Company Name
Broker Name
Total Number of Employees
Type of Industry
   
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Dedicated Internal HR Employee?


Yes
No
Employment Practices Liability Insurance (EPLI)?


Yes
No
Employee Handbook?


Yes
No
 
 
Labor Costs
 
Annual Cost of Outside HR Consultants
$
Annual Cost Associated of Document Management
$
 
 
Legal Costs
 
Annual Liability/Litigation Expenses Related to HR Issues
$
Annual Costs Associated With Outside Legal Consulting
$
 
 
Other Costs
 
Annual Costs to Processing Payroll
$
Employer Productivity
$