Self Assessment Survey for Empliant's Small Business Bundle for Online Benefits and Administration

Completing this survey can help you determine if Empliant's Small Business Bundle could potentially help your organization improve employee service, improve management productivity, and save money.

Do you qualify for the Small Business Bundle based on the size of your organization?
Yes, we have less than 50 employees
Yes, we have between 51 and 100 employees
Yes, we have between 101 and 150 employees
Yes, we have between 151 and 200 employees
Yes, we have between 201 and 249 employees
No, we have 250 or more employees

Do you qualify for the Small Business Bundle based on your Benefits Selection Menu, wherein all employees have the identical choice of benefit plans?
Yes, our organization has a One Size Fits All benefits menu
No, our organization has different benefit plan selections for various segments - such as hourly, non-exempt salary, exempt salary, or executives
Other - Let me explain later.

Is your organization willing to save implementation expenses performing initial employee data loading - rather than having Empliant load data?
Yes, absolutely
Yes, if the data loading process is not too difficult and can be easily learned and performed
Yes, but I'd still rather pay Empliant a nominal amount to load initial data
Maybe, why don't we talk about it

Do you qualify for the Small Business Bundle based on wanting to provide online benefits enrollment year round for new hires, qualified changes and annual enrollment?
Yes, we currently use paper forms for enrollments and changes. Help me stop shuffling paper and dealing with incomplete or illegible forms.
Yes, we currently have an online process here, but I'm not happy with price and performance, to name a couple...
No, I'd rather just keep shuffling papers and wasting my time and my employee's time and company money.

Do you qualify for the Small Business Bundle based on wanting to also improve employee service by giving them information all the time, any time, even when HR is not available?
Yes, please help. I spend too much time answering the same benefits coverage questions - at the expense of my other duties
No, I'd rather keep answering the same questions time after time. It keeps me in touch with the employees
Let's talk about this. Is there a way to stay in touch with employees and still be more effective?

Do you qualify for the Small Business Bundle based on wanting to spend as little as possible for implementing year around, online benefits enrollment and administration for your organization?
Yes, we need to talk soon. I have a springtime enrollment period coming up, and I want to spend just a few thousand for implementation.
Yes, we need to talk. I want to save thousands of dollars on implementation expense.
No, I'd rather spend $8000-12000 to implement, rather than under $3000

If you answered YES to 5 or 6 of the above questions, we definitely need to talk VERY SOON.
If you answered yes to 3 or 4 of the above questions and have an early-2005 annual enrollment, we need to talk VERY SOON.
If you answered YES to 1 or 2 of the above questions and do not have an early-2005 annual enrollment, we need to talk in the next several months.
If you did not answer YES to any of the questions, but you would like to discuss other Employee Self Service needs with Empliant, we need to talk soon.

Would you like to consider the optional features beyond the very robust basic product? (check all that apply)
I'd also like to consider loading a one page benefit plan description and one page FAQ template for each benefit plan
I'd also like to consider loading my employee handbook and/or manager's guide
I'd also like to consider loading Empliant's boilerplate handbook and manager's guide for my editing and use
I'd also like to consider a customized employee benefit statement rather than just a basic one
I might like a few optional features loaded, let's discuss the various choices so I can better understand
No, I want to consider ONLY the bare bones minimum functionality

Please enter your NAME (Last, First)


Please enter your PHONE NUMBER (area code, exchange, number and extension)


Please enter your EMAIL ADDRESS.


Please indicate the best time to contact you for further discussions and to receive a cost estimate for the Small Business Bundle for your organization. {check all that apply)

Time of day that works best:
Mornings
Afternoons

Days that work best:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Please enter any other information that you care to share with Empliant regarding your business needs, or please ask any questions you may have for Empliant.