Business Essentials
A Monthly Update on Day-to-Day Management Issues for Optical ECPs and Retailers November 2008
Santinelli and Jobson Optical Group
It's Your Business


Health Care Spending
Decreases Along
With Downturn
in the Economy

Hedley Lawson

With the financial crisis gripping American families and businesses in the past several months, consumers have already begun to reduce their health care spending.

In a National Association of Insurance Commissioners survey, 22 percent of the consumers surveyed said they are visiting the doctor less because of the economic downturn and about 11 percent said they are cutting back on their prescription drug spending.

According to IMS Health Data, when compared to the same time periods in 2007, the number of prescriptions filled in the U.S. fell 0.5 percent and 1.97 percent in the first and second quarters of 2008, respectively—the first negative quarters in at least a decade. Many cash-strapped patients are taking half doses of their prescription drugs to make them last longer. Others are skipping screenings or waiting to seek medical care until minor problems have ballooned into more serious conditions.

Experts in the field worry that these types of short-term cutbacks could result in additional medical problems and increased future health care spending for patients, as well as a surge in hospital and emergency room admissions.

What does this mean for eyecare practitioners and the ophthalmic and optometric community in general? Simply put, it is highly likely that patients will also defer annual eye exams and updating their prescriptions. This, too, could lead to problems, if patients defer annual eye exams, including the following:

  • Adults not receiving "early warning diagnosis" of other possible health problems like diabetes.

  • School-age children not receiving eye exams and, if necessary, corrective eyewear necessary to effectively participate in classroom learning and activities.

  • Children participating in recreational activities without the benefit of safe eyewear.

  • Vehicle operators, including truck drivers, driving without a current prescription.

As the end of this calendar year approaches, most employers are conducting open enrollment meetings with employees to review changes in plan design or coverage, new premiums, and to highlight benefit features.

This would also be a good time for ECPs to do the same: educate your patients and remind them that their eyecare is an essential part of their health and their family's health and well being. Let us know what your experiences with health care spending have been like. Please drop us a note at Business Essentials.

Hedley Lawson brings over 25 years of optical industry experience to Jobson Medical LLC. For over 10 years, he has been a contributing editor to VM, most recently as writer of the monthly column "Business Essentials." He is the Contributing Editor of VM's
E-Newsletter Business Essentials. Contact Business Essentials with questions or comments.

 
Ask the Experts

Writing a
Successful Business Plan

Q: What strategies should I consider when writing a successful business plan?

A: Writing a business plan is not just for an entrepreneur with a start-up business dream. You may find your business or company in a position of improvement or expansion, and the plan may be used to woo creditors and investors, define a new business, provide course correction or simply evaluate a new product line. The plan also may be used by leadership to clearly define the business and strategy and create a roadmap to a successful enterprise.

After determining your purpose, write the plan with your audience in mind. Will your plan be used internally or externally? External plans are generally start-up plans, growth or expansion plans or new product plans where financial capital is needed.

A financial history is most important to banks, while investors look more closely at the description of management. These plans must meet their needs and earn their respect. Internal plans, such as those designed to investigate a new product line, may be more operationally focused than financially focused and are written strictly for management.

There is no single outline because each plan has different goals. Generally, a plan has a standard set of components, including an executive summary, company description, product or service description, market analysis and marketing plans, management team description, financial analysis and operations plan.

Business planning is about results. Get results, not just by completing the outline, but by ensuring that the contents meet the purpose of the plan and focus on details of the whole process. Don’t waste time creating a plan that you will not follow.

Successful implementation starts with a good plan. The model is more likely to be implemented successfully by sticking to simple, specific, clear and realistic elements. Use general management principles and processes and define strategy, realistic and measurable goals, actions, timelines, responsibilities, budgets and plan reviews. Finally, the plan should cover all areas and try to eliminate the unknowns.

