2021 Dollar Limits

2021 Dollar Limits

The IRS & SSA announced the 2021 dollar limits for various benefits and compensation levels for retirement plans and IRAs. There are incremental changes but nonetheless worth bookmarking.

 

The contributions and retirement benefits for qualified retirement plans and individuals. Retirement Arrangements (IRAs) are subject to certain limits that are adjusted by the Secretary of the Treasury annually subject to cost-of-living. Highlighted below are the various 2020 and 2021 limits that impact IRA and retirement plans.

 

Compensation Limits

 

 

 

2020

2021

Compensation Limit

285,000$$290,000

Defined Benefit §415 Limit

$230,000

$230,000

Defined Contribution §415 Limit

$57,000$57,000

Key Employee Officer

$185,000$185,000

Highly Compensated Employee

$130,000$130,000

Governmental. Plan Compensation

Limit

$425,000$435,000

ESOP §409(o) Limits

$1,150,000

$230,000

$1,165,000

$230,000

 

 

 

Deferral and Catch-up Contribution Limits

 

 

2020

2021

401(k), 403(b), 457(b) Nan Deferral. Limi

$19,500$19,500

401(k), 403(b), Governmental. 457(b) Catch-up Limi

$6,500

$6,500

SIMPLE Plan Deferral Limi

$13,500$13,500

Key Employee Officer

$185,000$185,000

SIMPLE Plan Catch-up Limit

$3,000$3,000

 


IRA Limits

 

The limit on contributions to a traditional. or Roth IRA will remain unchanged in 2021 at $6,000. The limit that applies to IRA catch-up contributions (contributions for individuals age 50 and older) remains at $1,000.

 

Social Security

 

The Social. Security Administration (SSA) announced an increase in the taxable wage base (TWB) for 2021 to $142,800 (was $137,700 in 2020). Workers pay Social. Security tax on wages up to the TWB and some retirement plans use the TWB when allocating contributions or calculating benefits.

 

HSA Contribution Limits

 

Although not a formal. retirement plan, health savings accounts (HSA) often factor into retirement savings. The IRS announced the following 2021 limits. These apply to individuals under a high-deductible-health-plan (HDHP). The minimum deductibles and maximum out-of-pocket expenses the IRS uses to define HDHPs are outlined below, as well.

 

HSA Contribution Limits

 

LimitIndividualFamily

 

 

2020

2021

2020

2021

HSA Contribution Limits

$19,500$19,500$7,100$7,200

Minimum Deductible for HDHPs

$6,500

$6,500

$2,800

$2,800

Maximum Out-of-Pocket Expense

$6,500$6,500$2,800$2,800

 

Resource:

 

 

 

 

Is your HSA compliant?  Which pre-tax qualified HSAFSAHRA spending card is right for you? Please contact our team at 360PEO (855)667-4621 for immediate answers.  Stay tuned for updates as more information gets released.  Sign up for the latest news updates.

 

The subject matter in this communication is educational only and not rendering legal, accounting, investment advice, or tax advice. You should consult with appropriate counsel or other professionals on all matters pertaining to legal, tax, investment, or accounting obligations and requirements.

 

 

 

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President Issues Health Care Plan Executive Order

President Issues Health Care Plan Executive Order

On Sept. 24, 2020, President Donald Trump issued an executive order outlining his health care plan, called the America First Health Care Plan. This Legal Update video explains further.

For information about transparency providers and new tech tools contact us at info@medicalsolutionscorp.com or (855)667-4621.

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For more information on PEOs or a customized quote please submit your contact. We will be in touch ASAP.

BREAKING: HIT and Cadillac Tax Repealed

Congress has voted to fully repeal the Cadillac Tax and Health Insurance Tax  effective January 1, 2021. This means the Health Insurance Tax will still be in place for 2020 and will be gone in 2021.
 
Both unpopular taxes with bipartisan approval delayed the Cadillac Tax but put the Health Insurance Tax(HIT) back in for 2020 earlier this summer. See Cadillac Tax Out Health Insurance Tax (HIT) Back In. Below are summaries of these two taxes that are now fully repealed.
 

Whats is the Health Insurance Tax (HIT)?

Health Insurance Tax: This tax included in the Affordable Care Act (ACA) increased the cost of health care coverage for consumers and employers in every state. The ACA imposed a new sales tax on health insurance that started at $8 billion in 2014, increased to $14.3 billion by 2018, and continued to increase each year.
 
The HIT costing an estimated 2.5%-3% added surcharge or an estimated $500/family annually and $241 for Seniors. Website Stop The Hit calculates $5,000 as the average tax for a 10 man small business for example.
 

Whats is the Cadillac Tax?

The Cadillac Tax was to take effect in 2022 and had been twice delayed since its original inception scheduled for Jan 2014. This tax called for a 40% excise tax on the amount of the aggregate monthly premium of each primary insured individual that exceeds the year’s applicable dollar limit, which will be adjusted annually to the Consumer Price Index plus 1%.
 
The 40% excise tax applies to the cost of employer health plan coverage exceeding certain threshold amounts, which were originally set for 2018 at $10,200 for individuals or $27,500 for families.
 
 
Originally, the Cadillac Tax was pushed back by the behest of Unions to 2018 from the original proposed 2014 date. Most Unions with generous health care packages would not be complaint within that time frame. For average Gold Plans in regions such as NY, the widely unpopular Cadilac Tax would have been felt.
 
Learn more about how we are successfully helping navigate SMB for 20+ years. If you have any questions or would like additional information, please contact us at 855-667-4621 or info@medicalsolutionscorp.com.

For information about transparency providers and new tech tools contact us at info@medicalsolutionscorp.com or (855)667-4621.

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For more information on PEOs or a customized quote please submit your contact. We will be in touch ASAP.

PPP Flexibility Act Signed

PPP Flexibility Act Signed

On Friday, June 5, President Trump signed the Paycheck Protection Program (PPP) Flexibility Act, clearing the way for more flexibility and forgiveness of the loans made through the PPP. Originally these loans, which were part of the CARES Act, were provided to help business owners cover payroll costs, rent, and utilities.

The newly enacted legislation states that:

  • Business owners now have 24 weeks to spend funds (up from eight weeks)
  • Business owners only need to spend 60% of the loan on payroll costs (down from 75%)
  • The covered period of the loan now ends December 31 instead of June 30
  • Business owners won’t have to make employer payroll tax payments through the end of 2020
  • The business will not lose any loan forgiveness eligibility if it can show that some employees declined to return to their jobs or the pre-pandemic headcount is no longer required
  • The payback period for new loan applicants has been extended from two years to a minimum of five for those not seeking, or who are ineligible, for forgiveness

If you’d like to find out more about how you can get better benefits so your employees use them when they need to, we’d like to show you how. Please contact us using form below or info@360peo.com or 855-667-4621.

The information provided on this website is intended for informational purposes only.  360PEO does not offer legal or medical guidance.  Those with legal or medical questions should seek appropriate assistance from a licensed professional.  Stay up to date by signing up for Newsletter and Coronavirus Dashboard below.

Learn how our PEO Partnership can help your group please contact us at info@360peo.com or (855)667-4621.

Put You & Your Employees in Good Hands

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For more information on PEOs or a customized quote please submit your contact. We will be in touch ASAP.

HSA 2021 Limits

HSA 2021 Limits

The IRS has released the 2021  Health Savings Account (HSA) inflation adjustments. To be eligible to make HSA contributions, an individual must be covered under a high deductible health plan (HDHP) and meet certain other eligibility requirements.

New HSA 2021 limits are as follows:

 

2021

2020

HSA Annual Contribution Limit
$3,600;  $7,200
$3,550 – Single; $7,100 – Family
HDHP Minimum Annual Deductible
$1,400;  $2,800
$1,400 – Single; $2,800 – Family
HDHP Out-of-Pocket Maximum
$7,000;  $14,000
$6,900 – Single; $13,800 – Family
Age 55+ Catch-Up Provision
$1,000;  $2,000
$1,000- Single; $2,000 – Husband/Wife

Age 55 Catch Up Contribution

As in 401k and IRA contributions, you are allowed to contribute extra if you are above a certain age. If you are age 55 or older by the end of the year, you can contribute an additional $1,000 to your HSA. If you are married, and both of you are age 55, each of you can contribute an additional $1,000. A savvy strategy for high-income earners is to invest the money in your HSA for the long haul. Once you’re 65, you can take out tax-free distributions to cover Medicare premiums. If you withdraw money at that point for non-medical uses, you pay the same tax as you would on withdrawals from a pretax 401(k). But you can also take money out tax-free to reimburse yourself for prior years’ out-of-pocket medical expenses if you have the old receipts.


COVId-19 Update: 

You can even use an HSA to save on a typical trip to the CVS. Thanks to a tax relief provision tucked in the last Covid-19 stimulus package, you can use the money you stash in an HSA or FSA (more on those later) for over-the-counter medications like Tylenol or Flonase as well as menstrual products like tampons and pads. That reverses Obamacare restrictions on OTC meds requiring a doctor’s prescription for them to be eligible for reimbursement.

