Exploring Vision Insurance

Exploring Vision Insurance

According to WebMD, the eyes are the most highly developed sensory organs in your body. They report that more of your brain is dedicated to the sense of sight than to all of the other senses combined. So, it makes sense that you would do all that you can to protect and care for these important organs. Vision insurance can be a great asset as you work keep your eyes healthy.

What is vision insurance?

Vision insurance is an insurance product used to reduce the costs of eye-related care, eye products, and eye surgeries. Group vision plans are typically purchased through employers, associations, or government programs like Medicare or Medicaid.  Sometimes, vision plans are part of a value-added benefit that is linked to the subscriber’s health insurance. Plan subscribers usually receive free eye care, like annual eye exams, and a fixed discount on eye wear in exchange for a monthly premium. This type of coverage is recommended for people who need vision correction devices, who have a family history of eye issues, or for those who have a higher risk of eye disease, like diabetics.

What is a vision discount program?

Different from vision insurance, a vision discount program gives users discounts on eye exam services and products. The monthly premium is lower for discount programs but does not generally include free annual eye exams like vision insurance does. When the user buys into the discount program, they become a member of a large group for whom the program administrators have negotiated lower costs. Discount programs are most useful for those without pre-existing eye conditions.

What are the benefits of having vision coverage?

As mentioned before, your eyes are the most complex sensory organ in your body. Because of this, they are important to keep healthy and in good working condition. Vision coverage allows the user to have annual eye exams. At these exams, the optometrist determines if you need corrective lenses to improve your eyesight by means of glasses or contact lenses. The doctor will also check for eye diseases. Exams can even detect hidden medical conditions like brain tumors, rheumatoid arthritis, high blood pressure, or thyroid disease. If a medical condition is detected, the optometrist will refer the patient to a medical doctor for further tests and treatment.

Vision insurance and discount programs play a huge part in keeping your eyes healthy. Through regular eye exams, not only are your eyes evaluated, but the health of the rest of your body is, too. By scheduling eye exams, you are also able to obtain corrective eye wear that allow you to see clearer and without eye strain. Healthy vision is a benefit you don’t want to lose!

Exploring EAPs | California Employee Benefits Group

Exploring EAPs | California Employee Benefits Group

Employee Assistance Programs (EAP) are company-sponsored programs that provide assistance to employees for a variety of personal issues that may be hindering or adversely affecting their work performance. Typically offered through third-party administrators, EAPs can provide their services online or via telephone and can sometimes be a part of the employee’s healthcare plan, however it is not a replacement to the healthcare plan.

Examples of EAP Services

There is an assortment of services that EAPs offer to employees. All these services have a central purpose: aid the employee so that their personal problems are resolved, and their work performance is unaffected. For example, Karen has been struggling during the COVID-19 pandemic with depression. To sooth her anxiety, she has begun drinking every day. It’s gradually escalated to the point where she is late to work, has frequent absences, and is missing deadlines. She knows she needs to talk with someone who can offer her alcohol abuse resources. She accesses her company sponsored EAP.

Here are some other common services included in EAPs:

  • Alcohol and substance abuse counseling
  • Health and wellness counseling
  • Child or elder care resources
  • Legal aid
  • Marital and family counseling
  • Financial counseling

Benefits of EAP Services

There are a number of benefits to the employee and the employer when the EAP is utilized in the workplace. First, utilizing the EAP service is completely voluntary. Second, the services are provided free of charge to the employee. Third, the counselor that speaks with the employee is entirely confidential. This allows the employee to be completely honest without feeling a threat that the employer would retaliate on anything said in a session.

Utilizing your company’s EAP not only provides services and care to you and your family, but it also benefits your company. No longer carrying the burden of your personal problems solo, an EAP counselor can give you sound advice and steps to follow to achieve success when tackling a problem.  Employers will benefit by there being no disruption in the workflow of their employee due to overwhelming personal issues. Access your EAP and attack those personal problems today!

