– The Consolidated Omnibus Budget Reconciliation Act COBRA requires employers to permit employees to extend their health insurance coverage at group rates for up to 36 months following
Trang 1• Benefits are unique because:
– there is more regulation of benefits than of
Trang 2Reasons for Benefits Growth
• Laws mandating benefits passed during and
after the Great Depression
• Wage and price controls instituted during WWII and labor shortages
• The tax treatment of benefits programs
– The marginal tax rate is the percentage of an
additional dollar of earnings that goes to taxes
• Large group v individual insurance
• Organized labor
• Employer differentiation
Trang 3Benefit Programs
Social Insurance
Private Group Insurance
Family-Friendly
Policies
Retirement Pay For Time Not
Worked
Trang 4Social Security
• Social Security includes provision for old-age
insurance, unemployment insurance, survivors'
insurance, disability insurance, hospital insurance, and supplementary medical insurance.
• Social Security retirement benefits are free from
federal tax and free from state tax in some states
• Currently, full benefits begin at age 65 or a reduced benefit can begin at age 62
• Both employers and employees are assessed a
payroll tax
• The eligibility age for benefits and any tax penalty for earnings influence retirement decisions
Trang 5• Unemployed workers are eligible for benefits if they
– have a prior attachment to the workforce,
– are available for work,
– are actively seeking work,
– were not discharged for cause, did not quit voluntarily, and are not out of work because of a labor dispute
Trang 6Workers’ Compensation
• Workers' compensation laws cover
job-related injuries and death.
• The system is based on no-fault liability.
• Approximately 90 percent of U.S workers are covered.
Trang 7Private Group Insurance
• Offered at the discretion of employers, and plans are not legally required
• Group rates are lower because of economies of
scale, the ability to pool risks, and the greater
bargaining power of a group.
• Medical insurance tends to be the most important
benefit for people.
– The Consolidated Omnibus Budget Reconciliation
Act (COBRA) requires employers to permit employees
to extend their health insurance coverage at group rates for up to 36 months following a qualifying event, such as termination.
• Disability insurance includes short-term plans and
long-term plans
Trang 8• Insulates employees from
investment risk, which is
borne by the company.
pension plan trustees,
established vesting rights and
portability provisions, and
established the PBGC
Defined Contribution Plan
• Does not promise employees
a specific benefit level upon retirement
• Employers shift investment risk to the employee
• There is no need to calculate payments based on age and service.
• Most prevalent in small companies.
Trang 9Types of Defined Contribution
Plans
Money Purchase Plan
Profit-sharing Plan Employee Stock
Ownership Plan
Trang 10Cash Balance Plans
• An employer sets up an individual account for each employee and contributes a percentage
of the employee’s salary
• The account earns interest at a predefined rate.
Trang 11Funding, Communication, and
Vesting Requirements
• A summary plan description (SPD) obligates
employers to describe the plan's funding,
eligibility requirements, risks, and so on
• ERISA guarantees that employees, after working
a certain number of years, earn the right to a
pension upon retirement
– These are referred to as vesting rights.
• Vesting schedules that may be used are as
follows:
– Employees are vested after five years of service – Employers may vest employees over a three- to seven-year period, with at least 20 percent in the third year and each year thereafter.
Trang 13Pay for Time Not Worked
• In the European Community, as many as
30 days of mandated vacation is
common.
• In the United States, there is no legal
minimum, although 10 days is common
• Sick leave programs often provide full
salary replacement for a limited period of time, usually not exceeding 26 weeks.
• The amount of sick leave is often based
on length of service, accumulating with
service
Trang 14Family-Friendly Policies
• To ease employees’ conflicts between work and nonwork, organizations may use family-friendly policies such as family leave policies and child care
• The Family and Medical Leave Act:
– applies to organizations with 50 or more employees
within a 75-mile radius – applies to childbirth or adoption; care for a seriously ill child, spouse, or parent; or for an employee's own serious illness.
