2012 Benefits in Michigan Questionnaire

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					                                                 HRInfoSeries
       2012 EMPLOYEE BENEFITS IN MICHIGAN™ SURVEY QUESTIONNAIRE

Thank you for participating in the 2012 HRInfoSeries Employee Benefits Survey, conducted by Merces Consulting
Group, Inc. (Merces). The Michigan Manufacturers Association (MMA) sponsors the manufacturing edition of this study.
If you have any questions concerning this survey, please contact Merces. Questionnaires should be returned to
Merces by September 28, 2012; please do not send questionnaires to the MMA. All participants will receive a
complimentary summary of the survey results; to purchase a copy of the full detailed report, please complete the
enclosed order form.

                                             Merces Consulting Group, Inc.
                                                 Attn: Research Division
                                           306 S. Washington Ave., Suite 300
                                           Royal Oak, MI 48067 248-507-4670
                                                   FAX 248-414-6116

                      You may email completed questionnaires to: slplatek@mercesconsulting.com

Company
Contact                                                      Title
Phone                                                        Email
Address
City/State                                                   Zip



I. PARTICIPANT INFORMATION

Company's major products/services:              _______________________

How many are employed by the company? Total:                        In Michigan:            This facility:

2011 Revenue: $                               $0-5 mm                           $50-100 mm
      (actual if available;                   $5-10 mm                          $100-200 mm
      please check category                   $10-20 mm                         $200-500 million
      If actual not available)                $20-50 million                    Over $500 million

Projected actual 2012 Revenue (in millions): $

The purpose of this survey is to collect information on the most typical benefit programs provided by employers. While
some companies have programs with a variety of options, it would require an enormous questionnaire that would only
apply to a limited number of participants. For this reason, we ask you to provide information only on the most
prevalent plans or options in your benefit program.

The benefits section of this survey covers two groups of employees -- salaried and hourly. If you have only one benefit
program that covers all employees, please indicate this below. "Salaried" refers to salaried office, professional and
management personnel. "Hourly" refers to hourly production employees. In a non-manufacturing environment, "hourly"
refers to jobs such as drivers, warehouse people, clerks, etc. If you have a union contract covering over half of the hourly
production employees, report the contract benefits; do so even if the other hourly employees have a different benefit
package. If you have a "two-tier" benefit program, report the benefits provided to the majority of your hourly employees.

If you have separate programs for FLSA "exempt" and "non-exempt" salaried jobs, report the benefits package provided
to "exempt" personnel. If your benefit package for salaried employees varies by some other factor (e.g., pay level), report
the benefits provided to mid-level professionals (e.g., accountants, engineers). If you have multiple programs, and are
unsure what to report, contact Merces Consulting Group, Inc. at (248) 507-4670 before proceeding.

Do you have only one benefit program that covers all employees?           (Yes or No)
Is the data you are reporting for hourly employees "contract benefits"?       (Yes or No)
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                                          2

II. PAID TIME OFF

How many paid holidays will the company observe in 2013?

Which of the following days will be paid holidays in 2013? (check all that apply)

                New Year's Eve. (Mon.12/31)               Easter Monday (4/1)           Thanksgiving (11/28)
                New Year’s Day (Tue.1/1)                  Memorial Day (5/27)           Thanksgiving Friday (11/29)
                                                           th
                M.L.King Jr. Day (1/21)                   4 of July (Thu. 7/4)          Christmas Eve (Tue. 12/24)
                                                           th
                President’s Day (2/18)                    4 of July Friday (7/5)        Christmas Day (Wed.12/25)
                Good Friday (3/29)                        Labor Day (9/2)               Day After Christmas (12/26)

Will you have a Christmas shutdown in 2013           Number of Added Paid Days (not checked above):

How are non-holiday paid time off days earned? (select one only) Hourly              Salaried

                  1         Full amount granted and available at beginning of year
                  2         Earned/accrued throughout the year, can’t be used until earned
                  3         Earned/accrued throughout the year, full year’s worth can be used any time

Do you have a “combined time off” ("CTO") (e.g., vacation, sick, personal combined) program? Hourly            Salaried