San Francisco Minimum Compensation Ordinance

City and County of San Francisco Minimum Compensation Ordinance

Any company with 5 or more employees and contracts with the City and County of San Francisco needs to be aware of the wage law that has been in effect for several years, and the recent amendment that now includes stricter enforcement. The Minimum Compensation Ordinance (MCO) covers most City service contractors as well as tenants at the San Francisco International Airport.  The law generally requires covered employers to provide to their covered employees:

  1. No less than the MCO hourly wage in effect:

For contracts entered into on or after October 14, 2017, the minimum hourly compensation rates effective July 1, 2019 are:

  • $17.66/hour – For-Profit entity
  • $16.50/hour – Non-profit entity
  • $16.50/hour – Public entity

For contracts in effect prior to October 14, 2017, the minimum hourly compensation rates effective July 2, 2019 are:

  • $15.59/hour for work performed within the City of San Francisco (SF Minimum Wage)
  • $10.77/hour for work performed outside of the City of San Francisco

Rates are subject to change, refer to the OLSE website for the most current information: www.sfgov.org/olse/mco

  1. 12 paid days off per year (or cash equivalent)

Time off allowed for vacation, sick leave, or personal necessity, and part-time employees are allocated paid days off on a prorated basis.

  1. 10 days off without pay per year.

Days off of for part-time employees are allocated on a prorated basis. The PTO accrual rate is 0.04615 hours per hour worked and can be used as vacation or sick leave. PTO hours are vested and can be cashed out at termination.
Other requirements:

  • The employer must post the Minimum Compensation Ordinance poster in a location where employees can read it easily.
  • Employees must be provided a Know Your Rights form for signature.

Failure to meet the requirements could result in penalties, with a look-back period of 10 years when a complaint is filed. If you are not in compliance and want to avoid penalties, there are options to minimize your liability. Any audit based on a complaint will include a review of your employee handbook and your payroll records.
To review the November 21, 2019 amended rules, Click Here.

Pet Insurance

Pet Insurance

We’ve all heard the saying “A dog is a man’s best friend” and we know it’s true! Pets give us unconditional love, companionship, and joy. But, are we willing to pay the price when a hefty vet bill comes along? Pet insurance may help you stomach that unexpected emergency room charge due to Fluffy’s uncanny ability to eat anything within reach—even if it’s rotten!
In 2017, over $16.62B were spent on veterinarian bills in the United States. In that same year, Americans also spent over $1B on pet insurance. This begs the question “is pet insurance worth buying?” While this market continues to grow, 99% of pet owners report NOT having pet insurance. The number one reason? Cost. Premiums are at their lowest when you own a puppy or kitten and increase as the pet gets older. This results in the insured only keeping pet insurance for an average of 3 years. The cost of insurance can increase 5-fold between the puppy and adult years.
Pet insurance is one of the fastest growing markets in the US. This insurance can be purchased with increased levels of coverage. The most basic level may cover treatments for some common illnesses or accidental injury. The mid-range coverage could cover preventative care as well as immunizations. An example of premium coverage is surgical cost and liability for if the pet injured someone. Prices for these levels range from $15/ month to $45/month.
Pet insurance is now becoming a more commonplace employee benefitContingencies.org says that 6500 employers in the US and Canada offer pet insurance to its employees. A report by SHRM says that of those offered pet insurance as an employee perk, only 6% of pet owners utilized that benefit in 2012. By 2017, that number rose to 9%. Employees say this is an important benefit because, for many, pets are considered part of a family and if you insure a human member of a family, why wouldn’t you also insure your pet?
If your company does not offer pet insurance, here are some tips on what you should look for when considering purchasing pet insurance:

  1. How much do my premiums increase as my pet ages?
  2. What is covered and not covered? Does the plan include pre-existing conditions?
  3. Can you purchase just accident coverage for if your pet injures someone?

With our pets being a vital part of our family, having pet insurance can give you peace of mind that you don’t have to shoulder the entire cost of an injury or illness of a pet. Not having to make decisions for their care based on money is a blessing to their families. For over 6,000 companies and their 80,000 employees this perk is worth every penny.

