Tag Archive for 'benefits communications'

Open Enrollment: How Will You Communicate Medical Care Cost Increases?

While this likely won’t come as a shock to many reading this post, it appears

Benefits Communications

Benefits Communications for Delicate News

that medical care costs will once again rise at near double-digit rates in 2011.  According to PriceWaterhouseCoopers’ Health Research Institute, medical care costs are expected to increase by 9% in 2011, a slight deceleration from the 9.5% rise posted in 2010.

Cost sharing has become a critical tool to help keep medical care costs affordable for both employer and employee.  2011 will be no different.  Here are the key findings of the PwC report:

  • 42% of employers intend to increase employee contributions for health insurance coverage
  • 41% plan to increase medical cost-sharing, including higher-deductibles and co-pays
  • 26% expect to increase prescription drug cost-sharing
  • 67% of employers will most likely expand or improve wellness programs

In addition, many employers will add high-deductible health plans in the coming year to help ease the cost burden.

Those employers with a Fall Open Enrollment are heading into a critical time.  Important decisions will be made that will have a significant impact on the cost of benefits for employees and their families.  Careful thought, consideration and resources will go into making plan decisions and yet too little thought and preparation will go into communicating the changes.

With so much at stake, what is your plan for communicating this delicate information?  How will you deliver the news that your employees are once again being asked to shoulder a larger share of the cost burden?  How will you drive enrollment in that new and very complex high deductible health plan?

Rethink the lengthy and ineffective emails, brochures and web pages. You know that employees and family decision makers aren’t reading them – no matter how pretty they are.  And employees who operate in the absence of information are likely to come to the wrong conclusions about plan changes.  They are likely to avoid newer health plans in favor of the ones that feel familiar.

This Open Enrollment period, don’t let your communications strategy go by the wayside.  Demonstrating transparency and carefully communicating the difficult changes that are being made to benefits are nearly as important as the changes themselves.  Remember that introducing a high deductible health plan only saves the company money if you can convince an employee to adopt it (assuming they have alternatives).

For tips on communicating effectively, please see our March post:   Benefits Communications for Today’s Employee.

Snoopy Weighs in on Financial Wellness

MetLife released its 8th installment of its Annual Study of Benefits Trends on Monday.  In comparison to prior

Financial Wellness

Employee financial issues a central theme in this year's survey

years, the themes of employee financial security and benefits communications played a more prominent role than ever before.  This was a natural emphasis given the backdrop of economic volatility and a renewed employer focus on benefits cost control.

We wanted to highlight and provide my perspective on three key points that came out of this year’s study:

There is a Health-Wealth Connection.  MetLife’s survey work, which is consistent with other studies we’ve seen, revealed a connection between an employee’s physical and financial health.  Put simply, those employees who assessed their medical health as “fair to poor,” were much more likely to report financial concerns.  MetLife therefore concluded that an employee’s health status impacts an employee’s financial situation.  Our conclusion would be a different one.  Given our experience with employee financial stress and the studies that have been done in this area, we believe strongly that it is an employee’s money issues that leads to poor health and NOT the other way around.  Stress has long been referred to as America’s #1 health problem and virtually every study you read points to money issues as the leading cause of stress (and it’s not close).

Benefits Communications Effectiveness on the Decline.  Each year, MetLife surveys employers and employees on their perception of benefits communication effectiveness.  This is one of those areas of true disconnect.  Over the past three years, employers believe they have made slight improvements to their benefits communications.  Employees, on the other hand, rate benefits communications as less effective than the year before.  In fact, this year only a third of employees rated their benefits communications as effective vs. 40% in 2007.  Just in the last three years, there have been such dramatic changes in the way that employees access information and learn.  And yet, too many employers have stuck to dated and ineffective forms of communications that have been in place for decades.

Personal Financial Distractions Drain Productivity.  In the past 12 months, 12% of employees surveyed took unexpected time off to deal with a financial issue and 17% reported that they spend more time at work on personal financial issues than they think they should.  Personal financial distractions are and have been an expensive problem for some time now.  What is encouraging, is that almost two-thirds of employers have now recognized personal financial issues as a drain on productivity and 45% acknowledge financial education as an effective solution.

