Posted on June 8, 2010.
The first step towards Consumer Driven Health Plans - Why supplemental benefits facilitate the transition Part of the reason I first got my insurance license, is that as a business consultant focused on change management, almost all business owners, CFO and Director HR with whom I spoke asked me what I could do about the rising cost of their health benefits. Until recently, in respect of their major medical plan costs rising at double digit rates each year, there was little I could recommend except grit their teeth and accept that it would be a painful process of review plan costs microphone near each year. Many decision makers are forced to shift costs to employees or to remove certain benefits altogether. Fortunately, now there is finally a smart way to reduce costs (and taxes, by the way), giving employees more choices, more security and believe it or not, stop them from storming the castle with rakes and torches when you ask them to contribute more of their own pockets. These plans are appropriately called "Consumer Driven Health Plans" (or HRCP) because the police made the most choices about their benefit plans to the health of their employer.
Two key elements of HRCP have received much press. The first is the health savings account (HSA), which must be used in conjunction with the second, a High Deductible Health Plan (HDHP). Without going into details on the restrictions, the idea is that by entering into a major medical health insurance with a much-deductible ($ 1,000 or more), society (and / or the employee) can significantly reduce the cost of premiums. In addition, by replacing the flexible spending accounts (FSAs require the remaining participants to use the tax free money contributed during the plan year or lose) with HSA (which allow participants to accumulate money in their tax free, but the money rolls in the year to year) possibly, the deductible is covered dollars tax free.
The only drawback to this plan is that FSAs elected to the amount available on a single day of that plan, while HSAs allow only the amount that has been funded to date to be made available. In other words, for most people, the first year of such a plan puts them at risk for substantial expenses related to the pocket to the franchise.
The way to avoid this risk is to implement a third key component of the plan for additional benefits. In most cases, by a new or existing Cafeteria (Section 125) plan.
For many reasons, fringe benefits, should be the first step in any HDHP / HSA plan. The first is that they introduce employees to the employee funded 100% voluntary plans that employees come to feel comfortable with contributing to their own financial security. The second is that the supplementary cover deductibles and co-pays, so that employees realize that by participating, they reduce their own costs in the pocket if the unthinkable happens. Third, they learn the value of pre-tax dollars. And finally, more choice lends itself to a better education in what those choices are. In other words, employees take more interest in learning of their overall fit together and what are the best choices for their families.
When are supplemental first introduced, employees feel empowered by the fact that society gives them options to better protect their families, without changing anything else. Then, when the HDHP / HSA is finally tipping fact, many fewer employees feel as if they were the short end of the key.
So what constitutes a supplemental good?
Although many plans are similar in performance and structure, providers vary in how they work and what they provide in terms of customer service. Your employees trust you to select providers of quality services that give them financial stability and control when they need it.