by admin | Sep 9, 2024 | ACA, Compliance
The Affordable Care Act (ACA) introduced the Medical Loss Ratio (MLR) to ensure that health insurance companies spend a significant portion of premiums on medical care and quality improvement activities rather than administrative costs and profits. When insurers fail to meet the MLR threshold, they are required to issue rebates to plan sponsors.
Understanding MLR Rebates
The MLR mandates that health insurers spend at least a certain percentage of premium dollars on medical claims and quality improvement activities. This percentage varies depending on the type of plan. If an insurer’s medical loss ratio falls below the required threshold, they must issue a rebate to the plan sponsor, typically the employer.
Approaching Deadlines: Time to Prepare
It’s essential for employers to be aware of the MLR rebate deadlines. These deadlines vary by year, but typically, insurers have until September 30th of the following year to issue rebates for the previous year’s plan performance. For instance, rebates for 2023 plan performance are due by September 30, 2024.
What to Do with Your MLR Rebate
Employers who receive MLR rebates should carefully consider how to use the funds. While the specific use of the funds depends on the plan’s legal structure and governing documents, some common options include:
- Offsetting future premium costs: Using the rebate to reduce future premium payments.
- Funding wellness programs: Investing in employee wellness initiatives to improve overall health and productivity.
- Contributing to a health savings account (HSA): Offering additional contributions to employee HSAs to help cover healthcare costs.
- Other plan improvements: Using the rebate to enhance other plan benefits or expand coverage options.
Important Considerations:
- ERISA Compliance: If the rebate qualifies as a plan asset under ERISA, it must be used solely for the benefit of plan participants and beneficiaries.
- Documentation: Maintain proper documentation of how the rebate is used to comply with regulatory requirements.
By understanding the MLR rebate process and carefully considering how to use the funds, employers can maximize the benefits of this unexpected windfall and improve the overall health and well-being of their workforce.
by admin | Sep 4, 2024 | Employee Benefits, Hot Topics, Open Enrollment
Navigating health insurance can feel like planning a vacation. You wouldn’t pack for a beach trip if you’re headed to the mountains, right? Similarly, choosing a health plan requires careful consideration.
Open enrollment is your chance to design a plan tailored to you; it is your yearly opportunity to review and adjust your employee benefits package.
What is Open Enrollment?
Open enrollment is a specific window of time, typically every autumn, when employees can enroll in, change, or drop benefits offered by their employer. These benefits typically include health insurance, dental, vision, life insurance, and medical spending accounts. Outside of this period, changes are usually only allowed under special circumstances. Open enrollment is like a health checkup for your financial well-being, ensuring you have the right coverage to protect yourself and your family.
Why is Open Enrollment Important?
- Life Changes: Major life events like marriage, birth, or adoption can significantly impact your benefit needs.
- Plan Changes: Insurance providers often adjust their plans and rates annually.
- Cost Control: Reviewing your options can help you find ways to save money on premiums and out-of-pocket costs.
- Maximizing Benefits: Ensure you’re taking full advantage of the benefits offered by your employer. You may even discover hidden gems in your plan like discounts or a wellness program within your current plan.
Tips for Open Enrollment Success:
- Understand Open Enrollment Terms
- Review Your Current Coverage: Understand your existing benefits and how you’ve used them throughout the year.
- Estimate Healthcare Costs: Consider factors like doctor visits, prescriptions, and potential major medical expenses.
- Compare Plan Options: Evaluate different plans based on premiums, deductibles, copays, and network size.
- Involve Your Family: Discuss your options with your family to ensure everyone’s needs are met.
- Ask Questions: If you have questions, don’t hesitate to contact your HR department or benefits provider.
- Remember the 4 D’s When Choosing a Plan: Take into account doctors, drugs, diagnostics and deductibles. Be sure your doctors are in-network, your drugs are covered, and key diagnostic tests like blood tests and imaging are accessible and your deductible meets your financial needs.
Open enrollment season is right around the corner! Take the time to prepare now; remember, the decisions you make during open enrollment can have a significant financial impact on you for the following year. So, be sure to read up, think of your options, and select carefully!
by admin | Aug 26, 2024 | Employee Benefits
Today’s workforce is a mix of generations, but you can’t afford to overlook Millennials, the largest generation in the workforce. Known for their flexibility and problem-solving skills, Millennials bring a powerful combination of experience and value to any company.
