Business Essentials
A Monthly Update on Day-to-Day Management Issues for Optical ECPs and Retailers January 2007
Made possible by an unrestricted grant from Nassau 24/7 and Santinelli
It's Your Business

Striking a Balance for the New Year

Hedley Lawson
As we enter the New Year, ECPs and practice management staff will no doubt have as a New Year resolution to continuously improve the quality, service and products provided to their highly valued patients in 2007. Of equal importance to customer care and satisfaction is the continuous achievement of revenue growth and improvement in the quality of revenue—that is, margin contribution and other key financial measures.

Moving from the revenue line to the expense line of your practice is another key New Year’s resolution—remain essentially on balance or reduce your overhead expense year on year. This is always a big challenge because you can be assured that the cost or “investment” in salaries and benefits will increase.

While the salary line is indicative of rewarding your staff for their contributions and their value to your practice, the benefit line represents non-cash compensation that ensures that your employees have reliable, affordable and competitive benefit plans and coverage. Benefit plan management is one additional element of your “investment in people” that presents some of the most formidable challenges to you in terms of consuming your time and managing this important investment.

We have devoted this edition of Business Essentials to benefit plans and programs, and their management. As well, you will find information regarding regulatory changes and ways to help you and your employees enhance the value of their benefit plans, like Health Savings Accounts.

We hope you find this information useful and valuable in your practice. While time is always a precious commodity for busy practitioners, please take a moment and give us your feedback at www.visionmonday.com.

From all of the staff at Business Essentials, we wish you a safe, healthy and prosperous 2007.

Hedley Lawson, Jr. is the managing partner of Aligned Growth Partners, LLC, a strategic, operational and organizational consulting and executive search firm
( www.alignedgrowth.com). Lawson also serves as consulting editor for Jobson's Business Essentials monthly e-newsletter. To read current and past issues of the newsletter go to www.visonmonday.com.


 
Ask the Experts
Explanation of Benefits

Q: How do I effectively present our benefits program to employees? What are some useful guidelines that will help me highlight the key points of our benefits program to them?

A: You have touched on a critical component to communicating employee benefits: highlighting the value of the benefit plans. Because benefits have grown in importance to employees, they want to know what they are, what they are worth, and more importantly how to use them. Benefits information is compelling for what it means to your employees. Effective benefit communication relies on defining your goals, understanding your audience and sticking to those key messages.

First, keep the message simple. Benefits material must communicate clearly to all of your employees who, after all, have a wide range of interests and needs as well as knowledge. You want to make sure everyone gets the same information and they understand it. Some basic rules of thumb you can follow are:

  • Define your key messages and repeat them. Repetition aids understanding.
  • Use plain language. Benefits can be complicated and you'll want to avoid any confusion.
  • Use a conversational style. Benefits are personal and your message is better received if delivered in a casual manner.
  • Use an active voice. Engage your employees about their benefits.
  • When a benefits change occurs, explain why in advance of the effective date. Knowing the reason can help employees accept the change.
  • Personalize the value of benefits so that your employees understand fully the financial value and cost of the plans—to you and to them.

Second, select the media best suited to your message and audience. Paper documents are good for casual presentation of material. They can be shared with family members, who are also part of your benefits audience.

Effective benefit communication relies on the same rules as other communication. Determine what you wish to accomplish, define your audience, determine your points and develop a plan to deliver your messages in person. If you are able to answer employees' questions about their benefits, and their value and access, you will know that you have succeeded.

--Hedley Lawson, Jr.

If you have a question you’d like answered by one of our experts click here.

 
Resource Corner
Easy-reference to web resources about human resource policies and rules
Mouse_Art

IRS Retirement Plan Information
Click Here

Health Savings Accounts
Click Here

Tax Information for Businesses
Click Here

Bills in Congress
Click Here

 

From the Top

US Companies' Commitment to Employee Benefits Remains Strong

Check-ListDespite increasing economic pressures, U.S. businesses overwhelmingly view employee benefit programs as important to competing effectively in today's marketplace, according to "Employee Benefits: 2006 & Beyond," a new study released by Prudential Financial, Inc. The study explores current and future employee needs and how employers plan to respond to those needs. As employers, ECPs should take note of the results from the study and some of the guidance issued in order to improve their management plans.

Benefits matter.
Employers are facing higher medical insurance costs. Yet, most feel it is important to offer a competitive benefits package and subsidize as much of the cost as possible in order to attract and retain talent. In fact, eight in 10 plan sponsors say it is important to offer and subsidize a wide range of employee benefits. And twice as many companies believe it is "highly important" (44 percent) compared to those who feel it is "less important" (22 percent) to offer their employees competitive benefits programs. This trend is true among companies of all size categories, not just for larger firms. However, as plan sponsors look to balance employee needs with the bottom line, many will reduce their benefits expenses by increasing employee cost-sharing on contributory plans, offering a wider range of voluntary benefits and introducing more flexible plan designs.