If YES (a)      How many total days are allowed per year for employees with: (then continue with Jury Duty section)
                                               Hourly Salaried

                Less than 1 year of service
                1 year of service
                3 years of service
                5 years of service
                10 years of service

                (b)     What is the treatment of unused CTO days (select one only) Hourly          Salaried
                         1      Unused days are lost
                         2      All unused days can be “banked” for future use
                         3      Some unused days can be “banked”
                         4      All unused days are paid out in cash
                         5      Some unused days paid out in cash

                        If only some can be banked, what is the limit? Hourly              Salaried
                        If only some are paid out in cash, how many? Hourly                Salaried

IF NO, continue with the following questions….

How many years of service must an employee have to earn the following amount of paid vacation:

                Years of Service Required to Earn:        Hourly          Salaried

                one week of vacation
                two weeks of vacation
                three weeks of vacation
                four weeks of vacation
                five weeks of vacation



                                      Please return to Merces by September 28, 2012
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                                     3

What is done with an employee’s unused vacation? (select one only) Hourly              Salaried

                     1   Days are lost
                     2   All days are carried over to the next year
                     3   Some days are carried over
                     4   All days are paid out in cash to the employee
                     5   Some days are paid out in cash to the employee

        If some can be carried over, what is the limit? Hourly             Salaried
        If only some are paid out in cash, how many? Hourly                Salaried

What is the maximum number of vacation days that can be “banked” at any time? Hourly                     Salaried
Do you have a separate formal paid sick day program? Hourly:              Salaried:

        If YES (a)       How many paid sick days are allowed per year? Hourly               Salaried
               (b)       What is the treatment of unused sick days (select one only) Hourly      Salaried
                          1      Unused days are lost
                          2      All unused days can be “banked” for future use
                          3      Some unused days can be “banked”
                          4      All unused days are paid out in cash
                          5      Some unused days paid out in cash

                         If only some can be banked, what is the limit? Hourly               Salaried
                         If only some are paid out in cash, how many? Hourly                 Salaried

Do you have a separate personal paid time off program? Hourly:             Salaried:

        If YES (a)       How many paid personal days are allowed per year? Hourly                Salaried
               (b)       What is the treatment of unused personal days (select one only): Hourly      Salaried

                            1      1     Unused days are lost
                            2      2     All unused days can be “banked” to the next year
                            3      3     Some unused days “banked” to next year
                            4      4     All unused days are paid out in cash
                            5      5     Some unused days are paid out in cash

                         If only some can be banked, what is the limit? Hourly               Salaried
                         If only some are paid out in cash, how many? Hourly                 Salaried

All participants please continue here.

What is your policy for employees serving jury duty? (select one only) Hourly             Salaried
           1    Continue full pay
           2    Pay difference between full pay and court pay
           3    Do not pay

What is your policy for employees serving "two week" military duty (Reserves or National Guard)? (select one only)
                Hourly          Salaried
           1    Continue full pay
           2    Pay difference between full pay and compensation from military
           3    Do not pay

Do you pay employees for bereavement or attending funerals? (Yes or No) Hourly:                   Salaried:
       If YES....What is the maximum number of paid days?
                For immediate family (spouse, child)             Hourly                Salaried
                For extended family (grandparents, cousins)      Hourly                Salaried
                Others (friends, business associates)            Hourly                Salaried


                                    Please return to Merces by September 28, 2012
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                                            4

III. INSURANCE PROGRAMS

How many hours per week must an employee work to qualify for full benefits? Hourly:            Salaried:

Do you provide benefits to part-time employees? Hourly:          Salaried:

     If YES      (a) Do part-time employees receive: (1) Full Benefits or (2) Partial Benefits Hourly        Salaried

Can employees “opt out” of health insurance coverage? Hourly:               Salaried:
        If yes, do they receive compensation? Hourly:           Salaried:

        What is the annual amount of compensation for opting out of health insurance? Hourly:              Salaried:

Do you have an IRS Section 125 Employee Spending Account, a plan that allows an employee to use pre-tax dollars to
pay for certain services not covered by other employer plans? (select one only) Hourly Salaried

