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经典word整理文档,仅参考,双击此处可删除页眉页脚。本资料属于网络整理,如有侵权,请联系删除,谢谢!EmployeeBenefitsQuestionnaire员工福利调查问卷Programsbywhichemployeesreceivenoncashcompensationtoensurethattheorganizationattracts,retainsandmotivatesemployeestoaccomplishorganizationobjectives.激励员工完成组织目标。1.Doestheorganizationhaveaclearpolicyregardingemployeebenefits?组织有关于员工福利的一个明确政策吗?2.Isthereonepositionwithintheorganizationaccountableforfairlyandconsistentlyimplementingemployeebenefitprogramsandensuringcompliancewithgovernmentalregulations,suchasERISA,COBRA,EEOandtheFamilyandMedicalLeaveAct?组织内部是否有岗位负责公平一致地执行员工福利计划,来确保和政府的规范条例是保持一致的,例如(雇员退休收入保障法案),COBRA(统一综合预算汇编法案),(平等就业机会)和家庭与医疗休假法?3.Istheorganizationcurrentoncompetitiveemployeebenefitpractices,suchaschildcare,flextime,jobsharing,vacation/sicktime,time-offprovisionsandhealthplanalternatives?该组织目前是否有在竞争员工福利方面下功夫呢?例如:儿童保育,弹性工作制,工作分享,假期/病假,休假和健康计划这些方面的选择?HEALTHCARECOSTCONTAINMENT健康保健成本控制4.Isthereaprocessinplacetocontainmedicalcostswhileofferingqualityhealthcaretoemployees?是否建立有一个控制医疗成本的程序,同时也向员工提供了高质量的医疗服务。5.Doyouperiodicallygaugeemployeesatisfactionwiththebenefitplanintermsofcustomerservice,timeliness,claimmanagementandaccuracy?是否有定期检测员工在客户服务,及时性,诉讼管理和准确性这些方面对福利计划的满意度?6.Ifemployeedissatisfactionishighorcostsareoutofcontrolornoncompetitive,doyouputyourbenefitplansouttobid?Howoftendoesthisoccur?标吗?多久会发生一次?7.Doesyourmedicalcostcontainmentreviewcoverthefollowing:A.Haveyouanalyzedbothofthefollowingalternativehealthcareprogramsfortheircostcontainmentprocesses,includingservicesoffered,accessibility,qualityofcareandcost?你的医疗成本控制会评估下列方面嘛?A.HEALTHMAINTENANCEORGANIZATONS(HMOS):健康维持组织():Whatareenrollmentnumbersforthepastthreeyears.(Rapidenrollmentratesmayresultinpoorerservice.)过去三年的招生人数是多少?(招生人数的飞快增长可能会导致服务越来越差)IstheHMOaccreditedbytheNationalCommitteeforQualityAssurance(NCQA)?HMO是否有得到NCQA(全国质量保证委员会)的许可?Wereanyconditionsattachedtotheaccreditation?对这个许可是否有附带其他的一些附加条件?WhatisthepublicperceptionoftheHMO(hasitreceivedbadpress)?公众对HMO有什么看法(是否有收到过坏消息)?HaveorganizationssimilartoyoursfaredwellunderthisHMO?(Askforalistofclientsandcallsomeofthem.)和你们类似的组织在HMO其中一些人来核查)Whataretheexclusionsorlimitationsonprocedures,suchastransplants,rehabilitativeproceduresandmentalandnervousdisorders?程序中有哪些例外或限制?譬如移植,精神和神经疾病上的恢复?PREFERREDPROVIDEDORGANIZATIONS(PPOS):优先选择提供者组织():InadditiontoallthequestionsforHMOsabove,whatistheratioofnetworkvs.non-networkcharges?除了上述关于HMO的所有问题之外,网络和非网络收费的比率是多少?Doemployeesacceptthenetworkdoctors?员工是否能接受网络医生呢?B.HasHRreviewedthefollowingadministrativecontrols:人力资源人员是否有评估下列管理方面的控制:In-housecompanydataonpremiumspaidandclaimsprocessed?在公司内部是否有保险支付和索赔处理的数据?Retentionprovisionsofcarriers,suchasrebatesorfavorablerateconsiderationforretentionofcompanyfunds?