 

HSA/HDHP Market Growth

HSA holders own the assets in the accounts and can build up substantial sums over time.  Enrollment in HSA-compatible insurance plans has increased to 10 million earlier this year, from 1 million in March 2005, according to, America’s Health Insurance Plans (AHIP), a trade group.

FSA Store

HSAs were authorized starting in January 2004. Since then, AHIP has conducted a periodic census of health plans participating in the HSA/HDHP market.

  • The number of people with HSA/HDHP coverage rose to more than 11.4 in January 2011, up from 10.0 million in January 2010, 8.0 million in January 2009, and 6.1 million in January 2008.
  • 30 percent of individuals covered by an HSA plan were in the small group market, 50 percent were in the large-group market, and the remaining 20 percent were in the individual market.
  •  14% of all workers in the private sector have access to a Health Savings Account acc. to the Bureau of Labor Statistics.
  • States with the highest levels of HSA/HDHP enrollment were California, Ohio, Florida, Texas, Illinois, and Minnesota.

HSA Advantages:

  • Opportunity to build savings – Unused money stays in your account from year to year and earns tax-free interest. The HSA also gives you an investment opportunity.
  • Tax-free contributions and earnings – You don’t pay taxes on contributions or earnings.
  • Tax-Free Money allowed for non-traditional Medical coverage– As per IRS Publication 502, unused money can be used for dental, vision, Lasik eye surgery, acupuncture, yoga, infertility, etc.  Popular Examples
  • Portability – The funds belong to you, so you keep the funds if you change jobs or retire.

Our overall experience with HSAs has been positive when employer funding is at a minimum 50% using either the HSA or an HRA (Health Reimbursement Account-employer keeps unspent money).  Traditional plans trend of higher copays and new in-network deductibles has also led to the popularity of an HSA.

Next Steps

Plan sponsors should update payroll and plan administration systems for the 2021 cost-of-living adjustments and should incorporate the new limits in relevant participant communications, such as open enrollment and communication materials, plan documents, and summary plan descriptions.

RESOURCE:

Is your HSA compliant?  Which pre-tax qualified HSAFSAHRA spending card is right for you? Please contact our team at Millennium Medical Solutions Corp (855)667-4621 for immediate answers.  Stay tuned for updates as more information gets released.  Sign up for the latest news updates.

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6 Advantages of a PEO during COVID-19

6 Advantages of a PEO during COVID-19

6 Advantages of a PEO during COVID-19

As COVID-19 unfolds, the importance of a PEO for a Small Business becomes evident. How can you protect your employees while also managing costs?  Here are examples of how our PEO clients have benefited.

 1. Rapid Law Changes

With recent CARES Act and FFCRA(Families First Coronavirus Response Act) to help struggling businesses, overwhelming info and regulations have mounted for the small business owner. Who is eligible for benefits? Tax credits? Furloughs and COBRA? Is their business Essential? Paid Sick Leave eligibility and additional tax credit entitlement?

PEOs provide a full team of experts who anxiously awaited the legislation, final rulings, and updates on all the Acts. They spend countless hours diving into legal jargon to answer business owners’ questions. Then, PEOs work alongside organizations to implement processes that assist in keeping the business compliant. They also help employees through the difficult time, with the livelihood of the business always in mind.

2. PEOs help with Paycheck Protection Program (PPP) loans through the CARES Act

Lenders are asking for historical payroll data and tax reports quickly produced by a PEO’s HRIS System. Many small businesses without HR help find these systems financially draining. Example: Needed 940/941 reporting is issued which can be sent to SBA Lender.  Also, several leading  PEO’s have supported clients with NYS Shared Loans Program.

Working with clients to understand options.

 3. Payroll Burden

Payroll administration is now a nightmare. Tracking the FFCRA emergency sick leave and expanded FMLA separately from regular sick and FMLA leave has thrown a wrench in many payroll processors’ systems. Add on any furloughed or terminated employee reporting and tracking, and now the job has doubled.

Instead, our PEO Clientsy are spending their time on mission-critical work that could make or break the business. Additionally, their payroll is processed by professionals who have the time and expertise to know the nuances of payroll and payroll tax laws with back up teams of professionals in place.

 4. Staffing Needs – On-Boarding and Terminations 

A minimum 75% of PPP loans must be spent on staffing costs.  Companies that had previously furloughed or terminated employees find they need to hire employees back. This comes with additional paperwork and many employee questions, such as whether benefits wait periods start over. 

Conversely, when businesses do need to furlough or terminate employees, the PEO is a great guide for compliance. The layoff process, COBRA,  paperwork including givernement reporting are supported. 

5. HR Excellence

Partnering with a PEO is much like gaining access to a full-service HR division, with a team of HR experts who are up-to-date with new and changing employment laws and able to identify ways to streamline your HR.

According to a report conducted by the National Association of Professional Employer Organizations (NAPEO), PEOs provide access to more HR services at a cost that is close to $450 lower per employee, compared to companies that manage their HR services in-house. 

 Studies show that businesses in a PEO arrangement grow 7-9 percent faster, have 10-14 percent lower turnover, and are 50 percent less likely to go out of business.

 6. Affordable and Better Benefits

By joining a large group risk-pool a a PEO can help employers gain access to high quality employee benefits, such as health insurance options with stable and affordable rates. Due to costs, small businesses often find high-quality employee benefits out of reach.  The savings on health insurance alone can pay for the PEO itself.  

If you’re interested in hearing more about the advantages of partnering with a PEO, we’d love to talk to you. Fill out the form below or email info@medicalsolutionscorp.com for a FREE Consultation Today!

The information provided on this website is intended for informational purposes only.  Millennium Medical Solutions Corp. does not offer legal or medical guidance.  Those with legal or medical questions should seek appropriate assistance from a licensed professional.  Stay up to date by signing up for Newsletter and Coronavirus Dashboard below.

Learn how our PEO Partnership can help your group please contact us at info@360peo.com or (855)667-4621.

Put You & Your Employees in Good Hands

Get In Touch

For more information on PEOs or a customized quote please submit your contact. We will be in touch ASAP.

Coronavirus Preparedness Plan

Coronavirus Preparedness Plan

Coronavirus Preparedness Plan

As we watch, wait and see the evolution of this Corona Virus outbreak, it is important that employers plan. This is not a situation where you want to panic should this hit your business.

What we know about the virus

Coronaviruses are an extremely common cause of colds and other upper respiratory infections. The symptoms can include a cough, possibly with a fever and shortness of breath. There are some early reports of non-respiratory symptoms, such as nausea, vomiting, or diarrhea. Many people recover within a few days. However, some people — especially the very young, elderly, or people who have a weakened immune system — may develop a more serious infection, such as bronchitis or pneumonia.

Should you worry about catching this virus?

Unless you’ve been in close contact with someone who has the coronavirus — right now, this typically means a traveler from Wuhan, China who actually has the virus — you’re likely to be safe. In the US, for example, all five cases of the virus were recent travelers to Wuhan. The CDC maintains the risk is low to Americans, however, “we need to be preparing as if this is a pandemic, but I continue to hope that it is not,” said Dr. Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases.

How can I protect myself? 

Much like prevention of the spread of any other infectious disease, basic hygiene principles are key to curbing the spread of this virus.

  • Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer that contains at least 60 percent alcohol if soap and water are not available.
  • Avoid touching your eyes, nose and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces.

Be mindful of:

  • Employee wellbeing. Monitor updates from public health officials and governments and keep employees informed and educated about the outbreak and any steps being taken to safeguard their health. Encourage employees to stay home when sick and telecommute if the outbreak worsens.
  • Travel policies. As of Monday, January 27th, the CDC has issued a stronger warning about travel, urging Americans to reconsider travel anywhere in China, issuing a stronger level 4 warning for the specific province where Wuhan is located, stating: “Do not travel to Hubei province, China” due to the coronavirus outbreak.
    The Centers for Disease Control and Prevention urges people to seek medical care right away if they had traveled to Wuhan in the past two weeks and develop a fever, cough or trouble breathing. It says older adults and people with underlying health conditions may be most at risk for severe illness from the virus.
  • Potential supply chain interruption. Identify operational and/or revenue impacts from potential disruptions to key suppliers and vendors. Also consider the possibility of sourcing good or parts from alternative suppliers.
  • Insurance coverage. Review insurance policies, prepare for potential claims, and consult your broker if you have questions.

Resource:

Please contact us for further information or if you need assistance creating a workable plan.

Contact us at (855) 667-4621 or email us at info@360peo.com

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Liability Protection     •     Employee Benefits     •     HR Consulting

 

Breaking: HIT and Cadillac Tax repealed

Breaking: HIT and Cadillac Tax repealed

BREAKING: HIT and Cadillac Tax Repealed

Congress has voted to fully repeal the Cadillac Tax and Health Insurance Tax  effective January 1, 2021. This means the Health Insurance Tax will still be in place for 2020 and will be gone in 2021.
 