Key takeaways:

  • The financial health of employees may be one of the largest determinants of their medical health.  Your health wellness strategy should include a financial wellness component.
  • You can improve employee understanding of benefits but you need a modern approach to the way that you communicate them.  This does not need to be an expensive undertaking – improving benefits communications will cost you a tiny fraction of the benefits themselves.
  • Employee money issues cost your company each day.  Providing your employees with programs that help them help themselves will increase productivity and employee loyalty.

A $16 Million Benefits Communications Problem: CDHPs

One of the largest issue that our clients face is providing comprehensive and affordable health care for employees and

Benefits Communications

Focused Benefits Education Can Help You Drive CDHP Enrollment

their families.  In light of recent studies, employer interest in Consumer Driven Health Plans or CDHPs has grown tremendously.  In fact, a recent study by NBGH/Towers Watson finds that 54% of companies offer a CDHP and that number is expected to grow to 61% in 2011.

One of the more widely quoted surveys that illustrate cost savings is from health insurer Aetna.  In late 2009, Aetna published the results from a six-year study of its 2.6 million members and 410,000 members of the Aetna HealthFund consumer directed plan.  One key finding from this study showed that employers who offer the Aetna HealthFund as an option experienced savings of $7 million per 10,000 members over a  five year period.

But there is an opportunity for employers to save much more than that.  Aetna also offered this nugget:

“Employers that offered CDH plans as an option but who engaged employees for adoption using strategies identified as best-in-class saved $23 million per 10,000 members over five years.”

Imagine that.  An effective employee engagement plan is worth $16 million in cost savings (per 10,000 members over five years).  For many employers, employee engagement is an after-thought despite the importance to the overall success of the CDHP initiative.  In my discussions with employers, many have a sense that they are not maximizing the cost savings opportunity provided by their CDHP, but too many have no idea how much money they are leaving on the table.

Employee engagement is more of an art than a science.  To capture the kind of savings described above, most experts agree that it requires focused and ongoing employee education.  Sure, you can offer incentives to encourage adoption and promote certain behaviors but at the end of the day, an employee will not choose a plan unless he or she understands how it works.  The typical consumer driven plan is complex and an employee doesn’t need to look at the plan very long to see that it involves taking on more financial responsibility.  After all, that’s the point of a CDHP.

And so, given the absence of time and impression of risk, most employees would just assume stick with what they know and choose the PPO/HMO option.  And that’s the state we find ourselves in with many employers unable to push employee enrollment figures past the single-digit mark.

Benefits Communications for Today’s Employee

Benefits Communications

Traditional Benefits Communications Not Reaching Today's Employee

We used to make this distinction about certain people being “web savvy” but these days it seems we’re all pretty web savvy – perhaps there is just different degrees.  One of my colleagues always uses the example of his 85 year old grandfather forwarding him YouTube clips to illustrate this point.

At GuideSpark we spend much of our time talking to employers about taking a modern approach to benefits communications.  When we meet with an HR professional for the first time to discuss their specific issues, many of them seem to have this sense that the world of communications has somehow passed them by.

Naturally, we start by helping HR professionals think through their current approach.  I’m not sure it has ever taken us more than a couple of minutes to convince someone that thick handbooks, brochures and text heavy Web pages are not getting the job done.  The fact is, if this HR professional didn’t believe this to be true, they wouldn’t have met with us in the first place.

And then, we walk through how to really create a Benefits Communications strategy that aligns with how employees are learning today.  Here are 3 guiding principles that we offer:

  • Utilize web-based multimedia.  According to comScore, U.S. Internet users watched an average of 187 videos per viewer in December 2009.  Employees are conditioned to expect rich media formats when accessing information and they want it available on demand.
  • Leverage communities and shared learning.  Blogs have become a legitimate corporate training ground and in February 2009, social media usage exceeded that of email for the first time.  While not all subjects are appropriate for a shared learning environment, when making decisions, employees often just want to know what others are doing.  Build a community around your benefits and allow them to share information through polls and message boards.
  • Accommodate short attention spans.  Competing for just a few minutes of a busy employee’s time has never been more challenging.  Attention spans are shrinking each day.  A great example of this phenomenon is Twitter.  Twitter limits communications to just 145 characters.  To be effective in communicating to this crowd, you must work to make your benefits communications modular, concise and meaty.