运营商保留条文,例如考虑回扣或优惠率来保留公司的资金?Morefavorablestop-lossarrangementswithacarrier?与运营商更有利的止损条款?Encouragingemployeestoreporterrorsinmedicalbills?激励员工举报医疗账单中的错误?Health-carespendingaccountsandchangingrules?医疗保健支出账户和变化规律?Nonduplicationofbenefitsinsteadoftraditionalcoordinationofbenefits?非重复福利取代传统协调福利?Initiatingaprobationaryperiodbeforehealthcoveragebegins?在健康保健开始进行前,先进行一个试用期?C.HasHRreviewedbasiccostmanagementprograms,includingthefollowing:人力资源是否有评估管理计划的基本成本,包括如下:Increasingdeductibles,coinsuranceresponsibilityorcopaymentamounts?增加免赔额,共同保险责任或共同负担费用的数额?Requiringsecondopinionsforsurgery?在外科手术方面要求第二建议?Institutingpre-admissiontestingandcertification?实行入院前的测试盒检查?Concurrenthospitalstayreviews?同时住院观察?Closelymanagingchronicorcostlyillnesses?严密关注慢性的或昂贵的疾病?Patientauditingofhospitalbills?对病人医院账单的审查?Requiringemployeeplanusagedatafromhealthcarecarriers/administrators?要求员工从健康保健/管理员中计划使用的数据?D.HasHRreviewedemployeehealthpromotionandeducationprograms?人力资源是否有评审过员工的健康宣传和教育计划?D.HasHRcommunicatedwithhealthcareproviderstoreviewcustomizedplanoptionsandcostcontainmentmeasures?人力资源是否有和健康保健提供者沟通过,来评估定制计划选择和成本控制措施?8.Arethecostsofemployeebenefitsregularlycalculatedandcomparedtonational,industryandlocaldata?员工福利的成本是否有定期地进行计算,且和国内,同行以及当地数据做比较?9.Arevacationandsickleaveaccrualsanalyzedforpurposeaswellascostconsideration?是否有对假期和病假的权责发生制做原因分析和成本考量?10.Arethereprogramstocontrolabsenteecosts?这些计划有对缺勤成本做控制吗?11.Arethereprogramstocurbsickleaveabuse?这些计划是否有遏制病假的滥用?12.Areunemploymentcompensationcostsanalyzedforcostsavings?是否有从节省的角度对失业补偿费用做分析?13.Arepensionplansreviewedandemployeescounseledonwin-winpensionoptionsthatwillsavetheorganizationmoney?是否有审查养老计划,是否有向员工提供过双赢养老计划选择的咨询,这些都是可以帮组织节省费用的?14.Doesyourorganizationofferretirementcounselingtoemployees?你们组织是否有向员工提供过退休方面的咨询服务?15.Aretherebenefitstoextendingtheretirementage?对延长退休年龄的员工是否有其他福利?16.Shouldchangesinlong-termdisabilitypaymentsbeconsidered?是否有考虑过改变长期伤残抚恤金?17.Doesyourorganizationregularlycommunicatethebenefitsitprovidesaswellasemphasizethecompany’scontributiontoemployeebenefits?你们组织是否有定期沟通其提供的福利,同样也强调公司对员工福利所做的贡献?18.Doesyourorganizationhavethecapacitytoprovidenecessaryemployeebenefitsandaddresscost-containmentissuesthataffectprofitability?你们组织是否有能力来提供必要的员工福利,且阐述能影响盈利能力的成本控制问题?19.Onascaleofonetoseven(sevenbeingthehighestandfourbeingadequate),howdoyouthinktheHumanResourcesdepartmentwouldratetheeffectivenessofemployeebenefitsprograms?在等级一至七中(七是最高等级,四就是能胜任的级别),针对人力资源部门将评估员工福利计划的效力,你如何看待?20.Onthesameone-to-sevenscale,howdoyouthinkinternalclients(departmentheadsandemployees)wouldratetheeffectivenessoftheemployeebenefitsprograms?在同样的一至七等级中,针对内部客户(部门领导和员工)将评估员工福利计划的效力,你又如何看待?ExplanationofEmployeeBenefitsQuestionnaire员工福利问卷调查的解释Employeebenefitsarenecessarytoattractandretainqualityemployees.Feworganizations,howeverareabletofindnewwaystocontaincostsandusebenefitsasanincentivetoimproveemployeeproductivity.