Millennials, also known as Generation Y, are a driving force in today’s job market. This generation (born between 1981 and 1996) seeks more than just a paycheck. They crave fulfilling work that aligns with their values and makes a positive impact. For Millennials, a job is an extension of themselves, a way to contribute to a better world.
Millennials at Work: It’s All About Purpose and Growth
Millennials aren’t just looking for a job; they’re looking for a mission. They want to be engaged, grow personally, and feel their work aligns with their values. Companies that offer volunteer opportunities related to social or environmental causes will resonate with this generation. Continuous learning and development programs are also key – they keep Millennials feeling challenged, relevant, and satisfied in their careers. This investment in your employees translates to a loyal and engaged workforce, bringing fresh ideas and a passion for making a difference. It’s a win-win!
Millennials Want Work-Life Harmony: Offer Flexibility and Well-being
Millennials crave a work environment that bends with their lives, not the other way around. That means flexible work arrangements like parental leave, adaptable schedules, and remote work options. They want to be able to tailor their work life to their personal needs and passions. But it’s not all about free time. Millennials also prioritize well-being at work. Offering mental health resources is a big plus, showing you care about their overall health and creating a work environment where they can thrive. By catering to these desires, you attract top Millennial talent who are not only happy but also dedicated to their work.
Millennials and Money: Help Them Breathe Easier
Student loans are a heavy burden for many Millennials. That’s why benefits like student loan repayment assistance programs are a major attraction. Financial planning services are also highly valued by this generation facing long-term financial goals. By offering these resources, you show Millennials you understand their practical needs and invest in their financial future. This translates to a more secure and engaged workforce, ready to contribute their talent for years to come.
Millennials: Tech-Powered Wellness and Connection
Millennials thrive in a digital world. They appreciate work tools and online platforms that streamline tasks and foster connections with colleagues. Wellness programs that integrate technology, like fitness trackers and online challenges, keep them motivated and build a sense of community.
But it’s not all digital – Millennials also value comprehensive health benefits, including a variety of insurance options. This reflects their focus on holistic well-being, encompassing physical, mental, and financial health.
Millennials are driven by purpose, growth, and financial security. By understanding these priorities, employers can tailor their benefits package and company culture to attract and retain top Millennial talent. Remember, a competitive salary isn’t enough. Focus on creating a work environment that fosters well-being, professional development, and a sense of belonging. It’s about investing in your employees’ future, not just the company’s.
by admin | Aug 20, 2024 | Human Resources
In today’s fast-paced work environment, burnout has become a pervasive issue. Ironically, one of the most effective tools for combating burnout – paid time off (PTO) – is often underutilized. Let’s explore strategies to encourage employees to take their well-deserved breaks and reap the benefits of a refreshed workforce.
Understanding the Problem:
- Fear of Missing Out (FOMO): Employees may feel pressure to constantly be available and connected, leading to hesitation in taking time off.
- Workload Concerns: Fear of falling behind or overwhelming colleagues can deter employees from using their PTO.
- Culture of Overwork: In some workplaces, there’s an unspoken expectation to prioritize work over personal time.
- Lack of Encouragement: Employees might not feel explicitly encouraged to use their PTO.
Creating a PTO-Positive Culture:
- Lead by Example: Managers should model healthy work-life balance by taking their own PTO.
- Communicate the Importance of Rest: Emphasize the benefits of taking breaks for both individual well-being and overall team performance.
- Flexible PTO Policies: Consider offering unlimited PTO or flexible PTO options to empower employees to manage their time effectively.
- Mandated Time Off: Implementing mandatory vacation policies can ensure employees disconnect and recharge.
- Education and Support: Provide resources and workshops on stress management, time management, and work-life balance.
- Recognize and Reward: Celebrate employees who successfully utilize their PTO and return refreshed and productive.
Measuring Success:
- Track PTO Usage: Monitor PTO usage to identify patterns and potential issues.
- Employee Surveys: Gather feedback on PTO policies and identify areas for improvement.
- Productivity Metrics: Measure employee productivity before and after vacation to assess the impact of rest and recharge.
By fostering a culture that prioritizes rest and rejuvenation, employers can mitigate burnout, increase employee satisfaction, and ultimately improve overall productivity and business performance.
