Consumer Driven Health Plans

The term, Consumer Driven Health Plans, has been gaining a lot of momentum over the last couple of years with the cost of health insurance premiums spiraling out of control. There's been discussion for some time in small business circles about shifting more of the responsibility for health care needs to the employees rather the employer. Business owners of all walks of life are quickly coming to the realization that they are ill-equipped to manage and administer the complexities of employee benefit plans. Aside from that, they also know that the days of low deductible health plans are all but a thing of the past. The premiums for these low deductible plans are chocking them financially. The biggest, and maybe, the only way to make a significant impact on health insurance premiums, is raising the deductible thresholds that employees are responsible for meeting before the plan covers expenses. Many employers are reluctant to pursue this necessary strategy to get a handle on their cost but it's completely unavoidable in today's economy.

So, it begs the question. What can an employer do to lessen the impact of employees being responsible for meeting higher deductibles? The answer is; doing it in conjunction with a Health Savings Account(HSA) for each of their employees. Each employee has this HSA set-up in their name for the purpose of making tax-free contributions into their account to ultimately cover the qualified medical expenses they're now responsible for with a High Deductible Health Plan. This gives the employee greater control and flexibility over making their own health care decisions. The IRS regulates the type of health plans that qualify for an HSA, as well as, how much money the employee can contribute to their HSA's.

Whether, it's the increasing trend toward higher health care premiums or the Federal and State regulations (COBRA and Mini-COBRA) of certain health plans - business owners are now faced with the very real task of shifting the responsibility for health care to the employees. Experts predict that Consumer-Driven Health Plan enrollment will spike in 2010 Read Full Article

For more information on Consumer Driven Health Plans, HSA's or how to effectively shift more of the burden for health care to your employees, email me at bknauss@employeemployersolutions.com visit us on the web at www.employeemployersolutions.com or twitter me at http://twitter.com/mployebenefits

2010 Health Savings Account(HSA) Changes

For those of you that have a Health Savings Account(HSA) in conjunction with your High Deductible Health Plan (HDHP), you should already be aware that the minimum deductible amounts, as well as, the maximum that an individual can contribute to their accounts are changing for 2010. The changes are as follows:

1. The minimum deductible amount must be $1,200 for self-only coverage and $2,400 for family coverage; increased from 2009 requirements.


2. The out-of-pocket maximum must be no higher than $5,950 for individual or $11,900 for family coverage; increased from the 2009 requirements.


3. The HDHP must be set-up with a combined medical/pharmacy deductible. This deductible must apply to the out-of-pocket maximum; no change from the 2009 requirements.


4. All medical and pharmacy services must be subject to deductible and out-of-pocket maximum except for preventative services.


5. The annual contribution limits are being raised to $3,050 in 2010 for individual coverage; increased from $3,000 in 2009. For family coverage the maximum is increasing from $5,950 in 2009 to $6,150 in 2010.

If you don't already have a compatible Health Savings Account component to your HDHP then it's time you switched. You're already having to ask your employees to pay a greater share of their health care expenses out-of-pocket; why not pay them with tax-free dollars. With a full court press of government takeover of health care just around the corner; you better make the switch now while you still can.

For more information on this and other employee benefits related matters; email me at bknauss@employeemployersolutions.com visit my website at http://www.employeemployersolutions.com/ or twitter me at http://twitter.com/mployebenefits

The State of Employee Benefits

If you're the average small business owner today, trying to wade through the complex maze of employee benefits, then you're not alone. I thought it would be valuable to share some market perceptions of other small business owners just like you. I'm generally not obliged to overwhelm you with a bunch of meaningless statistics but here are just a few that I think are valuable:

1. 64% of small business owners are not confident picking a health insurance policy that fits their budgets and their employees' needs.*
2. Furthermore, 60 percent said they are not confident they understand the tax implications of paying for a portion of their employees' health insurance premiums.*
3. Only 27 percent say they understand all the factors that can affect their small group health premiums.*
4. Employer-sponsored health plan costs are going to see a 10.5% spike on average over the next year. (side note; that percentage of increase is on a declining trend)*
5. 10% of employers surveyed indicated they reduced or eliminated retirement benefits as a cost-cutting measure in the past 12 months.*
6. 74 percent of Americans have a less than complete understanding of their retirement plans.*

* source for these statistics October 2009 issue of Benefits Selling Magazine

These figures seems to indicate that the overall broker/agent community hasn't done a real good job taking the time to understand the needs of their clients and what it is they're buying. That's why I specialize in the small business community of the Lehigh Valley. It's a market that has been completely under served and in large part ignored by the brokerage community. If you're a business owner that can relate personally to some of the statistics then maybe we should have a productive conversation. You can always email me at bknauss@employeemployersolutions.com or visit my website at www.employeemployersolutions.com or follow me on Twitter at http://twitter.com/mployebenefits

Employee Benefits - Do More Without Spending More?