Both unpopular taxes with bipartisan approval delayed the Cadillac Tax but put the Health Insurance Tax(HIT) back in for 2020 earlier this summer. See Cadillac Tax Out Health Insurance Tax (HIT) Back In. Below are summaries of these two taxes that are now fully repealed.
 

Whats is the Health Insurance Tax (HIT)?

Health Insurance Tax: This tax included in the Affordable Care Act (ACA) increased the cost of health care coverage for consumers and employers in every state. The ACA imposed a new sales tax on health insurance that started at $8 billion in 2014, increased to $14.3 billion by 2018, and continued to increase each year.
 
The HIT costing an estimated 2.5%-3% added surcharge or an estimated $500/family annually and $241 for Seniors. Website Stop The Hit calculates $5,000 as the average tax for a 10 man small business for example.
 

Whats is the Cadillac Tax?

The Cadillac Tax was to take effect in 2022 and had been twice delayed since its original inception scheduled for Jan 2014. This tax called for a 40% excise tax on the amount of the aggregate monthly premium of each primary insured individual that exceeds the year’s applicable dollar limit, which will be adjusted annually to the Consumer Price Index plus 1%.
 
The 40% excise tax applies to the cost of employer health plan coverage exceeding certain threshold amounts, which were originally set for 2018 at $10,200 for individuals or $27,500 for families.
 
 
Originally, the Cadillac Tax was pushed back by the behest of Unions to 2018 from the original proposed 2014 date. Most Unions with generous health care packages would not be complaint within that time frame. For average Gold Plans in regions such as NY, the widely unpopular Cadilac Tax would have been felt.
 
Learn more about how we are successfully helping navigate SMB for 20+ years. If you have any questions or would like additional information, please contact us at 855-667-4621 or info@360.com.

For information about transparency providers and new tech tools contact us at info@medicalsolutionscorp.com or (855)667-4621.

Put You & Your Employees in Good Hands

Get In Touch

For more information on PEOs or a customized quote please submit your contact. We will be in touch ASAP.

BREAKING: HIT and Cadillac Tax Repealed

Congress has voted to fully repeal the Cadillac Tax and Health Insurance Tax  effective January 1, 2021. This means the Health Insurance Tax will still be in place for 2020 and will be gone in 2021.
 
Both unpopular taxes with bipartisan approval delayed the Cadillac Tax but put the Health Insurance Tax(HIT) back in for 2020 earlier this summer. See Cadillac Tax Out Health Insurance Tax (HIT) Back In. Below are summaries of these two taxes that are now fully repealed.
 

Whats is the Health Insurance Tax (HIT)?

Health Insurance Tax: This tax included in the Affordable Care Act (ACA) increased the cost of health care coverage for consumers and employers in every state. The ACA imposed a new sales tax on health insurance that started at $8 billion in 2014, increased to $14.3 billion by 2018, and continued to increase each year.
 
The HIT costing an estimated 2.5%-3% added surcharge or an estimated $500/family annually and $241 for Seniors. Website Stop The Hit calculates $5,000 as the average tax for a 10 man small business for example.
 

Whats is the Cadillac Tax?

The Cadillac Tax was to take effect in 2022 and had been twice delayed since its original inception scheduled for Jan 2014. This tax called for a 40% excise tax on the amount of the aggregate monthly premium of each primary insured individual that exceeds the year’s applicable dollar limit, which will be adjusted annually to the Consumer Price Index plus 1%.
 
The 40% excise tax applies to the cost of employer health plan coverage exceeding certain threshold amounts, which were originally set for 2018 at $10,200 for individuals or $27,500 for families.
 
 
Originally, the Cadillac Tax was pushed back by the behest of Unions to 2018 from the original proposed 2014 date. Most Unions with generous health care packages would not be complaint within that time frame. For average Gold Plans in regions such as NY, the widely unpopular Cadilac Tax would have been felt.
 
Learn more about how we are successfully helping navigate SMB for 20+ years. If you have any questions or would like additional information, please contact us at 855-667-4621 or info@medicalsolutionscorp.com.

For information about transparency providers and new tech tools contact us at info@medicalsolutionscorp.com or (855)667-4621.

Put You & Your Employees in Good Hands

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For more information on PEOs or a customized quote please submit your contact. We will be in touch ASAP.

Breaking: ACA News in Texas v. U.S. Case

Breaking: ACA News in Texas v. U.S. Case

A Texas appeals court ruled yesterday that the Obamacare individual mandate unconstitutional and sends law back to lower court. 

The US of Appeals  issued its decision in the Texas v. United States case. The case challenged the constitutionality of the ACA’s individual mandate in light of the Tax Cuts and Jobs Act of 2017, which zeroed out the individual mandate penalty. The appellate court was reviewing the lower court’s ruling that found that the individual mandate, with no accompanying tax penalty, is unconstitutional and that the individual mandate is such an essential part of the ACA that the ACA cannot function without the individual mandate in place.

 

In the appellate court’s ruling, it agreed that the individual mandate is unconstitutional because it can no longer be read as a tax, and there is no other constitutional provision that justifies this exercise of congressional power. However, when reviewing whether the individual mandate could be separated from the rest of the ACA, the appellate court sent that question back to the district court to provide additional analysis of the provisions of the ACA as they currently exist that was not provided in the lower court’s previous decision.

This ruling is not final and is expected to be engaged in appeals for the next several months, which will likely culminate in a hearing before the Supreme Court. This means that the ACA continues to be the law of the land and compliance with the ACA is still being enforced. Coverage for the 2020 plan year remains unaffected by the ruling.

If you have questions about the impact of this ruling, contact info@360peo.com.

Learn how our PEO Partnership can help your group please contact us at info@360peo.com or (855)667-4621.

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For more information on PEOs or a custiomized quote please submit your contact. We will be in touch ASAP. 

2018 Medicare Infographic

2018 Medicare Infographic

What You Need to Know About Medicare 2018 Infographic

2018 medicare InfographicThis timely infographic walks seniors through the differences between traditional Medicare and Medicare Advantage vs. Supplement Plans + a helpful plain English glossary.

Open Enrollment ends Dec 7, 2017, for Jan 1, 2018 effective date. Enroll by phone advantage at (855) 667-4621.

2018 Medicare Open Enrollment is Here

We are certified and appointed to sell senior plans with leading health insurers in order to help people in New York currently enrolled in Medicare or those who are aging into Medicare (turning 65) with a wide variety of options. Some of these are Medicare Advantage (HMO, PPO), supplement plans, and Part “D” prescription plans (PDP,s).

There are also some special enrollment periods (SEP) available to individuals under certain conditions. The Annual Enrollment Period (AEP) for Medicare is October 15 to December 7 this year. Those currently on Medicare can shop around and switch their plans at this time. The initial enrollment period (IEP) of 7 months. This is from 3 months prior to your 65th birthday, the month of your birthday, and the 3 months following your birth month.
It is wise to contact an expert to help you find the coverage that best suits you during these enrollment periods. You can call or email us at any time for comprehensive, “no pressure” advice.

Resource:

Medicare Supplement Plans

Medicare Advantage 

Getting Extra Help with Medicare Expenses

Medicare FAQ

Dates to Remember

October 1

You can start getting plan information for 2018 premiums and benefits.

October 15 — December 7

This is the Annual Election Period (AEP). During this time, you can make changes to your existing Medicare health or prescription drug plan or select a new plan for 2018.

January 1 — February 14

This is the Medicare Advantage Disenrollment Period. During this time, you can prospectively disenroll from your Medicare Advantage (MA) plan and return to Original Medicare.

If you are turning 65:

– If you aren’t getting Social Security (for instance, because you are still working), you will need to sign up for Medicare benefits. You should contact Social Security three months before you turn age 65.
– You can enroll in a Medicare plan starting three months before the month of your 65th birthday, the month of your birthday, and for up to three months after your 65th birthday, for a total period of seven months.

 Contact Us Now    Learn how our Agency is helping businesses thrive in today’s economy. Please contact us at info@360peo.com or (855)667-4621. 
 
ROI of a PEO 2019

ROI of a PEO 2019

The ROI on a PEO is 27.2% according to a new 2019 study released today by the National Association of Professional Employer Organizations (NAPEO) .

The new report focused solely on costs and calculated savings for PEO clients in five HR-related areas:

  • HR personnel costs
  • Health benefits
  • Workers’ compensation
  • Unemployment insurance (UI)
  • Other external expenditures in areas related directly to HR services (payroll, benefits, etc.)

An annual per employee savings of $1,775 is reached according to the study. Notable findings are lower employee turnover, higher rates of both employee and revenue growth, and enhanced employee benefit offerings.

PEOs provide HR, payroll, benefits, workers’ comp, and regulatory compliance assistance to small and mid-sized companies. By providing these services, PEOs help businesses improve productivity, increase profitability, and focus on their core mission. Through PEOs, the employees of small businesses gain access to employee benefits such as 401(k) plans; health, dental, life, and other insurance; dependent care; and other benefits typically provided by large companies. A copy of the full study is available here.    