Use software resources, books and Web sites such as Small Business Administration. Review plenty of samples. Do the initial work, but there is nothing wrong with obtaining the professional help of a business consultant to refine the business plan, especially if it is an external document or large undertaking.

If you have a question or issue for one of our experts, contact Business Essentials.

—Hedley Lawson, Jr.

From the Top

Has Your ERISA Defined Contribution Plan
Been Updated for the 2008 PPA Changes?

The Pension Protection Act of 2006 (PPA) was originally conceived as a means of reforming the funding and disclosure rules for Defined Benefit plans. However, the final version of the more than 900-page statute also contains provisions that significantly impact Defined Contribution (DC) plans, like 401K plans.

ERISA Defined Contribution Plan

Among the provisions of the PPA that affect Defined Contribution plans, some of the most significant changes are effective for the 2008 plan year. Highlights of a few of the PPA provisions effective for the 2008 plan year include:

  • Testing Changes
    Prior to the PPA, employers were required to calculate interest on the gap period for average deferral percentage (ADP) and annual contribution percentage (ACP) test failures. This requirement has been eliminated for ADP and ACP test failures, but is still required for excess deferrals.

  • Safe Harbor for Automatic Enrollment
    The PPA provides a safe harbor which allows employers to avoid ADP, ACP and top-heavy testing through an automatic deferral provision and employer match.

  • Rollovers to Roth IRA
    Prior to the PPA, Roth IRAs could only accept rollovers from a designated Roth account, a different Roth IRA or a non-Roth IRA (i.e. qualified rollover contributions). The PPA amended the definition of a qualified rollover contribution to Roth IRAs to include amounts distributed from other qualified plans under Section 401(a), Section 457(b), and Sections 403(a) and (b) annuities.

  • Returned Contributions
    If an employer chooses to implement an automatic enrollment provision, under certain circumstances an automatically enrolled participant may withdraw from participation by requesting withdrawal from the plan within 90 days of the first contribution. The normal penalty fee for early withdrawal (a 10 percent additional tax) would not be applicable to these withdrawals.

While some of the PPA changes are mandatory, a number of them are discretionary. Employers that sponsor Defined Contribution Plans need to review their plan documents to determine which, if any, of the mandatory changes are applicable and have their plan documents updated accordingly. Additionally, employers should assess the discretionary provisions of the PPA to determine whether they wish to implement any of the allowed changes.

Benefits counsel can assist you by detailing the allowed and mandatory changes, reviewing plan documents to determine which apply to your specific situation, and preparing any necessary amendments to the plan.

Back to Top

 
People Management

Handling Employee Requests

As eyecare practitioners and managers, no doubt you find that employees make many kinds of requests, and it is sometimes difficult to determine which ones you must—or should—grant. Generally speaking, considering each request using a simple three-step process will help you figure out how to respond and do so with consistency and certainty.

family leave laws

For illustration, let's consider the case of an employee who asks you for time off to care for her seriously ill mother:

Step 1: What does the law say?
In many instances, the employee's request will be governed by law. For example, the employee who requests a leave of absence to care for his seriously ill mother may be eligible for a legally protected leave under the state and federal family leave laws. You must determine if the employee meets the legal criteria to take a family leave, such as whether you are a large enough employer and whether the employee has worked for you long enough.

If the employee meets the requirements, then grant the leave. If not, don't deny the leave yet without considering step 2.

Step 2: What does your employee handbook say?
Even if the law doesn’t require you to grant the employee's request, look at what your employee handbook says about it. You may have policies that are more generous than what the law provides.

Does your practice have a policy providing medical leaves of absence other than those required by the family leave laws? Or do you have a policy allowing personal leaves of absence? If so, determine whether the employee meets the requirements of those policies. If not, move on to step 3.

Step 3: What is your past practice?
If nothing in the law or your policies would require you to grant the request, consider your past practices. Even if your handbook does not provide for leaves of absence of any kind, look back to whether any leaves have nonetheless been granted in the past.