Start with these and we promise you that your Benefits Communications will begin to have the impact that you desire.

Contrasting your FSA Employee Benefit and the Child and Dependent Care Tax Credit

A mainstay of employer Benefits Communications is to preach the virtues of Flexible Spending Accounts.  But is there perhaps a better tax opportunity out there for your dependent care related expenses?

Tax is an important area of focus when it comes to attaining a productive benefits education.  Before digging into the details of this particular tax opportunity, it’s important that you understand the difference between a tax deduction and a tax credit.  Tax deductions are taken “off the top” and ultimately reduce your taxable income, and, of course your taxable income is what ultimately drives the amount of taxes owed.  A tax credit on the other hand, is a dollar-for-dollar reduction subtracted from your tax liability.  If you had a $50 tax credit, it’s sort of like the government saying that they are giving you credit for having already paid them $50 in tax.

You may or may not be aware of the Child and Dependent Care Tax Credit available for work-related dependent care expenses.  This tax credit is calculated by applying a percentage to your total work-related dependent care expenses.  This percentage can be as high as 35% or as low as 20% depending on your adjusted gross income.  Now, there are a couple of rules to be aware of:

  • The work related dependent care expenses that are applied may not exceed $3,000 for one qualifying dependent and $6,000 for two or more
  • AND importantly, you can’t claim expenses for the purposes of the Child and Dependent Care Tax Credit that you’ve directed into your dependent care FSA

This raises an important question to ask yourself.   Should you apply eligible expenses towards the Dependent Care FSA or Dependent Care Tax Credit?  Well, this of course, will depend on your personal situation.

A good first step is to review the worksheet that the IRS has put together on the Child and Dependent Care Tax Credit.  You’ll want to understand eligibility requirements and the amount of the credit, based on your adjusted gross income.  Now, apply that percentage to your projected work-related dependent care expenses for the year (keeping in mind the IRS limits) to come up with your potential tax credit.  You’ll likely want to work with a tax advisor to compare this Tax Credit with what the tax benefits of the Dependent Care FSA Tax Deduction.

It may be the case that you have work related dependent care expenses that exceed the IRS limits for both the Child and Dependent Care Tax Credit and Dependent Care FSA.  In this case, it may be possible to leverage both of these opportunities.  Because tax laws are complex and evolving, it’s important that you consult your tax advisor to understand how these two opportunities apply to your particular situation.

Financial Wellness in 2010 – Open Enrollment Tips

As November fast approaches, you are likely beginning to receive important communications about Open Enrollment. If you’re like many employees, you may have already decided to just stick with your current elections – after all, they seem to have worked out well enough. This year, more than others in the past, taking a passive approach to Open Enrollment may be an expensive decision.

A confluence of events, including substantial increases in the cost of health care and tough economic times have likely resulted in significant changes to many of your benefits. It is of supreme importance that you understand these changes, how they impact your checkbook and ways to optimize your benefits. Keep in mind that without a qualified change of status, you will be locked into your elections until next year’s Open Enrollment period, so the time to focus on your benefits is NOW. Don’t be surprised by the cost provision changes after they take effect and it is too late to do something about them.

