Employee Benefits Blog

As healthcare costs have risen rapidly in the last decade, employer-sponsored health insurance premiums have followed,1 affecting both organizations and employees. Plan sponsors see continuously rising costs and may question if they’re getting their money’s worth.

Data analytics is the first step in answering that question, directing employers toward what medical situations can sink a healthcare plan. Analytics can show the conditions, treatments, and outcomes that are problematic and need addressing.

But to fully understand any healthcare plan issue — and know how to fix it — requires clinical informatics, where experts examine data from a medical perspective.

The need to improve recruiting and retention has affected employee benefits and workforce absence management rather considerably these past two years, in some cases resulting in more liberal policies on hybrid work, paid time off (PTO) and observed holidays.

HUB International’s 2023 Workforce Absence Management Survey, which surveyed 514 employers with 50 to 1,000 employees, found that remote and hybrid work trends continue, with more companies making these options standard. These same employers are also providing additional paid holidays and PTO.

The survey found that employers are implementing these changes largely to stay competitive in the ongoing battle to attract and keep top talent. And employers say they’re likely to implement more changes in absence management to improve the work environment.

Employers of every size continue to struggle with the rising costs of healthcare, which ultimately increases the cost of medical premiums for everyone.

While employers have traditionally worried about large medical claims, the growing popularity of exorbitantly-priced specialty drugs is creating an entirely new category of potentially catastrophic healthcare spend. 

In fact, after raising the prices of more than 1,400 prescription drugs in 2022, pharmaceutical companies started 2023 off with a 5% increase for more than 450 medications. Add to that considerable pipeline of new medicines to treat specialty diseases, including gene cell therapies, RNA therapies, immuno-oncology treatments, etc., and you have a recipe for disaster.

One solution means looking inward: transitioning from the fully funded model of healthcare benefits to self-funded health plans featuring stop-loss insurance. Stop-loss insurance is essential for a self-funded plan because it enables an employer to cap medical claims expenses at a specific amount. 

The SECURE Act 2.0 contains dozens of changes to retirement plans, but perhaps none bigger than these two: New 401(k) and 403(b) plans will be required to automatically enroll participants in the respective plans, and employee salary deferral rates will automatically escalate each year.

This rule will apply to employers who have started retirement plans after December 29, 2022, and take effect for plan years starting in 2025.

There is an exception for new companies in business for less than three years, employers with 10 or fewer employees, and governmental and church plans.

For plan sponsors, the details include: 

As an employer, it is crucial to consider the diverse needs and preferences of the workforce when designing a Paid Time Off (PTO) program.

We, therefore, thought it might be fitting on our newest federal holiday, Juneteenth, to delve into the topic of selecting holidays for your PTO program, aiming to find a balance that pleases the majority of your workforce.

While advocating for a well-rounded approach, we’ll also make sure to explore the potential challenges and implications that arise when trying to please everyone.  

A recent study by the International Foundation of Employee Benefit Plans suggests that 32% of employers offer weight management programs while 45% cover bariatric surgery. This same survey indicates that 22% of U.S. employers are now covering certain prescription drugs for weight loss.

Perhaps this increase in prescription drug coverage is due to advancements in weight loss medications, or the growing recognition that obesity is a disease that increases the risk of other chronic conditions, such as high blood pressure, type 2 diabetes, coronary heart disease, and some cancers.

After all, the costs of obesity are enormous: Up to half of new diabetes cases in the U.S. are linked to obesity, and obesity costs the healthcare system nearly $173 billion annually.

Nevertheless, these drugs are expensive, costing as much as $1,400 a month, and necessitate long-term dosing.  And it’s fair to say that some of these drugs are being misused and abused.

This raises the question of whether employer health plan sponsors should cover this new class of drugs to treat obesity.

“Organizational culture” may be an overused phrase, but culture — and the employer-employee connection culture generates — has become part of recruiting, retention, and the assembling of the right benefits package to engender long-term loyalty.

How important are culture and connection within an organization? They definitely can make a major difference in candidate interest and employee satisfaction. Just consider the following;

• Mentioning culture in job postings increases engagement with the listing (67%).
• One-quarter of employees say they’ll leave an employer if they’re not happy with an organization’s culture.
• Nearly 15% of job seekers will decline a job offer because they don’t feel comfortable organization’s culture. 

Let’s face it. Rising interest rates and stubbornly high inflation are causing financial stress among those who previously felt financially secure. One can therefore appreciate how this one-two punch is now overwhelming anyone who wasn’t already in a decent financial position before these two economic conditions took hold. 

It’s well documented that concerns over money and financial security are now contributing to declines in mental wellness. At present, 19.86% of American adults, equivalent to nearly 50 million people, are experiencing a mental illness of some sort.

Well-constructed and employer-led financial wellness programs can help alleviate some of this pressure, leading to greater happiness and workplace productivity. Financial wellness now plays an essential role in ensuring what we like to call a Quality Employee Experience or QEX for short.

Regulations aside, employee benefits management hasn’t changed much in several decades, so it’s notable that employers are beginning to use traditional marketing tactics to make sure their benefits efforts hit the mark for their employees. 

Case in point: HUB Workforce Persona Analysis.  It’s a smarter way to inform your benefits strategy, meeting employees where they are. If your organization isn’t taking steps to understand your population using audience segmentation, you should. (You can watch a video on Persona Analysis here.)

Analysis of workforce personas enables employers to design personalized experiences from multiple perspectives. Seeing benefits from different angles can make your benefits spend smarter, resulting in a return on investment 5% to 8% ahead of a one-size-fits-all approach. Just ask any consumer marketer and they nearly unanimously will tell you that personalization also deepens customer relationships.

So why can’t this approach also advance your employee relationships? It can, for organizations that stop to take the pulse of their workforce and apply what they learn to guide how we engage each other and nurture healthy employee cultures. These actions ultimately inform better benefits design, improved job performance, boosted impacts from leadership, and reduced employee churn.

Here's how to look at it;