Benefits cost-sharing expected to double by 2010. To maintain their current benefits offerings and coverage levels, most plan sponsors will shift costs to employees over the next several years. In fact, twice as many employers expect to increase employee cost-sharing by 2010.

Top cost-sharing strategies include asking employees to assume a greater proportion of contributory benefits costs (37 percent) and offering more voluntary benefits, where the employee pays 100 percent of the cost (31 percent). Many plan sponsors (75 percent) also expect to implement consumer-driven health plans and integrated health and disability management initiatives.

Benefits decision making is broadening. As benefits costs continue to increase as a percentage of payroll, the benefits decision making process is becoming more complex. As benefit choices become more complex and employees shoulder more of the expense, businesses will seek external guidance from benefits brokers/consultants (27 percent) and insurance carriers (27 percent) to help build the right solutions.

On average, 11 percent of employers (about 68,000 businesses nationwide) consider themselves "progressive." Thirty-one percent consider themselves "above average," meaning they have a progressive benefit philosophy, but take a slightly more conservative approach in adopting new programs, communication strategies, technology and outsourcing. Across all plan sponsors surveyed, the percent of progressive and forward-thinking companies are expected to increase by 2010 to more that 50 percent of all employers.

--Hedley Lawson, Jr.

Back to Top

 

Rules and Regulations

Congress Expands Health Savings Accounts in Final Days

Congress On Dec. 9, Congress approved H.R. 6111, the Tax Relief and Health Care Act, which includes provisions that may make Health Savings Accounts (HSAs) more appealing to employers and employees. The bill’s focus: an increase in the financial amount that may be contributed to HSAs to pay for medical expenses and to save for future health care needs.

"HSAs are still relatively new, but we are already seeing them quickly grow in popularity in the early stages of their existence," Ways and Means Chairman Bill Thomas, R-Calif., said in a statement. "The adjustments in this bill will make HSAs more attractive as Americans consider their health insurance options."

The newly enacted provisions will expand funding sources for HSAs by:

  • Allowing an employee a one-time opportunity to roll over unused funds from an existing flexible spending account (FSA) and/or health reimbursement arrangement (HRA) to deposit in their HSA. Under this bill, employees would have the ability to start an HSA by making a one-time, tax-free transfer of FSA and HRA amounts in their accounts to an HSA that would belong to the employee. The transfer must be made before Jan. 1, 2012.
  • Allowing one-time transfers from individual retirement accounts (IRAs) to HSAs. The bill permits taxpayers to make a one-time distribution from an IRA to an HSA so HSA funds are immediately available to meet family health needs. The rollover cannot exceed the HSA contribution limit for the year and is subject to the recapture taxes applicable to a part-year coverage provision.

The bill will also expand the annual limits on HSA contributions by:

  • Repealing the annual deductible limitation on HSA contributions. The bill allows individuals with HSA-qualified policies that have deductibles below the annual contribution limits (currently $2,700 for self-only coverage and $5,450 for family coverage) to contribute up to these maximum amounts each year. Currently, contributions are limited to the policy deductible if below the annual contribution limits.
  • Allowing full-year contributions for part-year coverage. The bill would permit taxpayers whose HSA-qualified coverage begins mid-year to make a contribution equal to their policy deductible for the year (or the annual contribution limit, if higher). This will help people who begin their HSA-qualified coverage partway through the year and who are subject to the entire calendar-year deductible by allowing them to make a full annual contribution, rather than prorating their contribution for the number of months of HSA-qualified coverage. Taxpayers would be required to maintain a high-deductible plan for a full year beginning in the month the HSA begins or pay tax on the contribution and a 10 percent penalty.

And lastly, the bill will provide additional flexibility for employers to help lower-paid employees by:

  • Allowing employers to make additional contributions for lower-paid employees. The bill provides an exception to the current "comparability rules" that require companies to make equal dollar contributions to all HSA-eligible employees with similar coverage (single or family) and work status (full time or part time). This provision will give employers flexibility to provide greater assistance to their lower-paid workers in the form of contributions to their HSA accounts.
  • Requiring earlier notification of cost-of-living adjustments. Under current law, the minimum deductible and out-of-pocket limits for HSA-qualified policies, as well as the annual contribution limits, are indexed for inflation. The bill requires the Secretary of the Treasury to announce adjustments to the amounts by June 1 of each year. Currently, the adjustments are not announced until November each year. Earlier notification is intended to simplify planning decisions for employers and taxpayers.

--Hedley Lawson, Jr.

Back to Top
 
H E A L T H   P L A N    W A T C H

Old Ideas Viewed Anew

Employers were confronted with increasing healthcare costs well before Medical Reimbursement Accounts (MRA), Healthcare Reimbursement Accounts (HRA), Health Saving Accounts, (HSA) or even Flexible Spending Accounts (FSA).

