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Maximize Your Benefits Program
with Voluntary Benefits
Houston Hamilton
Agency Development Manager
Overview



 Why benefits are important

 Challenges facing employees

 Challenges facing employers

 Possible solutions
Why Benefits Are Important
Employers’ Goals for Their Benefits
        Programs




“Voluntary Benefits – The Employer Viewpoint,” Benefits Selling, Aug. 2006.
Challenges Facing Employees
Workers Struggle With Costs of Health
       Care

               46 million uninsured Americans
             25 million underinsured Americans
             72 million have high medical debt




Source: “Losing Ground: How the Loss of Adequate Health Insurance Is Burdening Working Families,”
Commonwealth Fund Biennial Health Insurance Survey, Aug., 2008, and “Income, Poverty and Health
Insurance Coverage in The United States: 2007, U.S. Census Bureau, Aug., 2008.
Medical Debt Contributes to Personal Bankruptcy



                      “Unless you're Bill Gates, you're just one
                       serious illness away from bankruptcy.”

                “Most of the medically bankrupt were average
                   Americans who happened to get sick.”
                                                                          Dr. David Himmelstein
                                                                          Harvard Medical School Professor &
                                                                          Medical Bankruptcy Study Leader




Source: Dr. David Himmelstein, Associate Professor of Medicine, Harvard Medical School, and leader of study
“Illness and injury as Contributors to Bankruptcy,” as published in Health Affairs, February, 2005.
Challenges Facing Employers
Employers’ Number One Problem:
Health Care Costs




                    “How do I provide an
                     attractive employee
                    benefits program and
                       manage costs?”
Employers’ Response to Rising Benefits Costs


 What types of cost reduction efforts have been
 undertaken or are being considered by year end?

     Increasing employee health care                                          45%
     cost-sharing (e.g., premiums)

     Reducing or eliminating the subsidy                                      32%
     for other employee benefits (e.g., vision, dental)

     Reducing medical benefits                                                25%



  Source: Cost Reduction & Engagement Survey, Hewitt Associates, LLC, 2009.
Premium Costs Continue to Rise
       Average Health Insurance Premiums and Worker Contributions for Family Coverage, 1999-2008




                                                                                     $12,680
                                                             119%
                                                           Increase



                             $5,791
                                                             117%
                                                           Increase




                          Employer Contribution                               Worker Contribution

Note: The average worker contribution and the average employer contribution do not
add to the average total premium due to rounding.
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2008.
Possible Solutions
Traditional Solutions


  Cost shifting
  Eliminating benefits
  Shifting decision-making
  to employees



Employers need a more comprehensive solution.
A Comprehensive Solution



    • Major Medical                         • Supplemental
    • Dental
    • LTD              Communication            Health
                                                 • STD
    • Group Life                                 • Life
    • Retirement




  Employee Core Benefits             Employee Voluntary Benefits



  To help fill gaps and provide
         personal benefit solutions . . .
What to Look for in a Voluntary Benefits
Provider

                         Superior        Innovative
                          Service         Products

Innovative products      Enrollment      Benefits
                         Flexibility   Communication
Benefits
communication
capabilities
Enrollment flexibility
Superior service
Innovative Voluntary Products

                        Superior       Innovative
                        Service         Products
Individually owned
                       Enrollment      Benefits
Multiple benefits      Flexibility   Communication
options
Portable
Competitively priced
Family coverage
available
Benefits Communications — A Gap Exists

                                                                     Superior     Innovative
         3% think their employees                                    Service       Products
         know nothing at all about
         their benefits                                             Enrollment      Benefits
                                                                    Flexibility   Communication
         Only 24% believe
         their employees actually
         do understand their benefits
         More than 90% of employers think it’s important for
         employees to understand and appreciate their
         benefits

Source: Colonial Life SHRM National Conference Survey, June, 2008
Benefits Communication
To Help Employees Understand and Value Their Benefits


                                 Superior    Innovative
                                 Service      Products
 Salary illustrations
 Benefits statements           Enrollment
                               Flexibility
                                               Benefits
                                             Communication
 Customizable
 communication
 materials
 Core and voluntary benefits
 communication
 Individual help understanding
 options and making choices
Enrollment Flexibility
Options that meet employers’ and employees’ needs


                                     Superior     Innovative
 Call centers                        Service       Products

 National enrollment
                                Enrollment        Benefits
 team                           Flexibility     Communication
 Online and offline
 enrollments
 Group meetings and
 one-to-one meetings
 Self-enrollments and agent-assisted enrollments
 Consistent enrollments among dispersed locations
 Flexible scheduling for shift and non-traditional
 workers
Superior Service

 Customer persistency           Superior        Innovative
                                Service          Products
 Speed of paying claims
                                Enrollment      Benefits
 Sharing of service results     Flexibility   Communication