Often the way a company actually acts may be different from what is stated in its employee handbook. Maybe you granted an employee a leave of absence a few years ago when her child had surgery, or gave another employee a week of unpaid leave when her sister was terminally ill.

If you've granted such leaves before, consider whether this is a similar situation. Could this employee claim you were discriminating against him by not granting this leave? The key is to treat similarly situated employees similarly unless there is a valid business justification for treating them differently.

If there is a valid business reason for denying this leave even though others have been granted, could you document that reason if necessary? For example, you could show that this employee requested time off during your busy season, while the other requests were during the slow season.

If nothing in the law, your policies or your past practices indicates you must grant the request, then you are free to grant or deny it at your practice’s discretion. Keep in mind, however, that this decision could well set a precedent for future requests.




Are Performance Reviews Really Necessary?

Many ECPs may wonder if it is essential to do performance reviews, and, if so, how often should the performance review process be used?

Performance Review

While there are no laws that require employers to complete performance reviews for employees at any point during employment, performance reviews benefit both the employer and the employee, and a formal review should be completed at least annually.

In fact, providing continuous performance feedback to employees is the best business practice. An employee should never be surprised with criticism communicated for the first time in a performance review.

In a company culture that values employee performance, employers should be transparent about the company's goals and the department’s objectives. Each employee should have written goals and objectives, based on his or her job description, and understand how performance directly impacts the department and ultimately the company's overall goals and objectives. Managers should meet with employees at least quarterly for an informal discussion about how each employee's performance is measuring toward his or her goals and objectives. A more formal written review should then be done twice a year.

This is especially important if you are a pay-for-performance organization. Employees should have a clear line of sight to their individual goals as well as overall company goals and the rewards for meeting and exceeding the goals. Pay-for-performance organizations motivate employees to perform to the best of their abilities. In pay-for-performance organizations, employees who don't perform to the business' expectation don't receive rewards, and employees who perform at or above the expectation should receive rewards accordingly.

A written performance review can also help with disciplinary actions when an employee is not performing at acceptable expectation levels or meeting goals and objectives. It serves as a written record of the employee's performance shortfalls, and we all know how important documentation is for disciplinary actions and terminations.

Also, a performance review is not about the structure of the form. Too often employers get caught up wondering whether the form should be a rated scale, written comments or a combination. They weigh, for example, if the form should have a three-or five-tier rating scale, and whether it should be one page or 10 pages. First and foremost, the manager should provide clear, objective feedback, based on the employee's goals and objectives with specific business related examples, while the structure of the form should be secondary in consideration.

Source: SHRM HR Knowledge Center




Most Important Aspects of Employee Satisfaction


Employees' Responses

HR Professionals' Responses

1. Job Security

1. Relationship with their immediate supervisor

2. Benefits

2. Management recognition of employee job performance

3. Compensation/Pay

3. Benefits

4. Feeling safe in the workplace

4. Communication between employees and senior management

5. Communication between employees and senior management

5. Opportunities to use skills and abilities

Source: Society for Human Resources Management 2008 Job Satisfaction Survey Report

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Santinelli International

EEOC Rules and Regulations
Congress Extends E-Verify Until March 2009

E-Verify

On Oct. 1, 2008, Congress voted to extend the U.S. Department of Homeland Security's employment verification program E-Verify, but only for four months until March 6, 2009. Without the extension, the E-Verify program would have expired on Nov. 30, 2008.

This is a much shorter extension than the Bush Administration had wanted—and it represents a major victory for the Society for Human Resource Management (SHRM), which has been critical of the inadequacies of E-Verify. Originally, the House of Representatives had passed a bill (H.R. 6633) that would have extended the program for five years.

The extension of E-Verify was contained in a huge spending bill called the continuing budget resolution. The budget resolution was necessary because Congress had not passed a single one of the 12 regular funding bills for the fiscal year 2009.