Put You & Your Employees in Good Hands

Get In Touch

For more information on PEOs or a custiomized quote please submit your contact. We will be in touch ASAP. 

7 Ways Small Businesses Benefit from a PEO

7 Ways Small Businesses Benefit from a PEO

The number of small and medium-sized employers using professional employer organizations (PEO) continues to increase each year. Often, it is thought that the growth of the PEO industry is due mainly to the benefits business owners see from this partnership. However, owners aren’t the only ones who gain from working with a PEO. 

Small business employees, too, stand to benefit from the services and solutions offered by PEOs today. Let’s take a look at a few examples of the positive outcomes that small business workers see when their employer works with a PEO.

1. Better Benefits 

One of the most well-known advantages to using a PEO is gaining improved, modern benefits and perks. And while better benefits help employers retain and recruit talent, these enhanced perks often provide even greater for employees.

When working with a PEO, employees are given access to a wide-variety of personalized benefits, including:

  • Health insurance
  • Retirement benefits
  • Voluntary benefits (pet insurance, identity theft protection, financial and legal programs, telehealth programs, etc.)
  • Complimentary benefits (discount programs, employee assistance programs, etc.)

By having solid HR policies, a comprehensive benefit package, and employee perks, you are able to create a safe and happy workplace that helps you attract quality employees and retain them to reduce the cost of turnover.

2. Workers’ Compensation Savings

Over the last few years, the workers’ compensation market has gotten a lot tougher for business owners. PEOs help businesses secure competitive rates for workers’ compensation insurance. That can sometimes be challenging for start-up companies, companies with past losses or those with high-risk jobs. PEOs have flexible workers’ compensation programs with more affordable rates than stand-alone policies and staff who help manage the cost of claims, coordinate return-to-work programs and recommend safety training

In most cases, it will be a more cost effective option than the traditional market can offer. We can also include Employment Practices Liability insurance which covers lawsuits arising from wrongful termination, discrimination, and sexual harassment. Issues that are becoming more common in today’s workplace. 

3. Solve HR Issues  

Federal, state and local regulations related to HR are more voluminous and complex than ever. Most businesses don’t have the staff for the in-depth subject matter expertise needed to adequately navigate wage and hour regulations and ensure compliance with the full range of employment and tax laws. When small and mid-sized businesses work with a PEO, they get a team of compliance experts who stay current with all the rules and regulations that apply to employers. 

A PEO also helps manage HR risk by helping clients:

  • Create an employee handbook to include anti-discrimination and harassment policies
  • Familiarize themselves with wage and hour laws
  • Pay employees in accordance with the law
  • Pay employees in a timely manner 

4. Compliance Relief 

PEOs are responsible for staying up-to-date on the latest federal and state labor laws and  regulations. This not only saves you time, but also the frustration that comes with trying to make sense of and implement many of these changes. 

By staying up-to-date on these changes, you can avoid hefty fines and disgruntled employees.

5. Modern HR Tech

 This desire for modern technology has also become an expectation for HR tasks that employees are asked to perform, such as requesting PTO, going through benefit enrollment, and submitted their hours.

The majority of PEOs offer their clients the kind of HR tech that employees want and need. Some even have mobile apps that make tasks as simple as possible for employees!

And most PEOs, through their HR technology, can offer small business employees learning and development programs and software that much larger organizations use.

A great HRIS System is fundamental today. By meeting employee expectations, employers help boost the happiness and ultimately retention of their workforce.

6. Employee Happiness

 Enhanced benefits, robust learning and development programs, and easy-to-use, modern technology all help to boost the employee experience.

 For employees, increased happiness makes their connection to their work and employer greater. And for employers, happy employees mean improved productivity and lesser chance of turnover – studies from the National Association of Professional Employer Organizations (NAPEO) have shown that PEOs help their clients reduce turnover by 10% to 14%.

 A happier workplace and workforce are good outcomes for everyone and working with a PEO can help achieve these goals!

7. Competitive Business and Personal PEO Insurance Quotes 

360PEO can also provide competitive quotes on all of your personal insurance needs. We work with several industry partners to help clients find coverage for many commercial lines of insurance, such as Group Long Term Care Insurance, Executive Benefits, General Liability, Property, and Commercial Auto.

 We also offer personal lines insurance such as renter’s policies, home insurance, and life insurance.  

 

Learn how our PEO Partnership can help your group please contact us at info@360peo.com or (855)667-4621.

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NYS 2020 Final Rates Approved

NYS 2020 Final Rates Approved

NYS has approved 2020 health inusrance rate requests today.   Small group rates increase 7.9% and 6.8 8.6% for individuals.

As per NY State Law, Health Insurers are required to send out early notices of rate request filings to groups and subscribers see original –NYS 2020 Rate Requests.  Despite only 3 months of mature claims data experience for 2019  health insurers’ original requests were noticeably below average.  Ultimately NYS reduced this request substantially by approximately 55%.

The 2020 small group rate increase was in line at 7.9% vs  2019’s approval of  7.5%. This reflect a stabilizing ACA market. Insurers’ financial performance improved nationwide last year to its highest level since the passage of the law. The average medical-loss ratio, which represents the portion of premiums spent on medical claims and quality improvement, was 70% last year in the individual market nationwide. That led to plans paying $800 million in rebates for failing to meet requirements on medical spending, according to the Kaiser Family Foundation.

Rate Factors

The state noted that premiums increases  main driver are medications.  “The drug costs account for the largest share of medical expenses, followed by inpatient hospital costs, and outpatient hospital costs.”

More than one million New Yorkers are enrolled in small group plans, which cover employers with 1 to 100 employees. Insurers requested an average rate increase of 12.2% in the small group market.  DFS cut the weighted average requested rate increases by 4.3 percentage points, or 35%, from 12.2% to 7.9% for 2020, saving small businesses over $313 million. The federal ACA Health Insurance Tax, which was reimposed for 2020, accounts for approximately 3% of these rates.  Without this tax, the increase would have been 4.7%. A number of small businesses will also be eligible for tax credits that may lower those premium costs even further.

Health Insurance Tax is Back

The HIT (Health Insurance Tax) is back.  For Small business, this translates to an estimated 2.5%-3% added surcharge. For States like NYS where there is already approx. 16% added surcharge to high premiums, this becomes daunting.  It is no surprise the unpopular HIT was suspended. In 2017, payers escaped making $13.9 billion in payments due to the moratorium, according to a 2018 analysis by Oliver Wyman, commissioned by UnitedHealth Group.  This may have saved consumers billions on their insurance coverage.“The taxes on health insurance are non-deductible for federal tax purposes for health insurers,” the report explained.

Website Stop The Hit calculates $5,000 as the average tax for a 10-man small business for example.Calculates how the HIT affects your State and your business, here. Take action now: tell Congress to repeal the HIT! Join small business owners across the country in stopping the HIT. Sign the petition here.

Small Group Market

Learn how our PEO Partnership can help your group please contact us at info@360peo.com or (855)667-4621.

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PEO – What are the stats?

PEO – What are the stats?

PEO - What are the stats? Industry statistics.
  • The 3.7 million Worksite Employees employed by PEOs earned a total of $176 billion.
  • They represent 15 percent of all employment by private sector employers that have 10 to 99 employees (chosen because this is the size range of most PEO clients) and 2.4 percent of civilian employment in the United States.
  • Between 2008 and 2017, the number of worksite employees employed in the PEO industry grew at a compounded annual rate of 8.3 percent. This is roughly 14 times higher than the compounded annual growth rate of employment in the economy overall during the same period.
  • The total employment represented by the PEO industry is roughly the same as the combined number of employees for Walmart (United States only), Amazon, IBM, FedEx, Starbucks, AT&T, Wells Fargo, Apple, and Google. Those companies include the two largest retailers, the largest technology company, the largest transportation company, the largest telecommunications provider, the largest financial services firm, the largest specialty restaurant chain, plus the two most highly valued firms in the world based on stock market valuation.
Key Findings
  • Businesses in a PEO arrangement grow 7-9 percent faster, have 10-14 percent lower turnover, and are 50 percent less likely to go out of business.
  • PEOs are able to offer a broad array of HR services at a lower cost, and offer access to retirement plans to small businesses that may not otherwise sponsor them.
  • PEOs provide services to 175,000 small and mid-sized businesses, employing 3.7 million people.
  • There are 907 PEOs in the U.S.
  • Administrative costs are around $450 lower per employee for businesses that use a PEO.
 
What is Co-Emplyment

The PEO relationship involves a contractual allocation and sharing of certain employer responsibilities between the PEO and the client, as delineated in a contract typically called a client service agreement (CSA).

For the obligations a PEO agrees to take on with respect to its clients, the PEO assumes specific employer rights, responsibilities, and risks through the establishment and maintenance of a relationship with the workers of the client. More specifically, a PEO establishes a contractual relationship with its clients whereby the PEO:

  • May assume certain employment responsibilities for specified purposes regarding the workers at the client locations.

