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To complete this survey online go to https://www.employerscouncil.org/solution/compen sation-strategy-and-hr-data/Survey-Questionnaires You will need to contact [email protected] for your unique survey link to complete the online questionnaire. 2018 Health, Welfare and Retirement Plans Survey for Arizona, Colorado, Utah and Wyoming Return by: Wednesday, June 6, 2018 (There will be NO deadline extension due to tight timelines with publishing the survey results.) UNDERSTANDING OF CONFIDENTIALITY This survey questionnaire should be completed with the understanding that: Organization identity and compensation or benefit information will remain confidential released without advanced approval by the organization. The contents and the resulting survey report will not be used in collective bargaining sessions or in grievance proceedings by either Employers Council or the organization. The resulting survey will be used solely and will not be to assist in guiding the effective management of compensation or benefit programs. Please Keep This Sheet Attached to the Questionnaire Indicate any changes to name and address below. 1799 Pennsylvania Street P.O. Box 539 Denver, Colorado 80201-0539 303 839 5177 (main) 303 861 0135 (fax) [email protected] (email)

Wednesday, June 6, 2018 - employerscouncil.org Council Health, Welfare, and Retirement Plans – Arizona, Colorado, Utah & Wyoming 2018 DEFINITIONS & DIRECTIONS This questionnaire

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To complete this survey online go to https://www.employerscouncil.org/solution/compensation-strategy-and-hr-data/Survey-Questionnaires

You will need to contact

[email protected] for your unique survey link to

complete the online questionnaire.

2018 Health, Welfare and Retirement Plans Survey for Arizona, Colorado, Utah and Wyoming

Return by:

Wednesday, June 6, 2018 (There will be NO deadline extension due to tight timelines with publishing the survey results.)

UNDERSTANDING OF CONFIDENTIALITY

This survey questionnaire should be completed with the understanding that:

♦ Organization identity and compensation or benefit information will remain confidential released without advanced approval by the organization.

♦ The contents and the resulting survey report will not be used in collective bargaining sessions or in grievance proceedings by either Employers Council or the organization.

♦ The resulting survey will be used solely and will not be to assist in guiding the effective management of compensation or benefit programs.

Please Keep This Sheet Attached to the Questionnaire

Indicate any changes to name and address below.

1799 Pennsylvania Street ■ P.O. Box 539 Denver, Colorado 80201-0539 303 839 5177 (main) ■ 303 861 0135 (fax) [email protected] (email)

Employers Council Health, Welfare, and Retirement Plans – Arizona, Colorado, Utah & Wyoming 2018

DEFINITIONS & DIRECTIONS

This questionnaire is designed for collecting information on benefits as they affect the majority of full-time employees.

DEFINITIONS TYPES OF HEALTH PLANS SURVEYED Health Maintenance Organization (HMO): A

pre-paid medical group practice plan that provides a comprehensive predetermined medical care benefit package.

Preferred Provider Organization (PPO): A benefit design wherein covered persons obtain a higher level of reimbursement if non-emergency services are obtained from participating providers.

Point of Service Plan (POS): Members do not have to choose how to receive services until services are needed. In some plans, for example, members decide whether to use a PPO or an outside provider. Although the services of an outside provider are covered, benefits are greater if members select a preferred provider (80% versus 100% coverage).

High Deductible Health Plan (HDHP) - Health insurance plan that does not cover first dollar medical expenses, except for certain preventive health services. The 2018 IRS deductible amounts for single coverage is $1,350 and family is $2,600, and the out-of-pocket amounts for a single coverage is $6,550 and family is $13,100.

Indemnity Plan: Provision of specific cash payment reimbursement for designated covered services. Payments can be made either to enrollees or, on assignment, directly to health providers. Sometimes referred to as a traditional fee-for-service plan.

DIRECTIONS

Use a check to indicate your answer on the appropriate line.

If you are reporting for more than one location and the benefits are the same, only one completed questionnaire is necessary. If practices differ between locations for certain questions, please note differences at the end of each section.

Report the policies and practices applying to the majority of your employees and which are covered by a single, well-defined program or policy. Respond to all plans applicable in your organization. If multiple plan options for a plan type, (i.e. high and low PPO option), report the option chosen by majority of employees.

If your policy matches an option that indicates a “Specify” is required, please check the line under the appropriate category and also fill in the blank provided next to the “Specify”.

If none of the multiple choice options provided seem appropriate, please explain your benefit at the end of the section, or in the space marked “Other.”

All questions pertain to full-time employees (employees working at least 35 hours per week) unless otherwise specified.

Answer each question based on benefits in effect on January 1, 2018.

If you have questions or need assistance as you complete this questionnaire, please call the Employers Council Surveys Department at 303.839.5177, 800.884.1328, or [email protected].

Please return your completed questionnaire by: Wednesday, June 6, 2018.

EXAMPLE FOR COMPLETION Based on an organization having an HMO, PPO, POS, and HDHP plans.

35.00 What is the copay for a primary care office visit? (Exclude Specialist office visit.)

HMO PPO POS HDHP 0.10 No copay for primary care office visit _____ _____ _____ __X__

1.00 $15.00 __X__ _____ _____ _____

2.00 $20.00 _____ X _____ _____

3.00 $25.00 _____ _____ X _____

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– Skip to Short Term Disability Insurance, Qst 89

– Skip to Long Term Disability Insurance, Qst 97

– Skip to Long Term Disability Insurance, Qst 97

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– Skip to Retirement Plans, Qst 103

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– Skip to Wellness Programs, Qst 122

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