成本,且使用福利作为一种激励策略,来提高员工的生产力。Healthcarecostcontainmentiscoveredinquestionsfourtoseven.Aggressivenegotiationswithcarriers,acloserlookatadministrativecontrolsandcost-benefitanalysesmustberoutinelycarriedoutifanorganizationwantstoconverthighcostsintoincreasedprofits.Anannualreviewofbenefitplanvendorsshouldbeconducted,especiallyforhealthcareserviceswhichconsumealargeportionofexpenses.Theremarketingofabenefitprogram,however,shouldtakeplacenomorefrequentlythaneverythreetofiveyears,unlessthereareseriousconcernsaboutrates,serviceoraccessibility.Morefrequentremarketingofabenefitplandamagesthecredibilityoftheemployer,intermsofseemingdisinterestedinalong-termrelationship.Inaninsuredarrangement,thevendorwillbeleft‘holdingthebag’onrunoutclaims.问题4到7每隔三到五年,除非和汇率,服务或获得物有密切的关系。一个福利计划,在表面上看起来公平的一个长期合作关系中,过于频繁的再交易会毁坏雇主的信誉。在一个保险安排中,卖家就能避免再三索赔。Payparticularattentiontocost-managementprogramsunderquestionseven.Spendingmoretimeonthesedetailswillresultinbetterclaimsmanagement.Question7Cshouldanswerthefollowingquestions:要特别注意到问题7下的成本管理计划。花费更多时间来关注这些细节会让你有更好的投诉管理能力。问题7需要回答下列问题:1.Howwerechargesdistributedbetweenemployees,theemployerandotherpayers?在员工,顾主和其他付款方之间,经费是如何分配的?2.Whattypesofserviceswereused:hospital(inpatient,outpatient,emergencyroom),physician’sservices(inpatient,outpatient),lab,x-ray,durablemedicalequipment,supplies,surgicalcenter,etc.Anycategorylabeled‘other’onareportshouldaccountfornomorethan5%ofthetotalorrequireadetailedexplanation.是使用的哪种服务?医院(住房部,外诊部,急诊室),身体上的服务(住房部,外诊部),实验室,透视室,耐用的医疗设备,供应商,外科手术中的比率,或者另外做详细解释。3.Whattypesofillnessesdidemployeesexperience?Thereshouldbeatleast15majordiagnosiscategoriesusedonthereport.员工能有哪些疾病史?在报告上至少要有15种大的诊断种类。4.Whatareemployees’demographics?什么是员工的人口统计学?Youareentitledtothisinformation.Bymonitoringhowthehealthcareplanisused,itispossibletodecreaseclaimcosts.Somenegotiationwiththecarrier/administratormaybenecessarytoobtainreportsinameaningfulformat.能减少诉讼成本。一些和运营商/管理者的谈判可能对于以一个特别的方式来接受报告是很有必要的。Becausehealthcareaccountsforthelargestportionofmostbenefitpackagesyoushouldstrivetoraiseyourperformancestandardsasanemployerbyapplyingyourbusinessstrategiestohealthcaremanagement.AccordingtoDavidW.Kempken,ExecutiveDirectorofBenefitsforChryslerCorporation,youshouldre-examineyourstandardsforplandesign,administration,communicationandproviderrelationshipswiththegoalof"bestpractices."Nonhealth-relatedemployeebenefits,suchasvacationtime,sickleave,pensionformulas,retirementincentives,holidaysandunemploymentcompensationtendtoremainuntouched.Thereisliteraturewhichaddressestheseissues.They

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