                   1     YES, premium only plan
                   2     YES, for medical expenses (including premiums) only
                   3     YES, for child care expenses only
                   4     YES, for both medical expenses (including premiums) and child care (two plans)
                   5     NO, this type of plan is not available to employees

        If YES (a) Do employees get a credit/debit card for their eligible costs? Hourly:           Salaried:

Do you have a "cafeteria benefits" plan (Employees can select from a menu of programs and levels of coverage)?
                 Hourly:          Salaried:

HEALTH INSURANCE

Please provide information on the following types of health insurance programs:

        HMO – Health Maintenance Organization
        POS – Point of Service Plan (managed care plan that is a hybrid of HMO and PPO)
        PPO – Preferred Provider Organization

What percentage of the company’s employees participate in the following types of health insurance plans?

        Hourly           Salaried

               %                %        Not covered by any company plan
               %                %        Health Maintenance Organizations (HMO)
        _____%           _____%          Point of Service Plan (POS)
               %                %        Preferred Provider Organizations (PPO)
               %                %        Other:
        100%             100%

Do any of your health insurance plans qualify under IRS guidelines as a High Deductible Health Plan (HDHP)?

If you have an HDHP, what percentage of your employees participate (percent of those covered by any plan)?              %

If you have an HDHP, do you offer/sponsor a Health Savings Account (HSA) (pre-tax employee-funded account)?
         Hourly:      Salaried:

Do you have a Health Reimbursement Account/Arrangement (HRA)? Hourly:                   Salaried:

        If Yes, what is the annual employer contribution/funding limit for the HRA? Hourly:          Salaried:



                                    Please return to Merces by September 28, 2012
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                                                      5

What is the method by which full family coverage is provided? (select one only) Hourly               Salaried

         1              Fully paid
         2              Same percentage of premium as for individual coverage
         3              Paid by company up to the amount of individual coverage
         4              Fixed percentage of full family coverage
         5              Varies by status/pay grade/etc.

        If a fixed percentage, what is the percent? Hourly:             Salaried:

Do you offer health insurance to retirees? Hourly          Salaried

        Hourly Salaried
         1       1               YES, at the same cost (if any) as current employees
         2       2               YES, but retirees pay a higher percent of the premiums
         3       3               YES, but retirees pay the full cost of the premiums
         4       4               NO, retirees cannot be covered through the company

                                                                 HMO                         PPO                        POS
 HEALTH INSURANCE BENEFIT LEVELS                        Hourly      Salaried        Hourly      Salaried       Hourly      Salaried
 The program is available/provided to
 employees (answer "Yes" or "No")
 Is this plan considered a “High Deductible
 Health Plan” (answer “Yes” or “No”)
 Total Avg. Monthly Premium – Individual            $               $          $                $          $               $
  -- amount paid by company                         $               $          $                $          $               $
  -- amount paid by employee                        $               $          $                $          $               $
 Total Avg. Monthly Premium – Two People            $               $          $                $          $               $
  -- amount paid by company                         $               $          $                $          $               $
  -- amount paid by employee                        $               $          $                $          $               $
 Total Avg. Monthly Premium – Full Family           $               $          $                $          $               $
  -- amount paid by company                         $               $          $                $          $               $
  -- amount paid by employee                        $               $          $                $          $               $
 Individual Annual Deductible "in network"          $               $          $                $          $               $
 Family Annual Deductible "in network"              $               $          $                $          $               $
 Individual Annual Deductible "out of network"      $               $          $                $          $               $
 Family Annual Deductible "out of network"          $               $          $                $          $               $
 Office Visit Deductible (e.g., $10 per visit)      $               $          $                $          $               $
 Hospital Visit Deductible (e.g., $50 per
                                                    $               $          $                $          $               $
 hospitalization)
 In-Network Co-Pay (insurance company
 percent)                                                    %             %             %            %             %            %
 Out of Network Co-Pay (insurance company
 percent)                                                    %             %             %            %             %            %
 Does the company have a stand-alone
 prescription drug program ("Yes" or "No")
 If yes, what is the deductible/co-pay for brand
                                                    $               $          $                $          $               $
 name drugs (e.g., $10/prescription)
 If yes, what is the deductible/co-pay for
                                                    $               $          $                $          $               $
 generic drugs (e.g., $20/prescription)
 Maximum Annual Out-of-Pocket Cost for
                                                    $               $          $                $          $               $
 Employees ("Stop Loss") - Individual
 Maximum Annual Out-of-Pocket Cost for
                                                    $               $          $                $          $               $
 Employees ("Stop Loss") - Family




