Company Benefits
Content
Company Benefits
Participant Company Information Human Resource Department
Company Name
Person Completing Survey
Title of Person Completing Survey
(
)
Phone Number
____________________________________________________________ Years in This Company
_____________________________________________________________ Years at this particular Designation
Survey Questions Insurance
Cafeteria Plan
Which of the following insurance premiums are eligible to be deducted as pretax rupees? [ ] Medical Plan [ ] Dental Plan [ ] Optical Plan [ ] None [ ] Other
Medical Insurance
Does your company offer or provide medical insurance coverage for your employees? What length of service is required before employees are eligible for medical insurance? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Two Months [ ] Three Months [ ] Other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] Yes [ ] Yes [ ] No [ ] No If yes, what percentage is company paid? If yes, what percentage is company paid? Dependent coverage? Rs. [ ] Other Rs. % % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company? Is dependent coverage paid for by the Company? What is the monthly cost to the employee for: What type of insurance do you offer? What is the annual deductible?
Employee coverage? RS. [ ] OPD
[ ] Major Medical [ ] Disability
% 0f salary_______ what is the employee¶s maximum out-of-pocket expense?
How many employees are currently insured on your plan?
Survey Questions Insurance Continued
Life Insurance
Does your company offer or provide life insurance coverage for your employees? What length of service is required before employees are eligible for Life Insurance? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Six months [ ] Other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No [ ] No If yes, what percentage is company paid? If yes, what percentage is company paid? Dependent coverage? Rs. [ ] Fixed amount % % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company?
[ ] Yes
Is dependent coverage paid for by the Company? [ ] Yes What is the monthly cost to the employee for: What is benefit amount based on? [ ] Salary
Employee coverage? Rs. [ ] Multiple of salary _______
Survey Questions Insurance Continued
Short Term Disability
Does your company offer or provide short term disability coverage for your employees? What length of service is required before employees are eligible for short term disability? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Six months [ ] other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No % [ ] None [ ] 5-7 days [ ] 2 weeks [ ] 30 days [ ] other If yes, what percentage is company paid? % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company?
[ ] Yes
What percentage of income does the employee receive? What is the elimination period before disability is paid?
What is the maximum number of weeks the employee is covered for?
Long Term Disability
Does your company offer or provide long term disability coverage for your employees? What length of service is required before employees are eligible for long term disability? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Six months [ ] other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No % [ ] None [ ] Three Months [ ] Six Months [ ] Other If yes, what percentage is company paid? % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company?
[ ] Yes
What percentage of income does the employee receive? What is the elimination period before disability is paid? What is the maximum length of benefit?
Survey Questions Paid Time Off
Vacation Pay
Does your company provide paid vacation days to your employees? What length of service is required before employees are eligible for vacation? [ ] Hire Date [ ] End Probation [ ] 30 days [ ] Six months [ ] One year [ ] other [ ] Yes [ ] Other Please explain [ ] No [ ] Yes [ ] No
Do all employees receive paid vacation days? If no, which employees are not eligible? [ ] Part Time
How many years of service are required to earn one week vacation time? How many years of service are required to earn two weeks¶ vacation time? How many years of service are required to earn three weeks¶ vacation time? How many years of service are required to earn four weeks¶ vacation time? What is the maximum number of week¶s vacation granted? How is vacation scheduled? [ ] By employee [ ] By Company How much advance notice is required? Are employees allowed to schedule half or partial days of vacation? Are employees allowed to be paid in lieu of taking time off? Are employees allowed to carry over unused vacation time? If yes, how many days can be carried over? Do all days carried over have to be taken the following year? [ ] Yes [ ] No [ ] Yes [ ] Yes [ ] Yes [ ] No [ ] No [ ] No [ ] Based on seniority [ ] By First Request [ ] other [ ] other
[ ] Company wide shut down
Survey Questions Paid Time Off
Sick Pay
Does your company provide paid sick days to your employees? What length of service is required before employees are eligible to be paid for sick days? [ ] Hire Date [ ] End Probation [ ] 3 Months [ ] 6 Months [ ] One year [ ] other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No [ ] Yes [ ] No
Do all employees receive paid sick days? If no, which employees are not eligible?
