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Please take a few moments to complete the survey to help us with our annual benefits evaluation. Your voluntary input is important to us regardless of whether or not you current participate in any of our programs. The results of the survey will be used only for the purpose of evaluating current benefit programs and to determine how we can improve the benefits program next year. It will take approximately 10 minutes to complete the questionnaire.

PRIVACY AND CONFIDENTIALITY: Your survey responses will be strictly confidential and data from this survey will be reported only in the aggregate. Your information will be assigned with a code so that no personal information is associated with your responses and your responses will remain confidential.
 
 
 
Overall Benefits Satisfaction
 
 
 
Benefits were an important reason why I came to work here.
 
Strongly Agree
 
Agree
 
Neither Agree or Disagree
 
Strongly Disagree
 
 
 
Benefits are an important reason why I remain here.
 
Strongly Agree
 
Agree
 
Neither Agree or Disagree
 
Strongly Disagree
 
 
 
I believe that I have a wide variety of benefits to choose from to meet me and my family's needs.
 
Yes
 
No
 
 
How well do you currently understand how your benefits work?
Clueless Somewhat Understand Understand Thoroughly Understand N/A
Benefit Providers (e.g.: United HealthCare, MetLife Dental)
Benefit Plan Design (what the plan covers)
Benefit Premium (how much I pay)
 
 
 
In order of importance, please prioritize the benefit that is most important to you for the company to maintain each year (1 being the most important and 7 being the least important)?
Medical
Dental
Vision
Flexible Spending Account
Health Savings Account
401(k) and retirement planning services
Voluntary Benefits: Supplemental Life Insurance and Short-Term Disability
 
 
 
I am currently enrolled in one of the three company medical plans.
 
Yes
 
No
 
 
 
If you answered no to the last question, what was the reasoning behind your decision?
 
I have other private medical insurance.
 
I have other insurance through my spouse/domestic partner.
 
I have other insurance through Medicare, Medicaid, or another government program.
 
The company medical insurance was not affordable.
 
The medical plan did not meet my needs.
 
I am uninsured.
 
 
Please mark the answer that best describes your current benefits enrollment in the following:
I am currently enrolled in the benefit. I don't want or need this benefit. I have this benefit available to me elsewhere. Cost of benefit is unaffordable to me. I don't understand this benefit. Other
Health Savings Account
Dental
Vision
Flexible Spending Plan (medical or dependent care)
Supplemental Life Insurance (includes any of the following: supplemental employee, spousal, or child life insurance)
Short-term Disability
401(k)
 
 
Please mark the answer that best describes your overall satisfaction regarding the indicated CWS benefit plan or plan elements.
Excellent Above Average Average Below Average Poor N/A
Medical Plan and Provider Network
Medical Prescription Drug Plan
Dental Plan and Dental Network
Vision Plan
Short-term Disability Plan
Supplemental Life Insurance Plan
401(k) Plan
 
 
 
Would you pay more money from your paycheck for medical insurance or more money when you go to the doctor or hospital (example: pay higher deductible and higher copayments)?
 
More money from each paycheck and less money when I go to the doctor/hospital
 
More money when I go to the doctor/hospital and less money out of each paycheck
 
I don’t understand the difference or it doesn’t make a difference to me
 
 
 
Would you pay more for a doctor that may be out-of-network that you trust or would you prefer to find an in-network benefit and pay less?
 
Pay more for a doctor that I trust
 
Find an in-network doctor and pay less
 
 
 
How satisfied are you with company-paid benefits? (company-paid benefits include Accident Dismemberment and Disability of $15,000, Group Term Life Insurance of $15,000, and Long-Term Disability of 60% monthly maximum benefit up to $7,000)
 
Extremely satisfied
 
Very Satisfied
 
Somewhat Satisfied
 
Not Very Satisfied
 
 
 
What is your preferred method for receiving benefits communication?
 
Written material mailed to my home address
 
Easy to access web site
 
Slide or video presentations
 
Employee In-Person Meetings
 
Email
 
Other
 
 
 
When you have a question or want more information on how your benefits work, where do you turn?
 
HR Department
 
Supervisor
 
Company Extranet
 
Insurance Provider (e.g.: United HealthCare, Metlife, Davis Vision)
 
Benefits Booklet and other written material
 
 
 
Based on your answer to the previous question, how would you rate the information you received about your benefit questions overall?
 
Excellent
 
Above average
 
Average
 
Below average
 
Poor
 
 
 
Would you be interested in educational opportunities to learn more about how to use your benefits?
 
Yes
 
No
 
 
 
Are there currently any benefits that the company does not offer that you would like to see offered in future years?
   
 
 
 
Open Enrollment
 
 
 
The materials provided during open enrollment regarding current benefit plans were thorough and detailed. (Please check which best describes your feeling toward this statement).
 
True
 
False
 
Did not go through Open Enrollment
 
 
 
Did you find the Open Enrollment meetings helpful?
 
Yes-I attended the in-person meeting.
 
Yes-I attended the webinar session.
 
No-I attended the in-person meeting.
 
No-I attended the webinar session.
 
Did not Attend
 
 
 
How satisfied were you with the UltiPro Open Enrollment process for selecting benefits?
 
Extremely Satisfied.
 
Not Satisfied.
 
Did not use UltiPro to select benefits.
 
 
 
What can the HR Department do to improve the company’s overall benefit program?
   
 
 
 
General Comments/Suggestions:
   
 
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