                                    Please return to Merces by September 28, 2012
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                                              6

   DENTAL INSURANCE                                                                                 Hourly       Salaried
   Dental Coverage is Provided (Answer "yes" or "no")
   Individual Annual Deductible                                                                 $                $
   Family Annual Deductible                                                                     $                $
   Insurance Percent ("co-pay") of preventative services (e.g., cleanings, X-rays)                         %            %
   Insurance Percent ("co-pay") of minor services (e.g., fillings)                                         %            %
   Insurance Percent ("co-pay") of major services (e.g., bridges, caps)                                    %            %
   Insurance Percent ("co-pay") of orthodontia (e.g., braces)                                              %            %
   Lifetime Maximum on Orthodontia                                                              $                $
   Annual Maximum on Dental Work                                                                $                $


LIFE AND DISABILITY COVERAGE

                                                                                           Hourly                Salaried
Does the company offer Short-Term Disability Insurance? (“yes” or “no”)
If the benefit is calculated as a percent of base pay, what is the average percent ?                  %                       %
If the benefit is a percent of pay, what is the maximum weekly benefit?                $     /week           $       /week
If the benefit is a fixed dollar amount, what is the weekly benefit?                   $     /week           $       /week
If the benefit varies based on pay level, or some other factor, indicate "Yes"
What is the waiting limit before benefits are payable (number of days)?                         days                     days
What is the maximum number of weeks benefits are payable?                                      weeks                    weeks
Are employees required to pay any portion of the cost for the basic coverage?
Does the company offer Long-Term Disability Insurance? (“yes” or “no”)
If the benefit is calculated as a percent of base pay, what is the average percent?                   %                       %
If the benefit is a percent of pay, what is the maximum monthly benefit?               $     /month          $       /month
If the benefit varies based on pay level, or some other factor, indicate "Yes"
What is the waiting limit before benefits are payable (number of days)?                             days                 days
What is the duration that benefits can be paid? A – Life
                                                    B – Normal Retirement
                                                    C – Other
Are employees required to pay any portion of the premium for the basic coverage?
Does the company offer Life Insurance Coverage? (“yes” or “no”)
If the benefit is calculated as a percent of base pay, what is the percent?                           %                       %
If the benefit is a fixed dollar amount, what is the benefit?                          $                     $
If the benefit varies based on pay level, or some other factor, indicate "Yes"
Are employees required to pay any portion of the premium for the basic coverage?
Can employees purchase additional life insurance for themselves?
Can employees purchase life insurance for dependents?
Does the company offer Accidental Death & Dismemberment (AD&D)
Coverage? (“yes” or “no”)
If the benefit is calculated as a percent of base pay, what is the percent?                           %                       %
If the benefit is a fixed dollar amount, what is the benefit                           $                     $
If the benefit varies based on pay level, or some other factor, indicate "Yes"
Are employees required to pay any portion of the premium for the basic coverage?
Can employees purchase additional AD&D insurance for themselves?
Can employees purchase AD&D insurance for dependents?




                                    Please return to Merces by September 28, 2012
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                                              7

IV. RETIREMENT PROGRAMS

Retirement Age (e.g. “65”):        normal retirement;                earliest age at which employees may retire and receive
             all the company’s retirement benefit programs

Do you have a pension or savings plan(s) for your employees?         Hourly:         Salaried:

Defined Benefit Plans – Do you offer/maintain a Defined Benefit Plan (the eventual benefit is specified in the plan,
        employer contributions vary as needed to fund the plan)? Hourly:         Salaried:

Defined Contribution Plan - Do you offer/maintain a Defined Contribution Plan (employer and/or employee contributes to
        the plan, eventual benefits are based on plan performance, includes 401k-type)? Hourly:        Salaried:

Defined Contribution Plan Details (include 401k/403b, pre-tax profit sharing and any other DC plans)

        (a) What type(s) of plans are offered/provided:

                           Employee Savings (401k/403b or other similar types)
                           Employee Stock Ownership Plan (ESOP)
                           Money Purchase Pension Plan
                           Simplified Employee Pension (SEP)
                           Other: ____________________________________________________________

        (b) Does the company make a contribution to the plan regardless of employee contributions?
            Hourly:      Salaried:

              If YES, is the contribution level tied to company profits? Hourly:        Salaried:

              If YES, what is the amount of the contribution for the last fiscal year (as % of pay)?

        (c) Does the plan allow employees to contribute to the plan? Hourly:               Salaried:

        (d) Does the company “match” any part of the employee’s contribution? Hourly:                   Salaried:

                  If “yes”, what is the formula for matching? Example: 50% of first 6% of pay, 25% of next 4% of pay.

                  Hourly          _________________________________________________________
                  Salaried        _________________________________________________________

        (e) What is the maximum the employer will match (as percent of pay): Hourly:                   Salaried


V. TUITION ASSISTANCE

Do you offer tuition assistance to employees? Hourly:             Salaried:

        If YES (a) What course work does the tuition assistance cover? (select one only) Hourly     Salaried
                 1         Any educational program
                 2         Only job related courses
                 3         Any course in a job-related degree program
                 4         Any degree-related courses
        (b)    Does the amount of tuition assistance vary based on the grade received in the class?
               Hourly:       Salaried:

        (c)       Is there a limit on the maximum amount of tuition assistance payable per year?
                  Hourly:          Salaried:

        (d)       If there is a limit, what is the maximum amount of tuition assistance payable per year:
                            Hourly:          Salaried:


                                      Please return to Merces by September 28, 2012
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                             8

VI. EMPLOYEE WELLNESS PLANS


Do you require a medical examination during the hiring process? Hourly:            Salaried:


Does your pre-employment physical screen for substance abuse? Hourly:               Salaried:


Do you offer or require annual or other periodic physicals as a benefit separate from the health plan?
Hourly:         Salaried:


Do you periodically screen current employees for substance abuse?       Hourly:        Salaried:

Do you have any incentives for employees to maintain a healthy life style? Hourly:              Salaried:
        If “yes,” please describe:



VI. BENEFIT TRENDS

In the past twelve months, have you increased done any of the following (circle all that apply)?

        Hourly Salaried
                                     Increased employee’s share of health insurance premiums
                                     Increased health insurance deductibles or co-pays
                                     Increased employees’ share of dental insurance premiums
                                     Increased dental insurance deductibles or co-pays
                                     Increased employee’s share of prescription drug premiums
                                     Increased prescription drug deductibles or co-pays
                                     Increased employee’s share of cost of any other benefits
                                     Reduced the levels of any other benefits

In the next twelve months, do you plan to do any of the following (circle all that apply)?

        Hourly Salaried
                                     Increase employee’s share of health insurance premiums
                                     Increase health insurance deductibles or co-pays
                                     Increase employees’ share of dental insurance premiums
                                     Increase dental insurance deductibles or co-pays
                                     Increase employee’s share of prescription drug premiums
                                     Increase prescription drug deductibles or co-pays
                                     Increase employee’s share of cost of any other benefits
                                     Reduce the levels of any other benefits

VII. BENEFIT COSTS

Please provide as much of this information as possible; we will use whatever we can to help employers best
understand their employment costs.
$               Total Payroll (not including mandatory benefits)
$               Government Mandated Benefits (FICA, Workers Comp., Unemployment Insurance)
$               Paid Time Off

                                        Please return to Merces by September 28, 2012
HRInfoSeries™ - 2012 Benefits in Michigan Survey                                                         9

$             Health Insurance (including Dental, Vision)
$             Other Insurances (Disability, Life Insurance, etc.)
$             Retirement Contributions (including all plans, but not including employee contributions)
$             Tuition and other non-insured benefits
$             Total cost of benefits




                                 Please return to Merces by September 28, 2012

				
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