How many sick days are earned after one year of service? How many sick days are earned after two years of service? What is the maximum number of sick days granted? Are employees eligible to accrue unused sick days? If yes, how many days can be accrued? Are employees allowed to use sick days for half or partial days? Besides employee illnesses, which of the following qualify for sick time under your policy? [ ] Illness family member [ ] Doctor Appointment [ ] Personal Reasons [ ] No explanation required [ ] None [ ] Yes [ ] No [ ] Yes [ ] No
Survey Questions Paid Time Off
Holiday Pay
Does your company provide paid holidays to your employees? What length of service is required before employees are eligible to be paid for holidays? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Two Months [ ] Six months [ ] other [ ] No [ ] Yes [ ] No
Do all employees receive paid holidays? If no, which employees are not eligible? [ ] Part Time [ ] Other Please explain [ ] 6 days [ ] 8 days [ ] 10 days [ ] 12 days
[ ] Yes
How many holidays per year does your company grant?
[ ] Other
Are employees required to work the day before and the day after to be eligible for holiday pay?
[ ] Yes
[ ] No
Personal Days
Does your company provide paid personal days to your employees? What length of service is required before employees are eligible to be paid for personal days? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Two Months [ ] Six months [ ] other [ ] No [ ] Yes [ ] No
Do all employees receive paid personal days? If no, which employees are not eligible? [ ] Part Time [ ] Other Please explain [ ] 1 day [ ] 2 days [ ] 3 days
[ ] Yes
How many personal days per year does your company grant?
[ ] Other
Benefits Questions Retirement
Pension Plan
How many years of service are required to earn a pension? What is the maximum percentage of pay received under the plan? Does your benefit formula utilize? [ ] 10 years [ ] 100% [ ] 20 years [ ] 70% [ ] 30 years [ ] 66% [ ] Other [ ] Other
[ ] Salary and Service (combination) [ ] Yes [ ] No
[ ] Flat dollar amount what is the minimum retirement age under the plan?
Is there an age plus service requirement?
Miscellaneous Benefits Questions
Miscellaneous Benefits
Does your company provide the any of following amenities on site? [ ] Child Day Care [ ] Health Club [ ] Cafeteria with food service [ ] ATM [ ] None [ ] Other
Does your company provide any of the following? [ ] ESOP Plan [ ] Stock [ ] Stock Options [ ] None [ ] Yes [ ] No
Does your company provide educational assistance?
Does you company provide an EAP plan? Does your company have a severance plan? Does your company have a casual attire day? Does your company offer employees the option of flexible time? Does your company offer employees the option to work at home?
[ ] Yes [ ] Yes [ ] Yes [ ] Yes [ ] Yes
[ ] No [ ] No [ ] No [ ] No [ ] No
Company Benefits
Participant Company Information Respective Department other than Human Resource Department
Company Name
Person Completing Survey
Title of Person Completing Survey
(
)
Phone Number
____________________________________________________________ Years in This Company
_____________________________________________________________ Years at this particular Designation
The respective survey will derive the job satisfaction of the employee who is the beneficiary of the company benefits.
PART I 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. My take home salary My current Pay( Gross) Size of my current salary My benefit package Amount the company pay towards my benefits The number of benefits My most recent pay raise Influence my manager has over my pay Pay as compared to other jobs at same hierarchy Pay as compared to other companies in same industry (With respect to your designation) 11. How my raises are determined 12. Pay as compared within the department. 2: Somewhat Satisfied ----------_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ 3: Neither satisfied nor dissatisfied 4: Somewhat dissatisfied
Scale 1: Very satisfied 5: very Dissatisfied
PART I I 1. Income/Salary Bracket : a: 60K- 100K b:100K- 140K c: 140K- 180K d:180 K- 220K e: 220 K- and above
2. The most utilized benefits: _________________________________________________________________________________________________ 3. The benefits you would prefer to have ( which are not included in your company¶s benefit plan):___________________________________________ _________________________________________________________________________________________________________________________ 4. Worthless benefits of my company_________________________________________________________________________________________________________________
Participant Company Information Human Resource Department
Company Name
Person Completing Survey
Title of Person Completing Survey
(
)
Phone Number
____________________________________________________________ Years in This Company
_____________________________________________________________ Years at this particular Designation
Survey Questions Insurance
Cafeteria Plan
Which of the following insurance premiums are eligible to be deducted as pretax rupees? [ ] Medical Plan [ ] Dental Plan [ ] Optical Plan [ ] None [ ] Other
Medical Insurance
Does your company offer or provide medical insurance coverage for your employees? What length of service is required before employees are eligible for medical insurance? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Two Months [ ] Three Months [ ] Other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] Yes [ ] Yes [ ] No [ ] No If yes, what percentage is company paid? If yes, what percentage is company paid? Dependent coverage? Rs. [ ] Other Rs. % % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company? Is dependent coverage paid for by the Company? What is the monthly cost to the employee for: What type of insurance do you offer? What is the annual deductible?
