Employee Benefits Blog

Many employers are struggling to increase COVID-19 vaccination rates among their workforce, concerned not only about the safety of the workforce but also the costs of COVID-19 treatment that could be avoided through vaccination.

Some, like Delta Airlines, are turning to higher premium costs, or a surcharge, for any group health plan participants who remain unvaccinated. This decision by Delta, taken once an FDA-approved vaccine came on the market, should by no means be interpreted as a full-throated endorsement of this action. In fact, it’s quite likely that Delta’s decision will be tested in the courts.

Challenges are likely to come in three areas: wellness positioning, surcharge amounts, and possible discrimination. Nevertheless, Delta’s decision has prompted some employers to consider doing something similar.

Here are issues employers need to consider if they decide to take similar action.

Employer reimbursement of gym memberships was a popular employee benefit before COVID-19 hit the U.S. back in March 2020. Since then, workout facilities have suffered some of the highest pandemic-related losses and may not be a viable option for as many employers in the future.

From prolonged forced closures to capacity limits to time-consuming enhanced cleaning protocols, many fitness industry insiders and gym members themselves feel that gyms will never be the same as they were pre-pandemic. 

Despite these setbacks to the fitness industry, people are anxious to exercise again, especially after a long period of inactivity during quarantine. This is not to say that some people haven't doubled down on exercise during the pandemic, but the vast majority of people have not.

Faced with this quandary, employers may find it challenging to determine which fitness-related benefits to offer as we transition from lockdowns into such an altered physical and attitudinal landscape.

Today's blog post explores how the fitness landscape has changed and some potential options to consider in place of traditional gym memberships.

Almost half of Americans state they will not get vaccinated against the COVID-19 coronavirus – at least not right away. Some of this stems from the speed at which the vaccines are being developed, but also from a segment of the population that has always been suspicious of any vaccines (so-called anti-vaxxers).

The possibility that large swaths of the U.S. population may refuse or delay getting any one of the COVID-19 vaccines presents a serious challenge to the nation's health and the health of our business economy.

Employers are in a unique position to help propel vaccinations, accelerating the country towards the 75% vaccination target that has been cited by top infectious disease experts as being required to fully eliminate the need for social distancing.

Company leaders find themselves in this unique position because it's widely believed that they can, in most cases, legally compel their employees to get vaccinated, making it compulsory and a requirement for returning to work.

Now just because something can be done doesn't necessarily mean it should be done. There are persuasive arguments to be made on both sides of the issue. There are also some exceptions to consider, and some basic questions to be answered, such as where to even start among the workforce. We'll do our best to answer a few of these questions today.

A global pandemic. Social unrest. A presidential election. Now a Supreme Court confirmation. A perfect storm if ever there was one. Never before have I seen the country so divided over such a confluence of events, and never before have I seen such tremendous stress placed upon our collective workplace and individual mental health. I see it in my family, my friends, my neighbors, and even my employees.

With this in mind, I sat down over the weekend to watch a new Netflix documentary called The Social Dilemma. Frequent readers of this blog know that I've never really used it in the past to recommend a particular piece of media, except for some excellent Ted Talks related to the workplace and others tangentially related to employee benefits.

Nevertheless, I found The Social Dilemma so riveting, so concerning, and so timely, that I feel compelled to recommend that everyone sit down with their families and watch this film. In fact, I'm asking my entire workforce to do just the same.

This documentary cuts between "conscientious Silicon Valley defectors" from Facebook, Instagram, Twitter, and Google to sound the alarm about the incursion of data mining and manipulative technology into our social lives and beyond.

"It has a 9/11-like feel." That's how the CEO of Southwest Airlines last night described the impact of coronavirus on its business. While this might not be a surprising assessment from a global carrier like United Airlines, it's somewhat shocking to hear from Southwest, since it doesn't even serve Asian and European markets.

So what's going on here? Is this coronavirus (Covid-19) really something to fear here in the United States, or is this mass hysteria nothing more than a media-driven panic, as Dr. Drew suggested as recently as this morning on Fox News?

So much distrust of the mainstream media and our government institutions has been sewn into the fabric of our country these past few years that it's admittedly very hard to tell. At this point, it probably doesn't really matter if it's real or not. The perception is that it's real, and as we've been taught for decades now, perception is reality.