  • May reserve a right of direction and control of the employees with respect to particular matters.
  • Shares or allocates employment responsibilities with the client in a manner consistent with the client maintaining its responsibility for its product or service.
  • Remits wages and withholdings of the client’s workers.
  • Issues Form W-2s for the compensation paid under its Employer Identification Number.
  • Reports, collects and deposits employment taxes with local, state and federal authorities.

 

A PEO provides integrated services to effectively manage critical human resource responsibilities and employer risks for clients. A PEO delivers these services by establishing relationships with the client’s employees and administering certain employer rights, responsibilities, and risks as agreed with the client.

 

The roles of the PEO and the client depend upon the facts and circumstances of each relationship — that is, each obligation should be examined individually as employment responsibilities are assigned in the parties’ CSA.  Each party will be responsible for certain obligations of employment, while both parties might share responsibility for other obligations and be “an” employer, but neither party is “the” employer for all purposes.

 

Both the PEO and the client company establish a relationship with worksite employees. The PEO might engage with worksite employees with respect to specific matters involving human resource management and compliance with employment requirements, while the client company directs and controls worksite employees in the client’s day-to-day operations as well as the manufacturing, production, and delivery of its products and services.

 

The client company provides worksite employees with the tools, instruments, and places to work. Some PEOs provide assistance and suggestions to clients when it comes to offering worksite employees a workplace that is safe, conducive to productivity and operated with best practices with employment rules and regulations.  Additionally, the PEO assists clients and worksite employees with workers’ compensation insurance and a broad range of employee benefits programs.

 

PEOs create a real relationship with worksite employees over certain matters. This relationship exists in fact, not just in form. PEOs often assist with the risks attendant to the personnel functions of the worksite employees. PEOs manage liabilities by monitoring new employment trends and requirements and developing policies and procedures for their clients and the worksite employees, as stated in the client service agreement.  

*information provided by NAPEO An Economic Analysis: The PEO Industry Footprint in 2018 Whitepaper. https://www.napeo.org/

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Cadillac Tax Out Health Insurance Tax (HIT) Back In

Cadillac Tax Out Health Insurance Tax (HIT) Back In

Last week the House voted the unpopular Obamacare Cadillac Tax to be permanently repealed 419-6. However, much like a bad cold, the Health Insurance Tax (the HIT) is back for 2020. Website Stop The Hit calculates $5,000 as the average tax for a 10 man small business for example.

Who’s affected?

No one escapes the $16 billion HIT. The return of the Health Insurance Tax (HIT) means higher costs and fewer jobs for hardworking Americans. Absent immediate Congressional action to delay the HIT, small businesses and families will face $500 on average in higher premiums for 2020. To make matters worse, the increased cost burden on small businesses from the HIT could result in the U.S. workforce being reduced by 152,000 to 286,000 jobs over a decade. Te HIT is projected to increase premiums for seniors by $241.

How much for 2020?

For Small business, this translates to an estimated 2.5%-3% added surcharge. For States like NYS where there is already approx. 16% added surcharge to high premiums, this becomes daunting.  It is no surprise the unpopular HIT was suspended. In 2017, payers escaped making $13.9 billion in payments due to the moratorium, according to a 2018 analysis by Oliver Wyman, commissioned by UnitedHealth Group.  This may have saved consumers billions on their insurance coverage.“The taxes on health insurance are non-deductible for federal tax purposes for health insurers,” the report explained.

In some states, such as Vermont, the price of insurance would have more than quadrupled. The payer trade group published a fact sheet on this. “Allowing a tax to resume in 2020 valued at an annual level of $16 billion, would saddle individual market consumers, small businesses, state Medicaid programs, and Medicare Advantage enrollees with higher health care costs,

Can this be repealed?

Relief from the health insurance tax would result in real savings to the American people. We strongly urge Congress to provide an additional two-year suspension of the health insurance tax by passing H.R. 1398.

Learn more about how we are successfully helping navigate SMB for 20+ years. If you have any questions or would like additional information, please contact us at 855-667-4621 or info@360PEO.com.

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Top Five Employee Wellness Program for 2019

Top Five Employee Wellness Program for 2019

All businesses today are aware that a healthy workforce translates to a happier and more productive employees.  Nearly a quarter of participants in SHRM’s latest benefits survey plan to increase their Health & Wellness benefits, whose percentage was a higher than other categories such as professional and career development, flexible work schedules, retirement and family-friendly policies. One unusual offering, workstations that allow people to stand, soared to 44% from just 13% in 2013 when the data was first tracked.

Helping your employees strive towards physical, emotional, mental, and even spiritual well-being can lead to increased productivity and employee longevity. But how can you offer wellness programs that your employees will actually use and find beneficial? There’s no one size fits all solution, and the best way to get started is to invite employee input. Need some inspiration? Here are 5 employee wellness programs that might be the right fit for your company this coming year:

1. Online Wellness/Health Screening

Did you know many health nurses today pay your employees to take an online health risk assessment? Covered members receive a lump sum benefit payment once a year if they complete certain health-related activities (i.e. routine screenings, programs like smoking cessation and weight reduction, and more). Payment options range from $50 to $150. Empire Blue Cross, for example, pays up to $300 for this including smoking cessation online questionnaire and a flu vaccination.

2. Gym Reimbursements

You might not be able to build a gym at the office, but that doesn’t mean you can’t take advantage of your neighborhood businesses. Did you know most health care compare today offer up to $400 annual gym reimbursement? Most include a $200 spousal gym reimbursement as well.

3. Start a Walking Group

This solution is easy, free, and can be employee-driven. Failing to take breaks leads to burnout and eventually employee resentment. Encourage employees to take frequent breaks, but not just to the break room for more artificial lighting and a caffeine boost. Rally eager employees to lead morning, lunch, and/or after-work walking groups. The fresh air is energizing, boosts creativity, and helps feed social wellness needs, too.

4. Create a Healthy Challenge That Isn’t Based on Numbers

Although some businesses have success with Biggest Loser-style in-office challenges, it can also trigger disordered eating. Instead of focusing on numbers, focus on more subjective goals—like how many consecutive days fresh, local fresh vegetables can be part of a lunch. Kicking off these challenges with a brief intro to the importance of a healthy diet for life can help employees re-think their choices.

5. Seek Help from Outside Resources

There are several organizations that employers can turn to for information, research and guidance on wellness programs. Below are just a few for you to explore for helpful ideas on how to develop a culture of health in your organization.

HERO is a national non-profit dedicated to identifying and sharing best practices in the field of workplace health and well-being (HWB). Their mission is to improve the health and well-being of workers, their spouses, dependents and retirees. Check out the wealth of information on their site, including research studies and a blog.

The Health Project is a tax-exempt not-for-profit corporation formed to bring about critical attitudinal and behavioral changes in addressing the health and well-being of Americans. The Health Project focuses on improving personal health care practices and supporting population health by reaching adults where they spend most of their waking hours: at work. Many organizations have adopted health promotion (wellness) programs that encourage good health habits and improved understanding of how individual workers and their families can more effectively use health services.

Harvard Health Newsletters are free newsletters targeted to individuals with the purpose of providing educational information to help them invest in their own health or the health of their families.

quarterly wellness newlstter

CLICK HERE

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IRS Extends ACA Reporting Deadline for Forms 1095 to Individuals

IRS Extends ACA Reporting Deadline for Forms 1095 to Individuals

Breaking:  IRS released Notice extending the due dates for the 2018 inf2018 1095-B Extensionormation reporting requirements for employers to furnish information on returns and statements regarding minimum essential coverage provided to individuals.

Specifically, the notice extends the due date for furnishing the following to individuals: the 2018 Form 1095-B, Health Coverage, and the 2018 Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, from January 31, 2019 to March 4, 2019.

Lastly, IRS extends the good-faith relief in Notice 2016-70 that applied to filings in 2015 to 2016 and 2017 and now to 2018. This relief applies to missing and inaccurate taxpayer identification numbers and dates of birth, as well as other information required on the return or statement.
To show good faith efforts to qualify for this relief, filers must meet applicable deadlines. However, IRS recognizes that late filers may still be able avoid penalties by showing reasonable cause for missing the due dates.

Contact Us Now   Sign up for compliance alerts.  Learn how our Agency is helping businesses thrive in today’s economy. Please contact us at info@360PEO.com or (855)667-4621. 

The information provided herein is not written or intended as tax or legal advice and may not be relied on for purposes of avoiding any federal tax penalties. Entities or persons distributing this information are not authorized to give tax or legal advice. Individuals are encouraged to seek specific advice from their personal tax or legal counsel.

2019 NYS Paid Family Leave Rate Increase

2019 NYS Paid Family Leave Rate Increase

2019 NYS Paid Family Leave Rate Increase

The New York State Department of Financial Services (DFS) announced the updated Paid Family Leave premium rate and covered payroll limit for 2019. The NY DFS publishes a new employee contribution rate and wage cap each September 1st for the upcoming year to accommodate the graduation of benefits in from 2018 to 2021.