Employee coverage? RS. [ ] OPD
[ ] Major Medical [ ] Disability
% 0f salary_______ what is the employee¶s maximum out-of-pocket expense?
How many employees are currently insured on your plan?
Survey Questions Insurance Continued
Life Insurance
Does your company offer or provide life insurance coverage for your employees? What length of service is required before employees are eligible for Life Insurance? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Six months [ ] Other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No [ ] No If yes, what percentage is company paid? If yes, what percentage is company paid? Dependent coverage? Rs. [ ] Fixed amount % % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company?
[ ] Yes
Is dependent coverage paid for by the Company? [ ] Yes What is the monthly cost to the employee for: What is benefit amount based on? [ ] Salary
Employee coverage? Rs. [ ] Multiple of salary _______
Survey Questions Insurance Continued
Short Term Disability
Does your company offer or provide short term disability coverage for your employees? What length of service is required before employees are eligible for short term disability? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Six months [ ] other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No % [ ] None [ ] 5-7 days [ ] 2 weeks [ ] 30 days [ ] other If yes, what percentage is company paid? % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company?
[ ] Yes
What percentage of income does the employee receive? What is the elimination period before disability is paid?
What is the maximum number of weeks the employee is covered for?
Long Term Disability
Does your company offer or provide long term disability coverage for your employees? What length of service is required before employees are eligible for long term disability? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Six months [ ] other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No % [ ] None [ ] Three Months [ ] Six Months [ ] Other If yes, what percentage is company paid? % [ ] No [ ] Yes [ ] No
Are all employees eligible for coverage? If no, which employees are not eligible? Is coverage paid for by the Company?
[ ] Yes
What percentage of income does the employee receive? What is the elimination period before disability is paid? What is the maximum length of benefit?
Survey Questions Paid Time Off
Vacation Pay
Does your company provide paid vacation days to your employees? What length of service is required before employees are eligible for vacation? [ ] Hire Date [ ] End Probation [ ] 30 days [ ] Six months [ ] One year [ ] other [ ] Yes [ ] Other Please explain [ ] No [ ] Yes [ ] No
Do all employees receive paid vacation days? If no, which employees are not eligible? [ ] Part Time
How many years of service are required to earn one week vacation time? How many years of service are required to earn two weeks¶ vacation time? How many years of service are required to earn three weeks¶ vacation time? How many years of service are required to earn four weeks¶ vacation time? What is the maximum number of week¶s vacation granted? How is vacation scheduled? [ ] By employee [ ] By Company How much advance notice is required? Are employees allowed to schedule half or partial days of vacation? Are employees allowed to be paid in lieu of taking time off? Are employees allowed to carry over unused vacation time? If yes, how many days can be carried over? Do all days carried over have to be taken the following year? [ ] Yes [ ] No [ ] Yes [ ] Yes [ ] Yes [ ] No [ ] No [ ] No [ ] Based on seniority [ ] By First Request [ ] other [ ] other
[ ] Company wide shut down
Survey Questions Paid Time Off
Sick Pay
Does your company provide paid sick days to your employees? What length of service is required before employees are eligible to be paid for sick days? [ ] Hire Date [ ] End Probation [ ] 3 Months [ ] 6 Months [ ] One year [ ] other [ ] Yes [ ] Part Time [ ] Other Please explain [ ] No [ ] Yes [ ] No
Do all employees receive paid sick days? If no, which employees are not eligible?
