Archive for the ‘Global Benefits’ Category

The Importance of Voluntary Benefits

Monday, March 18th, 2013

Employers who understand voluntary benefits realize these are more than a sprinkling of niceties in the benefit package. Employees are concerned about these benefits and may often choose to work for the employer who offers more. Thus, small businesses can use voluntary benefits as an inducement to draw talent as well as avoid losing talent to competitors who offer a stronger portfolio of benefits.

In these difficult economic times, many employers view these ancillary benefits as things to cut first to stem a diminishing cash flow. However, smart employers are using voluntary benefits to enhance their benefit package while keeping the costs of employee benefits stable.

Employers are doing this in several ways.

  1. Adding voluntary benefits to complement existing employer-paid benefits. For example, an employer can add on voluntary benefits to things like life-insurance and long-or-short term disability benefits. This takes the burden of paying for the benefit off the employer’s shoulders and allows employees the opportunity to buy coverage for themselves and their dependents, suited to the employee’s own needs.
  2. Restructuring an employer-paid benefit to include an employee buy option. An employer may pay for the base-level benefit and the employee could have the option to upgrade to a richer benefit and pay the difference.
  3. Replacing an employer-paid benefit with a voluntary one. Instead of the employer paying for the benefit, such as disability, life, or dental insurance, the employee bears the cost.
  4. Offering discount cards through affinity partnerships allow employees to enjoy discounts on things like auto or home insurance at no direct cost to the employer.

The most frequent types of offerings in the voluntary insurance market are short-term and long-term disability, supplemental life, critical illness insurance such as cancer or heart policies, accident, and hospital indemnity policies. Other types of voluntary benefits might include things like a prescription drug card, pre-paid legal, dental, or discount offerings from various kinds from many companies.

Several advantages for both employer and employee are derived from the use of voluntary benefits.

“Not only does offering voluntary benefits cost small employers virtually nothing and help level the benefits playing field with larger companies, it also affords employees access to various type of insurance coverage, typically with looser underwriting requirements and at group rates that are ‘lower than if they went out and got coverage on their own,’” says Bernard DiFiore, President of BenefitMall, a Texas-based benefits wholesaler.

One key to helping employees make the adjustment from paid to voluntary benefits is to find a vendor that can ensure that products are competitive priced, administratively simple, and easily explained to employees. Another key is flexibility. The “one size fits all” package doesn’t work anymore. The needs of a 25-year old single individual are not the same as a 40-year-old married person. Voluntary benefits allow each to decide what is best and affordable for them.

Voluntary benefits will undoubtedly play a crucial role in the workplace of the future, where employees will be able to choose from an extended list of benefits for which they will pay for wholly or in part.

20 Keywords To Understand Your Health Insurance – Part 1

Tuesday, January 18th, 2011

When your benefits consultant talks about your health insurance are you confused because of the terms they use? If so, this blog post will help you make sure that when they use an acronym you know what it means. As an employer or an employee it’s important to understand the terms in order to make the right decisions and be knowledgeable about your health insurance.

Here is a glossary to help you when you speak with your benefits consultant.

1. Additional Insured: Anyone covered under your health plan that is not named as “insured” in your documentation from the insurance company.

2. Benefit: The dollar amount your insurance carrier will pay when you file a claim for a covered loss.

3. Benefit Period: This is the interval during which you will be eligible for benefits. Generally, your benefit period will begin with the first medical service you received for a specific illness and end after you have not been treated for that condition for 60 days.

4. Carrier: The insurance company you receive your health plan from.

5. Certificate of Insurance: This is the printed description of your benefits and coverage limits that forms a contract between you and your carrier. It spells out precisely what will be covered, what won’t, and the dollar maximums.

6. Claim: This refers to any request to your insurance company for benefits.

7. COBRA: This acronym refers to the Consolidated Omnibus Budget Reconciliation Act of 1985. The law requires group medical plans covering twenty employees or more to offer participants the option to receive continued healthcare benefits for up to eighteen months after the cancellation of their group plan.