The following chart can be used to help explain these changes to your employees:

YearMax Annual Covered PayrollPremium
Rate
Maximum Annual EE ContributionBenefit %Max Weekly BenefitBenefit Duration
2018$67,908.00126$85.5650%$652.968 Weeks
2019$70,570*.00153$107.9755%$746.4110 Weeks

HOW TO CALCULATE CONTRIBUTIONS?

• EMPLOYEE EARNING: $200,000 OR $3,846.15 WEEKLY WAGE.153% x $3.846.15 = $5.88 (Paid up after 19 weeks) * 

• EMPLOYEE EARNING: $100,000 OR $1,923.07 WEEKLY WAGE.153% x $1,923.07 = $2.94 (Paid up after 37 weeks) *

• EMPLOYEE EARNING: $70,569 OR $1,357.10 WEEKLY WAGE.153% x $1,357.10 = $2.08 (Paid up after 52 weeks) *

• EMPLOYEE EARNING: $38,812.80 OR $746.40 WEEKLY WAGE.153% x $746.40 = $1.14 (Paid up after 52 weeks) *

Note: Employers may not collect contributions in excess of $107.97
* Such employee will have satisfied their maximum annual contribution

Red Full NYS Document

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Time Savers Using HR and Benefits Technologies

Time Savers Using HR and Benefits Technologies

Time Savers Using HR and Benefits Technologies

Almost every HR administrator I’ve talked to says that managing benefits and HR can be time-consuming and error-prone. We believe this can be solved with the combined power of the broker and technology. Together, they provide a flexible, customizable HR and benefits technology solution that helps employers save time, reduce errors, and increase employee engagement.

Take on-boarding as an example. Employee Onboarding is an important HR function that directly impacts the engagement levels of new employees in the first few days. That’s why it is no longer treated as just another administration input. At the employer end, it makes sense to invest in an extended and intensive employee onboarding program. This is because, hiring a person involves a lot of contingent costs, and it is best that an employee once hired is retained for the long term. Research shows that employees have a higher chance of leaving the organization within the first 18 months. An effective new employee onboarding program can prevent just that, saving your company time, cost, and other expensive resources. An onboarding program can thus go a long way in improving the efficiency of hiring.

An Introduction to EaseCentral 

Our clients are benefiting of going paperless with SF-based tech partner, Easecentral. As a leading provider of HR and benefits software, EaseCentral understands that the thought of changing your benefits enrollment process can be overwhelming. But if working with more than 1,000 insurance agencies and 40,000 businesses has taught us anything, it’s that switching to online enrollment is worth it. 

“We believe that an electronic trail is better than a paper trail”

In the words of our cleinst  “We believe that an electronic trail is better than a paper trail”. For most clinets under 50 employees a full HRIS system can get punishingly expensive.A leading payroll company charges all incluisve package for $45/month. This pricey journey of HR and benefits technolog can be a turn-off. When we asked our clients if they were interested in an affordable online enrollment that that works with underlying insurance managed by us and payroll the answer is invariably “thats a no brainer”.

After we introduced EaseCentral, it did not take very long to acclimate to using the system. Our Agency help clients with the initial setup. With inutitive system clients hit the ground running. Employees do not need a lot of help either.  In 2016, the first year we used EaseCentral had been successful. We walked employees through how to use EaseCentral. Soon after, they experienced their first open enrollment with technology and without paper.

HR and Benefits Technology in Action

Joe, our long time client and partner of a successful NYC Law Firm  told me that he benefited the most from EaseCentral during open enrollment.  “I have saved a significant amount of time managing documents, filing forms and no longer have to worry about where it all is”. 

Before online enrollment, Joe used a manual checklist to keep track of all of the documentation and paperwork. “With EaseCentral’s HR and benefits technology, I save about 20 hours of work during open enrollment due to online submission of insurance forms. Additionally, each employee at Cyber Advisor saves at least one hour,” said Joe.

Joe also touched on the value of using EaseCentral for new hires’ benefits enrollment. “Not only does the system save me two hours of work per new employee, but my employees appreciate the flexibility the system gives them when choosing their benefits,” he said. This flexibility includes being able to determine what the plan is and what it will cost and viewing and enrolling in benefits at home with dependents.

How Employees Use It

 

 

 

 

 

 

1.First, employees are presented with only the benefit plans they are eligible for.

2.Employees can enroll in all benefit types, including short-term and long-termdisability, HSAs, and telemedicine.

3.Each benefit plan includes in-depth summaries that provide deductible amounts and co-pays. If carriers have educational content like videos, employees can view those inside EaseCentral too.

4.Employees can view side-by-side plan comparisons with the cost per pay period to help them determine which plan brings them and their family the most value. 

5.EaseCentral also provides the accurate cost to the employee of each benefit plan they’re eligible for, and takes into account factors like dependents. Because this process is completed entirely online, employees can share these details with their dependents at home if they choose to.

ONLINE ENROLLMENT TECHNOLOGY

The benefits of online enrollment continue to make waves for businesses across the nation. Research shows that nearly 8 million businesses will be moving their benefits and HR processes online by 2024.Businesses across the country are increasingly adopting online enrollment software. These are some of the ways, using both technology and a personal touch, you can create a whole world of difference for the new employee. It is about engaging them during their initial time in order to create a sense of belonging and loyalty to the organization so that they remain in the company for a long time to come.

Are you interested in more information on expereincing 21st century HR, Payroll and Benefits Tech integrations? Please join us for Weekly Demo on Thursdays 4PM EST.  

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2018 Top Employee Benefits and Perks

2018 Top Employee Benefits and Perks

2018 Top Employee Benefits and Perks

This article was originally published on the BambooHR blog.At BambooHR, we believe in people.

We believe that the most valuable resources an organization has are its human resources. And we believe in showing employees how valuable they are to the organization. That’s why we encourage offering valuable benefits and perks to employees, and it’s why we have created a culture of appreciation within our own company.

Learn More About Our Compensation Software

It’s a philosophy that’s not necessarily new—the idea that employees who are treated better perform better—but it’s starting to gain momentum in the professional world. Around the world, companies are beginning to realize that offering major benefits like flexible work schedules, unlimited PTO, and unique perks like a vacation reimbursement program can do wonders for morale and productivity.

Unfortunately, despite the growing body of evidence in favor of this philosophy, many employers are still skeptical and reluctant to offer much beyond a steady paycheck. To help convince naysayers that pampering employees promotes productivity, we asked industry professionals about their experiences with offering benefits and perks. The response was overwhelming, and each CEO, COO, and HR professional that responded was in favor of them.

Here, we share with you their insights, experiences and advice. We hope it will inspire you to go and do likewise. It’s our firm belief that as you use benefits and perks to show your workforce that their contributions are appreciated and that they are valued as individuals, you will see engagement levels increase, retention rates improve, and your organization will become more attractive to prospective employees.

The Impact of Benefits and Perks on Employee Engagement and Retention

It’s been a decade since the 2008 economic recession, and as the economy continues to recover, it’s increasingly an employee’s market. This is a fact that’s not lost on those in charge of hiring and retaining employees. Patrick Colvin, Strategic HR Business Partner at the USA Today Network, put it this way:

“Due to the improved economic and job market conditions, the advantage has shifted from the employer to the job seeker, and organizations need to recognize the correlation between benefits and employee retention. In today’s hiring market, a generous benefits package is essential for engaging and retaining your talent.”

It’s becoming harder and harder for employers to ignore: the healthier the job market, the easier it is for employees to jump ship when they find something better. Attracting and keeping employees takes offering them a position at a company where their work is seen as a valuable contribution.

“Benefits and perks are a huge part of employee engagement and retention,” says Mary Pharris of Fairygodboss. “For companies to attract top talent and retain them, competitive benefit packages are essential. Employees rely on a variety of benefits from employers, so making sure you’re offering competitive and desired benefits will help you in attracting talent.”

While not everyone agrees that attracting talent is the goal of perks and benefits, the belief in its power to boost engagement and retention is both ubiquitous and unanimous. “While benefits are not a large driver of talent acquisition,” says Jody Ordioni, Founder of Brandemix, “they have a tremendous positive impact on engagement and retention, especially now that millennials represent 30+ percent of today’s workforce.”

Most importantly, offering a generous benefits package has a non-trivial impact, observable by many businesses. According to Lee Fisher, HR manager at Blinds Direct,  “For us, these perks are tremendously important, from the moment an applicant sees a job ad and applies for a job here. Five or six years down the line, employee benefits continue to play a major role in keeping our valuable team members happy.”

Five or six years down the line, employee benefits continue to play a major role in keeping our valuable team members happy.Click To Tweet

It seems every company that’s putting this philosophy into practice is noticing a difference. “Company benefits play a huge role in employee retention,” says Steve Pritchard, founder of Cuuver. “It’s a two-way street; if an employer is flexible and offers great benefits, staff are generally more likely to want to stay working for them and appreciate the perks they are being offered that they may not get at another company.”