How many sick days are earned after one year of service? How many sick days are earned after two years of service? What is the maximum number of sick days granted? Are employees eligible to accrue unused sick days? If yes, how many days can be accrued? Are employees allowed to use sick days for half or partial days? Besides employee illnesses, which of the following qualify for sick time under your policy? [ ] Illness family member [ ] Doctor Appointment [ ] Personal Reasons [ ] No explanation required [ ] None [ ] Yes [ ] No [ ] Yes [ ] No
Survey Questions Paid Time Off
Holiday Pay
Does your company provide paid holidays to your employees? What length of service is required before employees are eligible to be paid for holidays? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Two Months [ ] Six months [ ] other [ ] No [ ] Yes [ ] No
Do all employees receive paid holidays? If no, which employees are not eligible? [ ] Part Time [ ] Other Please explain [ ] 6 days [ ] 8 days [ ] 10 days [ ] 12 days
[ ] Yes
How many holidays per year does your company grant?
[ ] Other
Are employees required to work the day before and the day after to be eligible for holiday pay?
[ ] Yes
[ ] No
Personal Days
Does your company provide paid personal days to your employees? What length of service is required before employees are eligible to be paid for personal days? [ ] Hire Date [ ] End Probation [ ] One Month [ ] Two Months [ ] Six months [ ] other [ ] No [ ] Yes [ ] No
Do all employees receive paid personal days? If no, which employees are not eligible? [ ] Part Time [ ] Other Please explain [ ] 1 day [ ] 2 days [ ] 3 days
[ ] Yes
How many personal days per year does your company grant?
[ ] Other
Benefits Questions Retirement
Pension Plan
How many years of service are required to earn a pension? What is the maximum percentage of pay received under the plan? Does your benefit formula utilize? [ ] 10 years [ ] 100% [ ] 20 years [ ] 70% [ ] 30 years [ ] 66% [ ] Other [ ] Other
[ ] Salary and Service (combination) [ ] Yes [ ] No
[ ] Flat dollar amount what is the minimum retirement age under the plan?
Is there an age plus service requirement?
Miscellaneous Benefits Questions
Miscellaneous Benefits
Does your company provide the any of following amenities on site? [ ] Child Day Care [ ] Health Club [ ] Cafeteria with food service [ ] ATM [ ] None [ ] Other
Does your company provide any of the following? [ ] ESOP Plan [ ] Stock [ ] Stock Options [ ] None [ ] Yes [ ] No
Does your company provide educational assistance?
Does you company provide an EAP plan? Does your company have a severance plan? Does your company have a casual attire day? Does your company offer employees the option of flexible time? Does your company offer employees the option to work at home?
[ ] Yes [ ] Yes [ ] Yes [ ] Yes [ ] Yes
[ ] No [ ] No [ ] No [ ] No [ ] No
Company Benefits
Participant Company Information Respective Department other than Human Resource Department
Company Name
Person Completing Survey
Title of Person Completing Survey
(
)
Phone Number
____________________________________________________________ Years in This Company
_____________________________________________________________ Years at this particular Designation
The respective survey will derive the job satisfaction of the employee who is the beneficiary of the company benefits.
PART I 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. My take home salary My current Pay( Gross) Size of my current salary My benefit package Amount the company pay towards my benefits The number of benefits My most recent pay raise Influence my manager has over my pay Pay as compared to other jobs at same hierarchy Pay as compared to other companies in same industry (With respect to your designation) 11. How my raises are determined 12. Pay as compared within the department. 2: Somewhat Satisfied ----------_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ 3: Neither satisfied nor dissatisfied 4: Somewhat dissatisfied
Scale 1: Very satisfied 5: very Dissatisfied
PART I I 1. Income/Salary Bracket : a: 60K- 100K b:100K- 140K c: 140K- 180K d:180 K- 220K e: 220 K- and above
2. The most utilized benefits: _________________________________________________________________________________________________ 3. The benefits you would prefer to have ( which are not included in your company¶s benefit plan):___________________________________________ _________________________________________________________________________________________________________________________ 4. Worthless benefits of my company_________________________________________________________________________________________________________________