Remember: Encouraging PTO utilization is an ongoing process that requires continuous effort and evaluation. By implementing these strategies, organizations can create a healthier and more balanced work environment for their employees.
by admin | Aug 12, 2024 | Hot Topics, Human Resources
The lack of affordable and available child care in the United States continues to take its toll on workers and employers alike. It not only affects working parents with child care needs, consider the effect on coworkers who have to pick up the slack of absent team members or the staffing shortages organizations experience, especially small businesses, when parents take leaves of absence or quit their jobs because of child care complications.
The Business Case for Providing Support
Employers lose an estimated $23 billion a year because of child care-related complications, resulting in a $122 billion hit to the U.S. economy (lost wages, productivity, and tax revenue), according to a recent study from ReadyNation.
KinderCare, one of the country’s largest day-care operators, is constantly fielding questions from employers asking for help in solving child-care needs—needs they didn’t realize they were a part of before COVID.
In an environment with a tight job market—more job openings than people looking for work—the child-care industry is hit particularly hard. There is a need for more people to work in child care and a need for a career pipeline. But it’s hard to attract workers into a profession that requires credentialing and where the pay is so low. The child-care workforce was one of the slowest to recover from the pandemic, and it was predicted it would lose another 232,000 jobs once the federal pandemic child-care subsidy program ended.
How Employers are Responding
Conflict can often prompt creativity. The same can be said of crisis. Employers are responding in some very unique ways, from the conversion of office space to building new, on-site centers.
Micron Technology opened a center across the street from its HQ in Boise, Idaho and one near a manufacturing plant in central New York. It also invested money to train care providers and early-childhood teachers to address the talent shortage.
The Washington Post reports that Tyson Foods built a center in Humboldt, Tennessee to accommodate its shift workers; Hormel is building a $5 million child-care facility in Austin, Minnesota; and medical services company VGM Group is converting 8,000 square feet of office space into a day-care center in Waterloo, Iowa. While costly, employers are finding that on-site child care can attract and retain employees.
Pittsburgh International Airport opened a child-care center with plans to expand it to round-the-clock care to accommodate night-shift workers. They also added public bus routes to make transportation to work easier.
A charter school in Wisconsin—to avoid losing staff in a tight labor market—converted space into an infant-care center and are providing a 25% subsidy to the parents.
Another creative option is offering tuition subsidies to parents that can be used anywhere or in any manner to meet their needs, such as summer camps or after-school programs. Since child care needs vary over time, there is no one-size-fits-all solution.
Organizations such as Bright Horizons and KinderCare report a large uptick in employers inquiring about on-site child care along with information on backup options for emergency care.
As employers are realizing they need to be part of the solution to this crisis, can they expect to see a return on these hefty investments? According to an analysis of five companies that offer child care benefits, the positive financial impact can include an ROI of up to 425%. The benefits included monthly stipends of $1,000, near-site centers, and emergency on-site daycare. The companies have seen reduced absences and better retention, not to mention increased morale:
“It’s not just the money, it’s the principle. It feels like a ‘thank you.’ It’s an incredible morale booster. Even if another company offered me more money tomorrow, I wouldn’t even consider it, given how much this company has invested in my personal life.”
Government Programs and Public Policymakers
As mentioned in the previous article, most child-care businesses operated with less than a 1% profit before the pandemic. Other countries address that instability by subsidizing parents’ costs, an investment that allows child-care providers to charge adequate rates. However, the United States spends less than almost every other rich country on child care and early education.
During the pandemic the federal government sent out $24 billion in aid packages to the industry, which helped head off 75,000 child-care center closures. However, the Child Care Stabilization Grant expired on September 30, 2023. The Century Foundation’s Child Care Cliff Survey anticipated the impact the expiration of funds will have, including a loss in tax and business revenue of $10.6 billion.
Long-term solutions are needed. In its 2023 Kids Count Data Book, The Annie E. Casey Foundation offers suggestions: federal, state, and local government investment in child care including reauthorizing and strengthening the Child Care and Development Block Grant Act; collaboration among public and private leaders to improve the infrastructure for home-based child care; expanding the federal Child Care Access Means Parents in School program which serves student parents.
Private industry is beginning to see a return on its investment in child care benefits. Imagine the results—and the effect on society—if policymakers along with industry leaders take the leap to implement programs and build a system to make child care more affordable, available, and accessible.
Beyond it being an economic issue, a social issue, and a workforce issue, “…it’s a humanity issue,” writes Petula Dvorak, Washington Post Columnist.
