum number of days allowed for carryover per year: ________ # days or ____% accrued

  Eligibility: How long must an employee work before being eligible for vacation:                  ______ # days


 Holidays How many paid holidays do you provide each year: ____ management _____ non-management
                                                                                 # days                # days

  Eligibility: How long must an employee work before being eligible for holiday compensation:                     ______ # days


 Sick Days            How many sick days do you provide each year: ____ management _____ non-management
                                                                                 # days                # days

  Accumulation: Can unused sick days be carried over to the following year?                         yes     no
                       If yes, maximum number of days allowed for carryover per year: ________ # days

  Eligibility: How long must an employee work before being eligible for sick pay:                  ______ # days


 Personal Days              How many personal days do you provide: ____ management                    _____ non-management
                                                                                # days                 # days

  Accumulation: Can unused personal days be carried over to the following year?                      yes          no


 Paid Time Off Bank : Do you provide a pool of paid time off (vacation, sick & personal days)                         yes       no


2. INSURANCE PLANS
 Medical Insurance        What type of medical plans do you offer:
                                                                # plans offered
                   HMO (Health Maintenance Organization)            ___
                   PPO (Preferred Provider Organization)                                ___
                   POS (Point of Service)                                               ___
                   Indemnity (Fee for service plan)                                     ___

  Eligibility: How many months must an employee work before being eligible for insurance:                       ______ # months

Survey Conducted by: The HR Consulting Group  781-784-1712, ext 4 www.cfohr.com                                                     8
  Employer Cost Sharing: What percent of the premium does the Employer pay:

                                                                  Individual Coverage        Family Coverage

                   HMO                                                       ____%                 ____%
                   PPO                                                       ____%                 ____%
                   POS                                                       ____%                 ____%
                   Indemnity                                                 ____%                 ____%



 Dental Insurance : Do you offer group dental insurance?                              yes    no

  Eligibility: How many months must an employee work before being eligible for insurance:                    ______ # months

  Employer Cost Sharing: What percent of the premium does the Employer pay:

                                                                  Individual Coverage             Family Coverage
                                                                               ____%                 ____%


 Long-term Disability Insurance (LTD) : Do you offer a long-term disability insurance plan?  yes                               no

  Eligibility: How many months must an employee work before being eligible for insurance:                    ______ # months

  Employer Cost Sharing: What percent of the premium does the Employer pay:                         _____%

  Benefit: What percent of salary does LTD provide:                         _____% salary
              Maximum monthly benefit is:                                   $________
              Benefit begins after how many days of disability:              _____ # days
              Benefit continues until what age:                              _____ years of age


 Short-term Disability (STD) : Do you offer a short-term disability plan (other than accrued sick time)?  yes  no
  Eligibility: How many months must an employee work before being eligible for STD pay: ____ # months

  Benefit: What percent of salary does STD provide:                         _____% salary
              Benefit begins after how many days of disability:              _____ # days
              Benefit continues for a maximum of days:                       _____ # days

  Funding: The STD Plan is funded by:
  Self insured
  Insured plan through insurance carrier
         What percent of the premium does the Employer pay:                   _____%


 Life Insurance : Do you offer group term life insurance?  yes  no
  Eligibility: How many months must an employee work before being eligible for life insurance: ____ # months

  Benefit: What is the amount of life insurance coverage: _____ Multiple of salary or $______ Flat Dollar Amount


Survey Conducted by: The HR Consulting Group  781-784-1712, ext 4 www.cfohr.com                                               9
    Supplemental Life: Do you offer employee paid supplemental life insurance?  yes  no
    Long-Term Care Insurance : Do you offer long-term care insurance?  yes  no
    Eligibility: How many months must an employee work before being eligible for this insurance: ____ # months

    Benefit: What is the daily maximum benefit: $_______/day
              What is the time limit:                      _______ # years


3. RETIREMENT PLANS
    Retirement Plans : Do you offer any of the following plans:
                                                                                     Service Requirement

      401 (K) Plan or 403 (B) Plan or other defined contribution plan                  ___ # months
      Defined Benefit Plan                                                             ___ # months
      Qualified Profit Sharing Plan                                                    ___ # months
      Employee Stock Ownership Plan                                                    ___ # months


    Employer Contribution (for 401 (K), 403 (B) Plans or other defined contribution plan):
          Do you make a matching contribution?  yes  no

          If yes, the match is ____ % of the employee contribution; up to _____ % of the employee’s salary

          Other formula for employer contribution: _____________________________

    Vesting: Employer’s contribution is 100% vested after ____# years
          If Step Vesting: what percent is vested at:

          ____% 1 year          ____% 2 years           ____% 3 years           ____% 4 years   ____% 5 years    ____% 6 years


4.     OTHER BENEFITS
    Education Assistance : Do you offer education assistance to employees?  yes  no
    Eligibility: How many months must an employee work before being eligible for education assistance: ____ # months

    Benefit: Percent of tuition provided:                         _____% job-related courses       _____% college courses

              Maximum $ amount reimbursed per year                 $_____ job-related courses       $_____ college courses


    Section 125 Plans :

     Do you offer pre-tax treatment of employee health insurance premiums?                 yes  no

     Do you offer a Medical Flexible Spending Reimbursement Account (FSA)  yes  no
      What is the yearly maximum amount $_______

     Do you offer a Dependent Care Flexible Spending Reimbursement Account (FSA)  yes  no
      What is the yearly maximum amount $_______

     Do you offer a Cafeteria Benefit Plan (employees choose mix of benefits and levels)  yes  no

Survey Conducted by: The HR Consulting Group  781-784-1712, ext 4 www.cfohr.com                                           10
 Employee Assistance Program (EAP) : Do you offer an Employee Assistance Program?  yes  no


 Flexible Work Arrangements : Do you offer any of the following arrangements:

     Flex time schedules
     Telecommuting on a regular schedule
     Job Sharing
     Other: ______________________________________________________________


 Day Care Assistance : Do you offer any of the following arrangements:

     On-site facility         Off-site facility             Child care subsidy          Referral Service


 Elder Care Assistance : Do you offer any of the following arrangements:

     Long-term care insurance                  Referral Service                  Care subsidy


 Other Group Benefits : Do you offer any of the following benefits:

 Auto insurance                Homeowner insurance                   Prepaid legal services
 Other convenience benefits or perquisites:________________________________________



5.     PART-TIME EMPLOYEE BENEFITS
 Benefits to Part-Time Employees                         Do you offer any of the following benefits to part-time employees:

                                              # hours / week worked to be eligible

     Vacation                                            _____ # hours/week
     Holidays                                            _____ # hours/week
     Sick Days                                           _____ # hours/week
     Personal Days                                       _____ # hours/week
     Medical Insurance                                   _____ # hours/week
     Dental Insurance                                    _____ # hours/week
     Retirement Plan                                     _____ # hours/week




Survey Conducted by: The HR Consulting Group  781-784-1712, ext 4 www.cfohr.com                                            11

				
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