 Strong back-office support

 Independent customer reviews

 Experience working with
 individuals, not just groups
Maximize Your Benefits Program With
Voluntary Benefits
                          Superior        Innovative
                           Service         Products
 Innovative products
                          Enrollment      Benefits
 Benefits communication   Flexibility   Communication

 capabilities
 Enrollment flexibility
 Superior service
For more information:




          Houston Hamilton
    Agency Development Manager
   Houston@cashflowhouston.com
            713-870-7791

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Maximize Your Benefits Program SHRM

  • 1. Maximize Your Benefits Program with Voluntary Benefits Houston Hamilton Agency Development Manager
  • 2. Overview Why benefits are important Challenges facing employees Challenges facing employers Possible solutions
  • 3. Why Benefits Are Important
  • 4. Employers’ Goals for Their Benefits Programs “Voluntary Benefits – The Employer Viewpoint,” Benefits Selling, Aug. 2006.
  • 6. Workers Struggle With Costs of Health Care 46 million uninsured Americans 25 million underinsured Americans 72 million have high medical debt Source: “Losing Ground: How the Loss of Adequate Health Insurance Is Burdening Working Families,” Commonwealth Fund Biennial Health Insurance Survey, Aug., 2008, and “Income, Poverty and Health Insurance Coverage in The United States: 2007, U.S. Census Bureau, Aug., 2008.
  • 7. Medical Debt Contributes to Personal Bankruptcy “Unless you're Bill Gates, you're just one serious illness away from bankruptcy.” “Most of the medically bankrupt were average Americans who happened to get sick.” Dr. David Himmelstein Harvard Medical School Professor & Medical Bankruptcy Study Leader Source: Dr. David Himmelstein, Associate Professor of Medicine, Harvard Medical School, and leader of study “Illness and injury as Contributors to Bankruptcy,” as published in Health Affairs, February, 2005.
  • 9. Employers’ Number One Problem: Health Care Costs “How do I provide an attractive employee benefits program and manage costs?”
  • 10. Employers’ Response to Rising Benefits Costs What types of cost reduction efforts have been undertaken or are being considered by year end? Increasing employee health care 45% cost-sharing (e.g., premiums) Reducing or eliminating the subsidy 32% for other employee benefits (e.g., vision, dental) Reducing medical benefits 25% Source: Cost Reduction & Engagement Survey, Hewitt Associates, LLC, 2009.
  • 11. Premium Costs Continue to Rise Average Health Insurance Premiums and Worker Contributions for Family Coverage, 1999-2008 $12,680 119% Increase $5,791 117% Increase Employer Contribution Worker Contribution Note: The average worker contribution and the average employer contribution do not add to the average total premium due to rounding. Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2008.
  • 13. Traditional Solutions Cost shifting Eliminating benefits Shifting decision-making to employees Employers need a more comprehensive solution.
  • 14. A Comprehensive Solution • Major Medical • Supplemental • Dental • LTD Communication Health • STD • Group Life • Life • Retirement Employee Core Benefits Employee Voluntary Benefits To help fill gaps and provide personal benefit solutions . . .
  • 15. What to Look for in a Voluntary Benefits Provider Superior Innovative Service Products Innovative products Enrollment Benefits Flexibility Communication Benefits communication capabilities Enrollment flexibility Superior service
  • 16. Innovative Voluntary Products Superior Innovative Service Products Individually owned Enrollment Benefits Multiple benefits Flexibility Communication options Portable Competitively priced Family coverage available
  • 17. Benefits Communications — A Gap Exists Superior Innovative 3% think their employees Service Products know nothing at all about their benefits Enrollment Benefits Flexibility Communication Only 24% believe their employees actually do understand their benefits More than 90% of employers think it’s important for employees to understand and appreciate their benefits Source: Colonial Life SHRM National Conference Survey, June, 2008
  • 18. Benefits Communication To Help Employees Understand and Value Their Benefits Superior Innovative Service Products Salary illustrations Benefits statements Enrollment Flexibility Benefits Communication Customizable communication materials Core and voluntary benefits communication Individual help understanding options and making choices
  • 19. Enrollment Flexibility Options that meet employers’ and employees’ needs Superior Innovative Call centers Service Products National enrollment Enrollment Benefits team Flexibility Communication Online and offline enrollments Group meetings and one-to-one meetings Self-enrollments and agent-assisted enrollments Consistent enrollments among dispersed locations Flexible scheduling for shift and non-traditional workers
  • 20. Superior Service Customer persistency Superior Innovative Service Products Speed of paying claims Enrollment Benefits Sharing of service results Flexibility Communication Strong back-office support Independent customer reviews Experience working with individuals, not just groups
  • 21. Maximize Your Benefits Program With Voluntary Benefits Superior Innovative Service Products Innovative products Enrollment Benefits Benefits communication Flexibility Communication capabilities Enrollment flexibility Superior service
  • 22. For more information: Houston Hamilton Agency Development Manager Houston@cashflowhouston.com 713-870-7791