Many businesses are in the same boat today - trying to figure out the paradox between doing more with less. The arena of employee benefits is no different. Try suggesting to a small business owner the prospect of expanding his/her benefits package for their employees in today's economic climate and you're likely to get booted right out the door. Well, there is some daylight on this particular topic and the answer seems to be in a very hot trend right now in area of employee benefits and that is - Voluntary Benefits. If I were to ask you if you would like to expand your companies benefit offering without it costing you one more dime, you'd probably think I was trying to pull a fast one. Well, this is one "to good to be true" proposition that really is legit. The voluntary benefit market is one marked with very low-costs, low maintenance, very little administration and high pays high dividends on employee morale. You see, with the current climate of higher deductibles, co-pays and less coverage for existing health insurance plans, the voluntary benefit market is a welcomed sight. Disability and Hospital Confinement policies help with covering higher deductibles that employees have to pay. They also help with unanticipated expenses for extended hospital stays or long periods of being unable to work like groceries, transportation and child care expenses.

There are a full range of voluntary benefits that can be 100% employee paid such as dental, vision, limited-medical benefit plans, disability, cancer and critical illness policies, life insurance, accident and hospital confinement plans. That best part is, many of the plans are portable for the employee. That's right they can keep the coverage no matter where they go. Here's just a small sampling of some of these voluntary benefits:

1. Disability Insurance – An individual supplemental short-term
   disability income product that replaces a portion of income if
   someone becomes disabled due to a covered accident or
   covered sickness. There are plans that cover on and off-job or
   off-job accidents/sicknesses and a wide choice of benefit
   periods and elimination periods. This product features total
   and partial disability, portability, worldwide coverage and
   waiver of premium.
2. Accident Care/Public Sector Accident Care –
   A composite-rated, guaranteed renewable accident
   product that provides indemnity benefits for on and off-the-
   job, or off-job only accidents. Stand alone coverage
   for employee, spouse and dependent child may be
   purchased. Features include the same benefits for
   employee, spouse and dependent child; worldwide
   coverage and portability. Optional riders, such as disability,
   are available.
3. Cancer – An individual specified-disease product that
   pays a cancer screening benefit for specified screening
   tests. Upon diagnosis of cancer, provides benefits for
   treatments and resulting costs that individuals may
   require to care for their cancer.
   
4. Critical Illness – An individual specified-disease product
   that can help individuals pay out-of-pocket expenses
   associated with home health care, caregivers they may
   require for home, automobile modifications, mortgage
   payments, utility bills, other everyday living expenses and
   travel costs to and from treatment centers.

For more information about adding voluntary benefits to your existing benefits package, or even if you don't have a benefits package, email me at bknauss@employeemployersolutions.com or visit my website at http://www.employeemployersolutions.com/

Defined Contribution Health Plans

Are you asking yourself, what in the world is a "Defined Contribution Health Plan"? I'm sure it's not a term that most of you are aware of or even know that it could be a viable option for you, the small business owner, to implement for your workforce. It's really a fancy term for a health plan that is established by the employer but the method of paying for the monthly premiums are based on a fixed contribution made by the employer toward paying for health insurance. Okay, I've got you confused. Sorry! So by way of comparison, a regular employer-sponsored plan is one in which the employer offers its employee groups of 2 or more but the ultimate legal guardian of the plan is the company. Things like the payment monthly premium, renewing the plan each year, being responsible for the administration of the plan and finally being in compliance with federal and state laws governing them (eg. COBRA). This type of health plan is also know as a "Defined Benefit Health Plan". The employees simply opt in or out of the plan. If they opt in, the employer has an established pre-determined amount that the employee has to contribute each month toward covering their dependents and such. This amount is usually deducted from the employees paycheck every pay cycle. Sometimes the employer has the deductions set-up on a pre-tax basis to add tax savings for both the employer and employee. This is typically the way most group health plans are set-up.

However, this is not necessarily the best advise for the small business who is struggling with the mounds of administrative responsibility now incurred, not to mention, the continued escalation in health insurance premiums every year. There is a better way - Defined Contribution Health Plans.

The defined contribution concept can manifest in numerous ways. The ideologically purest model is one in which employers remove themselves completely from administering health benefits by either giving the employees cash (as a separate payment or increased wages) or a voucher that they can use in the market to purchase coverage. At the other end of the spectrum is a defined-choice model in which employers continue to offer a range of health-benefit options at varying price levels. The employer provides a specified premium dollar contribution (perhaps tied to the lowest-cost plan), and the employee pays for any premium difference above the contribution level. Between the two end points, there are numerous permutations. Some of these “in between” models rely on a combination of an employee personal health care account with contributions from employers, employees, or both (which can roll over annually), and major medical coverage with a deductible above the cap of the personal account. For a copy of this free report go to: http://hcfo.net/pdf/definedcontribution.pdf

This is the absolute best option for small businesses in the Lehigh Valley trying to find ways to reduce cost and liabilities, as well as, get out of the health insurance business. For more information on establishing a defined contribution health plan at your company please email me at: bknauss@employeemployersolutions.com or visit my website at http://www.employeemployersolutions.com/ Now go take on the day!!