– Employees are guaranteed the same or comparable job when they return to work
– Employees with less than a year of service or those
Trang 15Family-Friendly Policies
• Child Care - Employers may
provide some type of child
care support to employees:
– supplies and helps employees
collect information about child care,
– vouchers or discounts for
existing child care facilities, or– child care facility at or near
worksites
Trang 16Managing Benefits: Employer
Objectives and Strategies
• Surveys and Benchmarking
– The company should know what the competition is doing.
– Surveys information is available from private
consultants, the Bureau of Labor Statistics (BLS), and the Chamber of Commerce.
• Cost control
– The larger the cost of a benefit, the greater the
possibility for savings
– The rate of growth may result in serious costs in the future
– Cost containment efforts can only work to the
extent that the employee has significant direction
Trang 17Healthcare: Controlling Costs
and Improving Quality
• In the United States, health-care expenditures have gone from 5.3 percent of the GNP in 1960
to 14 percent recently
• Attempts at cost control have come through
employers, since most health care is provided through organizations
• A recent trend has been to shift costs to
employees through the use of deductibles,
coinsurance, exclusions and limitations, and
maximum benefits
Trang 18Healthcare: Controlling Costs
and Improving Quality
Health maintenance
organizations (HMO)
• focus on preventive care and
outpatient treatment.
• require employees to use
only HMO services and
providing benefits on a
prepaid basis.
• physicians and health-care
workers paid a flat salary to
reduce incentive of raising
costs.
Preferred provider organizations (PPOs)
• have contract with employers and insurance companies, to provide care at reduced fees
• do not provide benefits on a prepaid basis.
• employees often are not required to use just the PPOs
• tend to be less expensive than traditional health care but more expensive than HMOs.
Trang 19Employee Wellness Programs
• Focus on changing behaviors both on and off
work time that could eventually lead to future
health problems
• There are two broad classes of EWP’s:
– Passive
• use little or no outreach to individuals and provide
no ongoing motivational support
– Active
• assume that behavior change requires not only awareness and opportunity, but also support and reinforcement.
Trang 20Health Care Costs and Quality:
Ongoing Challenges
• Two important phenomena are often
encountered in cost control efforts
– Piecemeal programs may not work well
because steps to control one aspect may lead to employees to “migrate” to other programs that provide medical treatment at
no cost to them
– There is often a so-called Pareto Group,
which refers to a small percentage of employees being responsible for generating the majority of healthcare costs
Trang 21Staffing Responsibilities that
Control Benefits Cost Growth
• Because benefit costs are fixed, the benefits cost per hour can be reduced
by having employees work more hours
• Have employees classified as exempt, since they can then reduce their
benefit costs per hour without having
to pay overtime
• Classify workers as independent contractors rather than employees, eliminating the employer's obligation to provide legally required benefits
Trang 22Nature of the Workplace
• Assessing employee benefits
• Care must be taken not to raise
employee expectations regarding future changes.
Trang 23Flexible Spending Accounts
• These plans permit employees to choose the
types and amount of benefits that they want
• Advantages include:
– employees can be more aware and appreciative of their benefits package
– a better match between the package and the
employee's needs, which improves satisfaction and retention
– cost reductions are often achieved
• Disadvantages include:
– high administrative cost
– adverse selection
Trang 24Communicating with Employees
Trang 25Flexible Spending Accounts
• Permits pretax contributions to
an employee account that can
be drawn on to pay for
uncovered health care
expenses
• Funds must be spent during
the year or they revert to the
employer.
• The major advantage is that
take-home pay increases.
Trang 26General Regulatory Issues
• Benefit plans must meet nondiscrimination rules and qualified plans
• Sex, age, and disability:
– It is illegal for companies to require that women
contribute more to a pension plan than men.
– Employers cannot discriminate against employees over the age of 40 in terms of pay or benefits
– employees with disabilities have equal access to the same health insurance coverage as other employees.
• Monitoring Future Benefits Obligations - The
Financial Accounting Statement (FAS) 106
states that any benefits (excluding pensions)
provided after retirement, cannot be funded on a