8. Co-payment: This is a cost-sharing arrangement in which you will be responsible for a specific charge for a specific medical service ($20.00 per office visit, or $10.00 per generic prescription).

9. Covered Expenses: The various medical procedures that your insurer has agreed to provide you coverage for.

10. Deductible: The amount you’ll be required to pay for healthcare expenses before your insurance plan will begin to reimburse you.

11. Exclusion: A specific circumstance or condition that is not covered by your policy.

12. Effective Date: This refers to the date on which your insurance coverage will actually begin to cover you.

13. Fee-for-Service: This is a payment system for healthcare where your provider is paid for each service after it is performed. You receive reimbursement after you file a claim.

14. HMO: Health Maintenance Organization. HMO’s are popular health benefit programs in which you’ll pay monthly premiums in return for managed coverage for your checkups, hospital stays, doctors’ visits, surgery, emergency care, preventive care, lab tests, and X-rays. If you join an HMO, you will have to select what’s called a “Primary Care Physician” who will be responsible for coordinating your healthcare and making any referrals to specialists that you require. You’ll also have to use doctors, hospitals and clinics who are members of your HMO plan’s network.

15. In-network: Healthcare facilities or providers who are members of your health plan.

16. Lifetime Limit: This refers to the cap (or maximum level) on benefits available through a policy.

17. LOS: This is an acronym for the term “length of stay”. It’s used by insurance carriers, case managers, and other healthcare professionals to describe the length of time any individual spends in a hospital or an in-patient care facility.

18. Maximum Out-of-Pocket Expenses: The most you will have to pay during one year — in the form of deductibles and coinsurance fees.

19. Managed Care: This term refers to an increasingly broad assortment of health plans that manage healthcare costs and usage. There are three major types of managed health plans: HMOs (Health Maintenance Organizations), PPOs (Preferred Provider Organizations) and POS (Point-Of-Service plans).

20. Medicaid: This is a joint state/federal health insurance program that is administered by the state. It provides health coverage for low-income individuals, especially pregnant women, children and the disabled.

Stay tuned for part 2 with more terms.

Reference: www.ctindividualhealth.com/glossary.html

Taking a Global Approach Part 1 – National Differences

Wednesday, July 21st, 2010

Are you a global company? Do you work with global companies? We thought that it would be beneficial to write a blog on global benefits. Starting with part 1, national differences. Designing global benefits packages presents significant challenges for multinationals. Healthcare in particular is difficult to manage. Some of the key challenges in this area are the management of national differences, working within the company’s organizational structure, and adapting to shifting regulatory environments. Inevitably, there will be differences from country to country with regards to any type of benefit, but the differences are more striking with regards to health care.

For example, benefits such as life insurance, dental coverage and vision coverage are almost identical in their structure and administration between the United States and Canada, yet health care coverage is completely different. One country relies on the insurance system to cover health care costs; the other has a system that is mostly socialized. Even within these two broad systems – public and private – the degree of coverage can vary significantly. Many developing countries lack socialized health care, but they also lack the sophisticated insurance and hospital system that the United States has. The provision of adequate health care in these countries therefore presents unique problems. Within public systems, the degree of coverage can vary as well. Many European countries offer a wider range of coverage to their citizens that Canada, which is gradually moving many components of its health care system to the private sector.

Thus we can see that the challenges are different in different countries. Most developing countries have at least one Western‐caliber hospital, so executives can be covered, but extending health care benefits to the rank and file can result in availability problems. In the United States, availability is not the problem, but cost is. In Canada and Europe, there is little problem with availability. This poses problems in itself, for the multinational seeking to offer the same coverage to employees around the world. Delivering health care equivalent to that in socialized systems is costly.

The most important part of global benefits is understanding the different approaches that are taken in each country. If you are a global business or work with global businesses there are many resources you can use to understand the differences, your employee benefit consultant is always available to help you take the correct approach for your global benefits.