Here are 4 tips for making the most of your Open Enrollment period and cutting your health care related expenses:

  1. Get reacquainted with your health care plan options. This may be the most important and likely the most daunting task of all. While employers have largely absorbed the skyrocketing cost of health care (which again will see a double-digit year over year cost increase) you are also likely shouldering some of the burden. Understand the changes that are being introduced and how they will ultimately impact your wallet. Taking the time to dig into the cost provisions associated with your medical plan options will not only help to determine whether you’ve made the right selection, it will also help you to understand how to minimize your out-of-pocket expenses throughout the year. Many employers are introducing low premium/high deductible plans which can be a very cost-effective option for you, particularly if you are not a heavy user of your health care plan. Lastly, if your spouse or domestic partner also has a plan, you will want to incorporate his/her options into the evaluation process.
  2. Use flexible spending accounts. So, you knew this one was coming. Any respectable list of tips for Open Enrollment *MUST* have this in their top 4 and despite this widely held opinion, only about one-third of you actually take advantage of them. Using pre-tax dollars to pay for qualifying health care (including medical, dental and vision) expenses can save you significant dollars. For example, assume a married employee with an adjusted gross income of $100,000 who files jointly and accumulates $4,000 in medical expenses for the family. This employee would save just over $1,300 in Federal taxes for the year by using a Health Care Flexible Spending Account. An added and understated benefit of an FSA is that it actually helps you to plan and save for your health care expenses through convenient payroll deductions.
  3. Optimize your prescription drug benefits. This tip has more to do with saving throughout the year, rather than a decision that you’ll need to make for Open Enrollment. I mention it because it’s a great way to save money and could potentially impact your health care FSA contribution. Generic drugs are copies of brand-name drugs that have exactly the same intended use, effects, side effects, risks, safety, strength… in other words, their pharmacological effects are exactly the same as those of their brand-name counterparts. Taking a proactive approach and requesting a generic substitution for your prescription medication can cut down your copayment significantly. Use of generic drugs may also allow you to waive your deductible and avoid costs that are incurred when you use a brand name drug when a generic is available. Additionally, you may also be able to cut down on prescription copays by utilizing the mail order prescription drug benefit for maintenance medications.
  4. Take advantage of Health Wellness programs. Wellness incentives have become hugely popular. In fact, almost two out of three U.S. companies offer programs to keep employees healthy, and 66 percent of those offering programs use incentives. These incentives come in a number of forms, for instance, a credit toward your health care premiums. It may be the case that your employer is introducing a similar program in 2010, so be sure to understand wellness program features, incentives and consider participation.

White Paper: Five Ways to Leverage Web 2.0 to Transform Benefits Communications

Today, GuideSpark announced availability of a new white paper on the ways to leverage Web 2.0 to transform benefits communications.

It may surprise you to learn that over 50% of employed Americans received a majority of their financial and health products from their employer, making employer-sponsored benefits a critical aspect of an employee’s overall financial wellness.

If there is one statistic that encapsulates the problem that GuideSpark is attempting to solve with our Benefits Learning Center solution, it is this one: “4 out of 5 employers believe that their employees don’t have a good understanding of their benefits.”

Amazing, isn’t it?

U.S. employers spent approximately $1.5 trillion on benefits (18.6% of total compensation) in 2007 and yet only 21% believe that they have been effective in educating employees on this key element of compensation.

So, the question becomes: with all that’s at stake, how do employers like you fix this problem? Well, the first thing to do is to admit that the benefits handbook and other text-heavy approaches to communications are failing you, your benefits investment and your employees. Now, accept that the way that employees learn and get information has fundamentally changed and in a Web 2.0 world, benefits communications must be:

  1. Accessible. Workforces are becoming more and more distributed each day and an employee’s family makes up 60-70% of an employer’s health care cost and are often the ones making the decisions.
  2. Engaging. The attention span of the busy professional is short and shrinking. Short-form, interactive education is what an employee expects in this world of YouTube and Twitter.
  3. Collaborative. The web has become a marketplace of ideas and experiences. Provide your employees with opportunities to understand what decisions colleagues are making and allow them to learn from one another.
  4. Ubiquitous. Stay in front of your employees by leveraging the latest forms of communications including blogs and micro-blogs (Twitter).
  5. Personalized. Integrate planning tools and calculators that allow employees to take what they’ve learned and apply it to their situation. Provide an easy on-ramp to personalized support from experts.

If you follow these principles and put together a highly effective benefits communications strategy, studies show that you can reduce the cost of benefits by 10-20% and significantly improve productivity and retention. To learn more about how to leverage Web 2.0 techniques at your company, please download our white paper.