 
Health Matters

Access to Health Care Insurance

According to the Bureau of Labor Statistics, health care benefits can vary greatly depending on where you are employed and if you work in the private or public sector.

health insuramce

Some 70 percent of Americans who work for private industry or governments are offered medical care benefits. Some 94 percent of management employees and 88 percent of unionized workers have health coverage. Eighty-seven percent of state and local government employees are insured. (Federal employees were not surveyed.)

One-fourth of part-time workers and half of service staffers have access to medical benefits. The best deal on health insurance coverage is offered by state and local governments. They pick up 90 percent of a single person's premium. In private industry, the average is 81 percent.

Source: Bureau of Labor Statistics.




Employees' Average Monthly Premium Contribution,
1999 – 2007

Employees' average monthly premium costs for employer-sponsored health care have risen every year since 1999.


Single Coverage

Family Coverage

1999

$27

$129

2000

$28

$135

2001

$30

$149

2002

$39

$178

2003

$42

$201

2004

$47

$222

2005

$51

$226

2006

$52

$248

2007

$58

$273

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits

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In This Edition...

Article It's Your Business
Health Care
Spending
Decreases
Along With
Downturn
in the Economy

Article From the Top
Has Your ERISA
Defined Contribution
Plan Been Updated
for the 2008
PPA Changes?

Article Ask the Experts
Writing a
Successful
Business
Plan

ArticlePeople Management
Handling Employee
Requests

Article Are Performance
Reviews Really
Necessary?

Article Most Important
Aspects of
Employee
Satisfaction

ArticleOffice Space
When a Co-Worker
Is Stressed Out

Article Finding Success
With a New,
Younger Boss

ArticleHealth Matters
Access to
Health Care
Insurance

Article Employees' Average Monthly Premium
Contribution,
1999 – 2007

ArticleRules and Regulations
Congress Extends
E-Verify Until
March 2009

ArticleResource Corner
Links to Important
Resources

 


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Office Space

When a Co-Worker Is Stressed Out

Mental health experts say that signs of financial and workplace stress are increasingly evident this year. Calls to Employee Assistance Programs (EAPs) have increased about 10 percent since earlier this year, according to the Employee Assistance Professionals Association.

Many employers contract with outside companies to offer EAPs, which help employees deal with mental health and personal problems. Warning signs for stress include changes in employees' work patterns and eating or drinking habits, as well as employees who appear withdrawn or abrasive.

Experts advise that you approach a co-worker who seems to be suffering from mental distress with empathy and not to be intrusive. Also, stay away from labeling a co-worker as an anorexic or alcoholic; instead, focus on describing his or her behavior. In addition, if you're the boss, be aware of the liabilities you may face if you offer help outside the workplace. Stick with work-related help, such as recommending your EAP or encouraging a stressed out employee to take a few days off and go on a vacation.




Finding Success With a New,
Younger Boss

Younger workers are rising to executive-level positions and more older employees are finding themselves reporting to people many years their junior. The following offers some tips on how to form a healthy relationship with a younger boss:

  • Learn from her/him.

  • Pick up new skills.

  • Do not put on an act.

  • Do not try to prove you are hip, but do not come across like mom or dad either.

  • Stow the "when I was your age..." crack.

  • Anticipate increased communication.

  • Brush up on your text-messaging skills.

  • Put jealousy aside.

  • Do not try to compete with the younger boss, it is a no-win situation.

 
Resource Corner

Easy-reference to Web resources about human resource policies and rules

Business Essentials

2008 Job Satisfaction Survey Report

Bureau of Labor Statistics

Employee Assistance Professionals Association

E-Verify

Kaiser/HRET Survey

Pension Protection Act
of 2006 (PPA)

SHRM HR Knowledge Center

Small Business Administration

Society for Human
Resource Management (SHRM)

State and Federal
Family Leave Laws