Urgent Care vs. Emergency Room

Urgent Care vs. Emergency Room

Let’s say you are getting ready to make your favorite breakfast—avocado toast. You’ve toasted the bread, cut the avocado in half, and are ready to remove the dreaded pit. Of course, your knife slips and you end up slicing your hand—making you the latest victim of “avocado hand.” It seems you cannot stop the bleeding with a simple bandage so now you need to make the decision on where to go to seek help. Do you choose an urgent care facility or the emergency room? What’s the difference?
Urgent care centers and emergency rooms are both great options for times when you are unable to see your primary care physician (PCP). The reasons for choosing these facilities can be because the injury or sickness has occurred outside normal office hours for your doctor or that you are out of town when an emergency hits. As you know, the first choice for non-life or limb-threatening conditions should be your regular doctor—they will have your medical history on file and your medication list at the ready. When this is not an option, you will need to make the choice on what level of care you need.
Urgent Care Centers
Urgent care centers fill the gap between when you are sick or minorly injured but cannot see your PCP and when you are in need of hospital emergency care. Most urgent care locations are staffed by doctors or physician’s assistants. These centers can get you in and out quickly and some even take appointments. Since you will not see your PCP at these clinics, it’s always best to bring a copy of all the medications and dosages of meds you take. If you have a special condition, like epilepsy, make sure you disclose that to the urgent care provider you see. In the case of your avocado hand, your urgent care physician may be able to do minor stitches and bandaging at the facility. Most have access to x-ray machines and basic diagnostic tests. The typical range of costs for care at these centers is between $50-$150.
Here are some conditions that typically can be seen at urgent care centers:

  • Fevers, flu or cold symptoms
  • Ear infections
  • Bronchitis
  • Cuts and bleeding that may require stitches
  • Urinary tract infections
  • Vomiting or diarrhea
  • Minor back pain

Emergency Room Care
Hospital emergency rooms provide care for life and limb-threatening situations ranging from heart attack and stroke to car accident injuries. Staffed by physicians, nurses, and specialists, emergency rooms have access to highly knowledgeable and diverse medical teams.  In emergency rooms, care is given to the most serious injury/illness first—not on a first-come, first-served basis. Because of this, wait times in emergency rooms are widely varied and may be into a several hours-long wait. Again, it is wise to bring a list of any medications, both prescribed and over-the-counter, with you when seeking care since the ER will not have this information from your PCP. Costs for emergency services can be anywhere from $50 to more than $10,000 depending on the severity of the injury or illness.
Symptoms that are best evaluated in an emergency room include:

  • Chest pain or difficulty breathing
  • Weakness/numbness on one side
  • Slurred speech
  • Fainting/change in mental state
  • Serious burns
  • Head or eye injury
  • Concussion/confusion
  • Broken bones and dislocated joints
  • Fever with a rash
  • Seizures
  • Severe cuts that may require stitches
  • Facial lacerations
  • Severe cold or flu symptoms
  • Vaginal bleeding with pregnancy

When faced with the decision to visit an urgent care center or emergency room, you have to first evaluate your symptoms. Once you have done this, ask yourself this question, “Does this condition have the possibility of permanently impairing or endangering your life?” If the answer is “yes,” then you have an emergency and should proceed to the nearest hospital ER. If the answer is “no,” then take your towel-wrapped avocado hand to your local urgent care center for stitches or whatever care they recommend. You will save yourself time and money by making a good choice on your care.

ASK THE EXPERTS: OVERTIME AND PAID TIME

ASK THE EXPERTS: OVERTIME AND PAID TIME

Question: Should we include holidays, PTO, vacation, or other leave taken during the workweek in calculating overtime premium pay under FLSA rules?

Answer: No. Because holiday, PTO, and vacation hours are not actually hours worked they do not count towards overtime pay.

Under the Fair Labor Standards Act (FLSA), an employer who requires or permits an employee to work overtime is generally required to pay the employee premium pay for such overtime work. Unless specifically exempted, employees covered by the FLSA must receive overtime pay for hours worked in excess of 40 in a workweek at a rate not less than time and one-half their regular rates of pay. The key consideration for premium pay under the FLSA is whether or not the employee actually works more than 40 hours in the workweek, not just that he or she is paid for more than 40 hours in the workweek.

For example, an employee is off work for one day for a company-paid holiday and takes the next day as a paid vacation day. He then works 10 hours for the next three days of the workweek. Under the FLSA, he would be paid straight time at his regular rate for the 46 hours recorded for that week as follows: 8 hours of holiday pay + 8 hours of vacation pay + 30 hours of regular pay for time worked = 46 hours at his regular pay rate.

Employers should also check state laws for overtime requirements regarding holiday and vacation time.

Originally posted on thinkhr.com