Prime Benefit Solutions - Cost-Benefit Analysis Survey

1

What is the name of your company?* This field is required.

2

What is the city and state of your headquarters?* This field is required.

3

What is the contact information of your contact person?* This field is required.

Name

Phone

Email

4

How many full-time / part-time employees do you have?* This field is required.

Full-time

Part-time

5

What percentage of your employee benefits are covered by the company?* This field is required.

7

What do you currently pay a month for employee Benefits?If you do not have exact amounts, you can provide an estimated dollar amount.

Group Health

Disability Coverage

Group Life

Employee Wellness

Payroll Services / HR Management

Worker Compensation

401K

Other

8

What is most important to you when it comes to employee benefits?* This field is required.

Price

Employee satisfaction

Employee retention

Hiring new top talent

Offering benefits that set yourself apart from the competition

9

What do you like or dislike about your current benefits?* This field is required.

10

To start the process today, please upload a full census of current employees so we can run quotes for you.If you do not have a current census please click on the following link to download a blank census: Group Census

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