As insurance costs increased in the 1970s and 1980s, many employers opted for “high deductible partial self-funded” plan designs. Employers purchased fully insured high deductible major medical plans at inexpensive rates, and self-insured some portion of the first $2,000 or $5,000 of the deductible. These plans worked well; however, the Employee Retirement and Income Security Act of 1974 (ERISA) required formal plan documentation, disclosure, and other related compliance requirements. Some employers continue to utilize this approach today.

There is an easier way to achieve such cost savings without the complexities of the HSAs’ or HRAs’ inherent plan design restrictions. The solution is a Supplemental Medical Reimbursement Account (SMRA). It operates similar to an FSA, but is funded exclusively with employer dollars.

The plan works as follows:

  1. Employers purchase a high deductible health plan. (Without HSA restrictions)
  2. The SMRA benefits can be restricted at the employer’s discretion. (Reimburse 90 percent of claims applied to the deductible)
  3. Employees may continue to participate in their regular FSA. (Not allowed with an HSA)
  4. Unused dollars in the SMRA are not an employer expense.

Since the SMRA is an employer-funded account under a Section 125 Plan, there is no need for separate ERISA documentation or regulatory compliance.

Victor Deksnys is the executive vice president of GallagherBPI, a group insurance agency based in Lakespur, Calif., specializing in insurance plans, human resources services and compliance issues for large employers. To contact Deksnys call (415) 925-2079 or go to their Web site by clicking here.

 
 
D O L L A R S   &   S E N S E

2007 Dollar Limit for Retirement Plans

The Internal Revenue Service has announced cost-of-living adjustments to the dollar limits for tax-qualified retirement plans and individual retirement accounts, for calendar year 2007. Many of the limitations have changed for 2007, since the increase in the cost-of-living index exceeded many of the statutory thresholds that triggered their adjustment. Other limitations are increased for 2007, as a result of provisions of the Economic Growth and Tax Relief Reconciliation Act of 2001 (EGTRRA).

 

 

YEAR

2007

Defined Benefit Maximum Annual Benefit

$180,000

Defined Contribution Maximum Annual Addition

$45,000

402(g)(1) Maximum 401 (k), 403 (b) and 457 (b) Deferrals

$15,000

Age 50 or Over Catch Up Contribution

$5,000

414(q)(1) Highly Compensation Threshold

$100,000

401(a)(17) Limit on Compensation

$225,000

Social Security Contribution and Benefit Base

$97,500

PGBC Flat Premium Rate (per participant)

$31.00

 

DEFINED-CONTRIBUTION PLANS GAIN POPULARITY

Percent of employees enrolled in either defined-contribution pension plans or defined-benefit pension plans:

2005   Defined-Contribution Plans 42%
  Defined-Benefit Plans 21%
     
2000  Defined-Contribution Plans 36%
  Defined-Benefit Plans 19%
     
1990 Defined-Contribution Plans 34%
  Defined-Benefit Plans  35%

Source: Mintel 2006 Annuities Study

In this edition...

ArticleIt's Your Business

Striking a Balance for the
New Year

Article From the Top
US Companies' Commitment to Employee Benefits Remains Strong

Article Ask the Experts
Explanation of Benefits

Article Rules & Regulations
Congress Expands Health Savings Accounts in Final Days

Article Resource Corner
Links to Important Resources

 


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Money Matters
Benefit Costs Outpace Salaries

Benefits costs rose more quickly than salaries for the period June 2006 to September 2006, according to the most recent Employment Cost Index from the Department of Labor’s Bureau of Labor Statistics (BLS). This continues a trend broken only once in the last five years, when in June 2006 benefits costs rose less quickly than salaries.

For the period from June 2006 to September 2006, for civilian employees, benefit costs increased 1.1 percent in the March quarter, compared with a 0.8 percent gain in the June 2006 quarter. Private sector benefit costs rose 1 percent for the September quarter, following a 0.7 percent gain in the previous quarter.

Increases in benefit costs accounted for one-third of the rise in compensation costs for civilian employees from June to September 2006. Among private industry employees, benefit costs accounted for about one-fourth of the compensation gains during the quarter.

The benefits covered by the Employment Cost Index are the following:

  • Paid leave— vacations, holidays, sick leave, and other leave;
  • Supplemental pay—premium pay for work in addition to the regular work schedule (such as overtime, weekends, and holidays), shift differentials, and non-production bonuses (such as referral bonuses and attendance bonuses);
  • Insurance benefits—life, health, short-term disability, and long- term disability;
  • Retirement and savings benefits—defined benefit and defined contribution plans; and
  • Legally required benefits—Social Security, Medicare, and federal and state unemployment insurance.

Source: Bureau of Labor Statistics


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