Is There a Downside to Benefits and Perks?

Finding Balance

Despite the growing evidence, some businesses are still skeptical. The high price of some benefits may intimidate a cost-conscious professional. Some even believe their workforce can’t be trusted with the freedom and responsibility of benefits like flexible work schedules. Some don’t think they need or deserve such luxuries.

Giving people more stuff won’t make them happier, but perks that support the company’s values, mission, and purpose will.Click To Tweet

It may even be a simple lack of thinking outside the box on the part of the employer. Whatever the reason, each employer may be overlooking an important fact—that without their team, they don’t have a business. Benefits and perks are investments in your workforce, and they pay dividends in the form of loyalty and dedication to the company. Lisa Oyler, HR director at Access Perks, agrees:

We always say that no company has ever suffered from trying to be more empathetic to their customers and employees. The cost and effort are worth it when you consider the huge advantages of employee engagement and retention and the costs of turnover and disengagement.

Stretching-Woman

Steve Pritchard of Cuuver put it this way:

In my experience, employees are very appreciative of the perks they are given and do not abuse them. I can’t say this will be the same in every business, but because these benefits are there to make them happier, employees generally make the most of them and perform better. Some companies believe that having strict rules and no extra benefits is the way to go – which is why they don’t hold on to their best staff members for very long.

There are several strategies—which can be implemented simultaneously—for achieving a balance between keeping costs in check and offering a generous benefits package.

Mollie Delp, HR specialist at Workshop Digital proposes one way: “Everyone has to be mindful that you still have to get your work done and that client needs will always come first.”

Wayne Sleight, COO of 97th Floor proposes another strategy: “Giving people more stuff won’t make them happier, but perks that support the company’s values, mission, and purpose will.”

Lisa Oyler offers us a third reason: “And as long as managers are setting clear expectations for employees, there shouldn’t be many issues with over-abuse of benefits. After all, benefits are only going to pay off for the company when employees use them.”

Obstacles on the Path

Even if you decide that your employees are worth the investment, there are hurdles to clear on the road to successfully implementing your benefits and perks. The biggest is friction between the previous company culture and the new policies, as pointed out by Jody Ordioni, founder of Brandemix:

The one negative I’ve become aware of is when managers aren’t on board with the benefits culture; i.e. if an organization encourages remote work but one’s manager requires all employees to be on-site, it creates a culture of resentment which could have an opposite effect from the desired results.

Matt Bentley, Founder of CanIRank echoes the sentiment: “If you are the type of Manager that…[is] more suited to micromanaging, then a flexible work environment may not be suited to you as you will naturally feel you need to double check what all of your staff are doing day-to-day.”

That’s not the only way managers and directors can undermine the positive aspects of employee benefits. Half-hearted commitment can be just as detrimental as outright opposition. In the words of Robin Schwartz, managing partner of MFG Jobs: “Before offering a new benefit or perk, it’s important to ensure that your organization has the means to make it permanent. The downside of introducing new perks is seeing them be taken away because they cost more than expected or just weren’t sustainable.”

In the end, if the benefits and perks are carefully planned and strategically implemented, the rewards will outweigh the costs.

The Most Effective Benefits and Perks

So what benefits and perks you should be offering? Which ones give you the highest return on investment? We think Patrick Colvin’s take sums it up best:

“The fact of the matter is, after health insurance, the most desirable perks and benefits are those that offer flexibility while improving work-life balance.”

Flexible Work Schedule/Telecommuting

By far the most ubiquitous, popular, and highly recommended benefit among business owners and management teams was a flexible work schedule (usually including telecommuting & work-from-home options). This is largely due to the much-discussed “work-life balance.” Michelle Hayward, CEO, and Founder of Bluedog Design thinks that flexible work schedules should see even more use:

The most under-appreciated and under-utilized perk in a modern workplace is flexibility. With accountability to the team in mind, employees are empowered to make decisions to attend a child’s school performance or to work from home when life happens or plan flex hours to make a commute less stressful.

Robin Schwartz agrees:

Flexible work schedules! Being able to occasionally work remotely as well as being able to shift hours that best fit an employee’s life and job goes a really long way in keeping employees happy and [maintaining] engagement. Knowing they are encouraged to balance their work and life is a great perk.

The most under-appreciated and under-utilized perk in a modern workplace is flexibility. Click To Tweet

Matt Bentley firmly believes in the value of “no office and no fixed schedule. If people want to go snowboarding on a Monday morning, they can. Encouraging a healthy work-life balance is still the most appreciated perk.” So does Amanda J. Ponzar, Chief Marketing Officer at Community Health Charities: “For employees to bring their best selves to work and perform, they need flexibility to enjoy outside interests and family, truly integrating work and life.” Dana Case, Director of Operations at MyCorporation.comdoes as well:

I find that one of the most desirable employee perks is being able to provide flexible scheduling options to all of your team members…By accommodating the scheduling needs of your team members and their personal lives, you’ll see how much they feel appreciated and are motivated to work hard for the business.

Mary Pharris sees it as a must for working women, one with fewer and fewer excuses not to implement:

From our research, we know that women’s job satisfaction is directly related to job flexibility. More and more employees are wanting flexible work environments. In large part, I think this is because life isn’t confined to the hours before or after work. Employees want the option to take care both of personal and professional responsibilities on their own terms, and with so much technology to make working remotely easy, it’s increasingly easier for employees to satisfy this.

Far from stifling or inhibiting productivity, this benefit seems to enhance it, according to our responders. Lee Fisher puts it this way:

We’ve come to realize that flexible-working is one of the biggest benefits for our staff. When we give our team the option to adapt their hours and work locations, they appreciate our flexibility and in turn produce even better results. It’s a simple perk, but a seriously important one.

It also enables your team to be productive no matter where they are in the world, and no matter how scattered each member may be. Michael Hollauf, CEO and Co-Founder of Meister Task is a staunch proponent of digital collaboration, stating:

We’ve also enabled flexible working, encouraging employees to work from wherever they work best. To allow this, we encourage all team members to be available on Slack during working hours and track their tasks in our task management tool, so that all team members can stay in the loop with project progress, even when working across different locations.

So if your work doesn’t physically require the team’s presence in order to be completed, strongly consider offering them the flexibility to do the work on their own terms.

Generous/Unlimited Vacation

A close second to flexible work schedules is loosening the reins on PTO. Many employers keep a tight grip on both vacation days and personal leave (in some cases verbally or culturally discouraging the use of even those days that are permissible by company policy). According to the experts who responded, this is a serious mistake. Not only does this create a serious liability in the form of unused PTO, it tends to result in team members experiencing burnout and, frequently, leaving the company for more favorable employment.

When asked what one benefit he would most recommend, Steve Pritchard answered:

A generous amount of time off. Giving employees plenty of opportunities to pursue their personal passions and unwind from work can go a long way towards improving their performance when they are at work. This ensures they don’t become frustrated with the lack of ability to take more than one vacation a year or take a few long weekends.

He wasn’t the only one. Mollie Delp concurred, saying:

Unlimited Vacation – to give the team the flexibility and reassurance that they can feel comfortable taking time off without penalty goes a long way. They don’t have to stress over a random Friday or afternoon where they need to be somewhere else (for themselves or family) and how it will overall effect their time off at the end of the year. One of our core values is to be empowered to be awesome in work and life, and we want to be sure our team knows we stand behind this, and that they have the flexibility to take care of their life and those around them when needed.

So did Patrick Colvin:

If I could recommend a single perk for employees, it would be flexible or unlimited vacation time. This perk shifts the focus from employees just putting in hours to placing an emphasis on production and great results. It allows employees to take ownership causing them to consider what’s best for both themselves as well as the organization. Most importantly it sends an important message to employees and prospective employees about the company culture and values.

The key, however, seems to be making sure your team knows that when you say “take some time for yourself,” that you really mean it. Lisa Oyler put it this way:

“Give employees plenty of time off to reboot and spend quality time with their families – but also set clear expectations that [they] don’t need to have their phones out or be ready to take a work call. Let them unplug!”

Incentives/Gamification

Another great way to increase engagement is through prizes, bonuses, awards and other incentives. Turning work into a competition or game can motivate your team to do their best. It even works internationally, according to Christian Rennella, VP of HR & CoFounder of elMejorTrato.com:

“After 9 years of hard work and having gone from 0 to 134 employees, I can assure you that the best strategy is ‘gamification’…Thanks to this gamification we were able to improve our retention by 31.1 percent.”

It doesn’t have to be elaborate, though. Even simple rewards for hard work can do the trick. Nate Masterson, HR manager for Maple Holistics told us:

Business managers who utilize incentives will often see that extra push once there are valuable items and experiences on the line. For instance, some companies offer a round of golf, 5-star brunch, or extended weekends if certain projects are completed ahead of schedule. This simple gesture is often enough encouragement for workers to get their act together and step up their game.

