One of the biggest challenges in business is attracting and retaining good employees. An excellent benefits package may be a key factor in their decision. So, recognizing that we are 2 years into a predicted 5-year period of double-digit healthcare premium increases, how do you control your own costs without losing your appeal?

Modifying your plan design can provide solutions to manage costs without passing those costs on to your employees. Reconfiguring your health coverage to include higher office visit and hospital copays, alternate prescription plans, or increasing out-of-network deductibles can help lower the overall cost for coverage.

A tiered benefit plan can reward the employee who chooses to use only in-network doctors and services by enrolling them in a lower premium plan and offering a lower employee contribution. The employee who wants to use both in-network and out-of-network services becomes responsible for the extra cost of a higher premium plan. This is a method of identifying your costs and involving the employee.

Defined-contribution, or fixed-cost plans, are a significant area of employer cost control. An employer provides a fixed contribution or percentage of the cost for health benefits, and the additional cost is passed to the employee. For example, an employer may set an annual contribution of $2000 per employee or pay 50% of employees' premium. Some employers may even base their level of contribution on the years of service for each employee.

It is important to make your employees aware of the real cost of health care by engaging them in the development of their own benefits package, and rewarding them for using more cost effective solutions. It is the belief at Shepard Insurance Group that employees should be educated in the long-term costs of their healthcare.

Privacy Regulations - Privacy Rule outlines minimum Federal standards of protection for Personal Health Information (PHI).
Individual Rights - allows individuals to access their medical records and correct discrepancies.
Employment Change Protection - new health plans can not exclude pre-existing conditions if an individual was enrolled in a previous plan for 12 months. Plans are also required to give credit for prior coverage under a year.


Is vision coverage worth the expense?

The short answer is no. Benefits provided by this coverage are typically limited to a network, and cost savings are limited. (So not really a "benefit" after all!)



If you are an international company, you may have employees who fly abroad regularly or relocate overseas with their families. How much does your domestic plan cover?

There are International Health Plans for your travelers. Benefits include:

• Affordable premiums
• Simple online application
• Major carriers
• Term life and travel accident

Employees are beginning to seek a more personal side to their benefits. Rather than sift through a large book sent by their healthcare provider, or read a generic description in the company handbook, many people are asking "what are my benefits?". In response, many of the major medical companies are offering access to basic summaries of coverage online, though many times the information is limited.

As a solution, at Shepard Insurance Group we are now offering subscriptions for personalized benefits summaries to our clients for their employees. It helps to fill in the information gaps and eliminate many questions about their personal policies.



Kim Scofield
Employee Benefits & Life Specialist

kscofield@shepardinsgrp.com

Phone: (203) 637-6655
Fax: (203) 637-6700


Volume 1/ Fall 2003 / Benefit Matters is a publication of Shepard Insurance Group
1700 East Putnam Ave, Old Greenwich, CT 06870 Phone: 203.637.6655 Fax: 203.637.6700

www.shepardinsgrp.com
Contact us: Benefit Matters