Alternatives for Employee Health Care in Today s World of Health Insurance

Transcription

1 Alternatives for Employee Health Care in Today s World of Health Insurance sponsored by NFIB Health Plans, Administered by JLBG Health

2 Webinar Overview Learn about how we got to an employer-based healthcare delivery system and where we may be headed. Discuss alternate products available in today s health insurance marketplace.

3 Webinar Overview Discuss alternate ways to pay for employees health benefits. Learn about ways to provide more comprehensive benefits to owners and managers while providing basic health coverage to hourly employees.

4 Employer Based Delivery System Health Care for the past 40+ years has primarily been obtained through ones employer. Pro s Con s Can this and will this system sustain itself in the future? What are our alternate delivery systems

5 Pro s to Employer Based Delivery System Discounts Guaranteed Issue: no one can be turned down for medical conditions Easier decision process Easier enrollment process

6 Con s to Employer Based Delivery System Only groups with large numbers benefit from discounts. Guaranteed issue comes with a price. One size does not always fit all. Harder to get younger and healthy employees to enroll.

7 Alternate products for employee healthcare Limited medical plans Guaranteed Issue Discount services HRA plans HSA plans

8 Discount Plans Access to the US Health care system with ID card for wallet Discounts through PPO and RX network for: - Office calls Prescription drugs Outpatient Treatment Hospital Surgery Very affordable

9 Guaranteed Issue Limited Medical Access to the US Health Care system with an ID card Network Discounts Office call co-pay benefit Limited Hospital/Surgical coverage Limited Outpatient coverage No one can be turned down for health conditions Affordable for young or older employees

10 Health Reimbursement Arrangements (HRA s) May be used with or without health insurance Employer based reimbursement Dollar amounts determined and controlled by employer With insurance like an HSA but only on an as needed basis IRS- Section 105 Plan

11 Health Savings Accounts (HSA s) Must have HDHP insurance first Network discounts prior to deductible HSA is optional Contributions can be made by employer/employee or both Comprehensive major medical with a max OOP

12 Varying Coverages (Ways to provide comprehensive coverage to some and basic coverage to others) Management-only contracts Defined benefits Defined contribution Voluntary products

13 Manager / Key Employee Contracts Available in many states Carve out plans Must be classified by employee IE: Manager Multiple plans designs per group

14 Defined Benefit Plans Employer will provide access to X type of plan Employer will pay X for this type of plan Employee wants better plan they buy up to richer plan Usually 3-4 options to choose from depending on size of the group

15 Defined Contribution Plans Control your exact exposure Set specific dollar amount Contribution/reimbursement can be set by job class Employer s discretion not insurance companies

16 Voluntary Products No minimum participation Many times less than a group plan Billed directly to employee or payroll deducted No employer contribution required

17 Take Control of your Health Care Costs Think outside the box Protect your assets from major events Give younger employees ways to access health care system Set a pre-determined expenditure that you control

18 Additional NFIB.com Resources Knowing the Basics: A Health Insurance Primer for Small Businesses 5 Ways to Offer Health Coverage Without a Traditional Group Plan Healthcare Reform Resource Center

19 You may contact NFIB Health Plans directly at:

20 Stay Connected with NFIB For more information about the Small Business Webinar Series visit: We want your feedback. If you enjoyed today s webinar or have suggestions for the future, please fill out the short survey that you will receive via after this webinar. Did you know NFIB is on Stop By and Leave a Comment