In fact, just moments ago, while writing this blog post, the first U.S. college announced it was closing down for the semester, moving 50,000 students to online learning. And as I was adding this to my post, I received an alert that the Mayor of Austin just cancelled the South by Southwest music festival and conference.

I don't know about you, but this feels pretty real to me.

It's not a matter of if, but when. That's what Federal authorities finally said yesterday regarding the likelihood of the coronavirus spreading across the United States.

Infectious disease experts are now calling on businesses, schools, and communities to brace themselves for what they see as the inevitable outbreak of the coronavirus across the country.

"The disruption to everyday life might be severe," said Dr. Nancy Messonnier, Director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention (CDC).

Strategies to contain the virus on our shores, now officially named Covid-19, have thus far been based on isolating those who have contracted the virus, as well as quarantining those who may have been exposed to those individuals.

Authorities now admit that as the virus becomes more widespread, containment strategies will likely expand to the closing of schools, the canceling of mass gatherings, and the implementation of widespread telework for employees.

With financial markets across the world tanking and President Trump now scheduled to address the nation tonight, it now appears as if the threat of a global pandemic can no longer be ignored nor minimized by those who have thus far claimed that talk of a pandemic was nothing more than fear-mongering by the media.

There are several comprehensive federal statutes that impact workplace wellness programs. While employers who invest in wellness initiatives almost always do so with the best of intentions, violations of these regulations can be costly.

Today we'll focus on three key federal laws which employers should keep in mind when building out a wellness plan. They are as follows;

1. The Health Insurance Portability and Accountability Act

The Health Insurance Portability and Accountability Act (HIPAA) includes nondiscrimination rules that apply to wellness plans being offered in connection with group health plans. Under HIPAA, workplace wellness programs are divided into two categories: participatory wellness programs and health-contingent wellness programs.  

Here are the main differences between these two types of programs;

The new year is often a time for people to pause and reflect on the past year and consider things they’d like to change. This leads to new year’s resolutions, which frequently include health-related outcomes. Soon after, however, resolve to keep these resolutions starts to get a bit shaky.

Some of the most common new year’s resolutions including losing weight, eating better, exercising more, and engaging in more self-care. Anyone who belongs to a fitness club knows that January is the busiest month of the year, but the crowds start to thin out around mid-February, if not sooner. By that point, most people have given up on their new year’s resolutions and the steady gym members get their favorite machines back.

The bad news is the failure to implement the healthy lifestyle changes your employees were working on might have adverse effects on their mindsets. By the end of February, if they’ve abandoned their new year’s resolutions, they’re back to their old habits, picking up fast food at lunch, downing cans of soda, and probably feeling bad about themselves.

The good news is that you can help them turn things around. Maybe they need a little extra encouragement and support to follow through with their new year’s resolutions, both of which you can provide to them with a bit of effort.  

You don’t have to be a health insurance expert to know that healthcare coverage makes up a significant portion of businesses’ operating costs. Looking ahead to next year, Willis Tower Watson predicts the average annual per-employee cost for health insurance will increase 5.3% to $12,850 (up from $12,200 in 2017).

Understandably, employers are always looking for ways to get a firmer handle on rising healthcare costs and often turn to wellness programs as a possible solution.   

Three Important Federal Laws That Affect Wellness Plans

Before you launch a wellness program, it’s important to do your homework. Mistakes can be costly for both your employees and your bottom line. One area you should pay particularly close attention to is the intersection of wellness plans and federal law.

There are several comprehensive federal statutes that impact workplace wellness plans, so before you put your plan in place, make sure you consult with a legal expert who can help you stay on the right side of the law.

Smoking has been in steady decline in the United States for decades, with Gallup reporting that smoking rates among adults have dropped from 45 percent in 1953 to 16 percent in 2018.

Nevertheless, according to the CDC,  almost 38 million adults in the country still smoke cigarettes regularly (defined as “every day” or “some days”). This doesn’t even take into account anyone who enjoys pipe tobacco, cigars or other cigarette alternatives.

The malignant effects of these habits are well documented. In addition to the personal health issues individuals suffer, smoking also impacts non-smokers, both in terms of health risks and more expensive healthcare.

The following is an exploration into just how much smoking costs businesses each year and what measures employers can take to reduce smoking rates among their employees.

The Added Cost of Employing Smokers

CDC research places the increased cost of employing a smoking adult at nearly $6,000 per smoking employee, per year. Much of this figure comes from lost productivity and increased healthcare costs, but it also takes into account other less obvious expenses.