Health Insurance

Health insurance is usually the most expensive benefit (by a wide margin), but it’s also the most sought after. Paying for insurance out of pocket is expensive, and paying doctors’ bills without insurance is even worse, so it makes sense why applicants make career decisions based largely on insurance benefits.

This is most apparent amongst millennials, who frequently value insurance above all other benefits, according to Jody Ordioni:

“Studies show that health is the most important benefit to millennials, and therefore, offering a suite of benefits that relate to health (on-site health clinic, 100-percent paid health/dental/vision benefits) would be my top recommendations.”

healthcare-hr

Additional Ideas for Engaging and Retaining Your Team

We received a great deal of feedback in our survey regarding creative and innovative ideas that help sweeten the deal for prospective and current employees. Here are some of the ones we liked the best.

Free Food

“We hold ‘Pizza and Presentations’ twice a month, where we treat our employees to a catered lunch in one of our conference rooms. Not only does this allow our team to enjoy time together and receive updates about each department’s projects, it provides everyone a chance to celebrate milestones in the company. This is a great way to say thank you to your employees for their hard work.” — Emily Burton of Fueled

“We find that often it’s small things that matter. Like setting out bowls of healthy snacks throughout the office a couple days each week. It’s nice for the employees, good for health, but it also brings groups to the break rooms, where they can mingle and get to know people outside their own departments. The same concept applies to volunteer opportunities, and our highly competitive (yet still fun) 5k.” — Lisa Oyler

“The one we love the most is our ‘Monday Breakfast.’…we do it every two weeks and we order food from a local restaurant. It’s a great start of the week, we come to work and chat about how the weekend went, and start the day and week on a positive note.”  — Tatiana of Enhancv

“Because people loved being recognized and people love food, ordering catered lunches can be a great way to bring employees together at the office. This will not only help establish a more sociable and welcoming environment, it also provides a much-needed midday break.” — Nate Masterson

Unique Time Off

“I like summer Fridays, which we do a version of at Community Health Charities (and other employers have offered this). Some employers have you work longer hours during the week and get every other Friday off, or for us, we close early every Friday afternoon for employees to get a jump on the weekend during the summer. This is very popular!” — Amanda J. Ponzar

“Snow days! When winter weather causes hazardous travel conditions, we encourage employees to stay home and take a ‘snow day’. Essentially, they are not charged against their leave for opting to stay out of the office. Many workers have children who may also have a canceled school day when bad weather hits. Encouraging employees to stay home, if possible, not only reduces the stress of their day but shows them that we value their safety. In return, we often see the employees ‘online’ or still producing work remotely.” — Robin Schwartz

The Motley Crew

“Here is what have developed: Allotment of volunteer hours per employee to use each month to give back to the local community; Unlimited Vacation; Team Building Budgets (or “Fun Budgets”); Opportunity to attend a conference or organization that can further develop your skills.” — Mollie Delp

“One of the most creative employee perks we’ve provided is organizing weekly company-funded yoga lessons within our offices…[we’ve also] taken a number of steps to provide employees with both in-house training and external professional development events, such as sponsored conferences.” — Michael Hollauf

“We found that [student loan assistance] reduced the financial stress student loan debt carries for our employees and had a direct result on our retention.” — Patrick Colvin

“We look for those things that require engagement. Like a stocked library and monthly book club, where 97th Floor purchases the books for participants. It’s provided the most value in terms of keeping engaged people further engaged and generating new ideas and insights that directly impact our culture, our work, the way in which we work and the lens through which we measure our successes, and failures.” — Wayne Sleight

“Typical benefits we offer include a great holiday package, regular bonuses, and dress-down Fridays. The more unusual perks are surprise retail vouchers after a great performance, and activity days like waterspouts, go-karting and treetop obstacle courses. We also host regular fuddles, where we extend lunch hours so our team can enjoy lots of food and socializing.” — Lee Fisher

“Two of the most creative I’ve heard about are maternity concierge service where this particular company helped with pre- and post-birth with everything from helping you choose the right car seat to facilitating meals. And the other, one company offers shipping costs of breast milk for moms, and more companies are incorporating this benefit for new moms who have to travel.” — Mary Pharris

“Today, even companies with conservative workplace cultures are trying to reduce the stress of ‘real-life’ by offering valet car parking, dry-cleaning, and in-house massages…Other benefit trends include student-debt repayment, benefits for significant others and even wedding expense reimbursement for couples.” — Jody Ordioni

“[‘Enhancv Talks’ are events] we organize internally. We have a Facebook group where we vote on topics and the people who can talk about that topic so that everyone can learn about it. [The talks allow] employees to learn and teach each other about topics they’re excited about. It helps improve relationships, public speaking skills [for] the ones that present, and it shows support for co-workers, promotes learning and encourages everyone to become better generally. Also, it doesn’t cost anything.”  — Tatiana of Enhancv

How to Decide What Employee Benefits and Perks to Offer

benefits-planning

Hopefully, in addition to providing a compelling argument, we’ve sparked some new ideas on where to begin with offering benefits and perks to your team. As for deciding exactly what to implement, that may be a little harder. Just remember, it all depends on what kind of talent you’re trying to attract. As Jody Ordioni puts it: “When considering which benefits to offer, companies need to consider their talent needs and tailor benefits to the wants and needs of the people they need most.”

But, you may be thinking, doesn’t everyone like more time off? Remember that, as Amanda J. Ponzar put it, “Different generations are looking for different things in the workplace. I love to focus and get work done, but one of my Millennial colleagues thought the [peace and] quiet was more ‘like a graveyard’ and wanted to be more social and engage with his colleagues to get energized about his work. We have employees from early 20s to mid-60s and not everyone wants the same perk so it’s important to ask employees.”

Michelle Hayward agrees: “The reality is that not all perks are created equal in the eyes of all employees. A certain subset of the employee population values high-quality health coverage. What motivates other can be money, time or notes of appreciations. As a leader, the challenge is navigating how dynamic the shifting sands can be.”

Remember what’s most important: making your employees feel like they are irreplaceable and not interchangeable. As Nate Masterson puts it: “No matter what you choose, it’s important to make employees feel like people that have something to offer, not just numbers or placeholders.”

Learn how our BambooHR Partnership can help your group please contact us at info@360PEO.com or (855)667-4621.

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2018’s Top Ten Best & Worst States for Health Care

2018’s Top Ten Best & Worst States for Health Care

2018’s Top Ten Best & Worst States for Health Care

Vermont is the best state for healthcare, according to an 2018’s Best & Worst States for Health Care  analysis by WalletHub.

To identify the best and worst states for healthcare, WalletHub analysts compared the 50 states and the District of Columbia on 40 key metrics of healthcare cost, accessibility and outcomes. The metrics range from physicians per capita to average monthly insurance premiums. Each measure was graded on a 100-point scale, with 100 representing the best healthcare at the most reasonable cost.

Here are the 10 best states for healthcare based on the analysis: 2010 Worst 10 Sates Healthcare

1. Vermont

2. Massachusetts

3. New Hampshire

4. Minnesota

5. Hawaii

6. Rhode Island

7. Colorado

8. District of Columbia

9. Iowa

10. Maryland

Here are the 10 worst states for healthcare based on the analysis:

1. Louisiana

2. Mississippi

3. Alaska

4. Arkansas

5. North Carolina

6. Alabama

7. Oklahoma

8. South Carolina

9. Georgia

10. Florida

Access additional information on the metrics used for the analysis here.

NYS 2019 Final Rates Approved   

NYS 2019 Final Rates Approved   

NYS 2019 Final Rates Approved    

NYS has approved  2019 Final Rates last Friday. Small group rates will increase 3.8% and 8.6% for individuals.

As per NY State Law, Health Insurers are required to send out early notices of rate request filings to groups and subscribers see original –NYS 2019 Rate Requests.  Despite only 3 months of mature claims data experience for 2018  health insurers’ original requests were noticeably below average 7.5% for small group and 24% for individuals.  Ultimately NYS reduced this request substantially by approximately 50%.

Experts are concerned over the long term effects. Example, the Individual  mandate was removed last December by Presidential order. Without the Mandate anyone can drop insurance without penalty.  A comparable take away for similar auto insurance industry would be something like this -Drivers ought not be mandated to buy auto insurance as its a profit scheme by Insurers. While a popular decision this will hardly bend the curve long term and reduce competition.  Furthermore, the new order of Selling Across State lines makes NYS most unwelcoming.

OTHER STATES

Insurers have been filing to sell Obamacare plans that will go into effect in 2019, and in some states they appear to be pricing in for the fact that the mandate is going away next year. Other states are seeing mild increases, but that is in part because they saw significant hikes for the previous year.

Insurers have concluded that fewer people will enroll without the mandate than otherwise, so in some places they are pricing their plans higher based on the assumption that sicker people will be left behind, which will increase medical costs for those left. It is well worth pointing out that in recent years the loss federal risk reinsurance corridor funds account for 5.5 percent of the rate increase.

How are neighboring States doing?

In NJ, not that bad.  Last year the average increase were 5.5% for small groups and some popular plans such as  Horizon Blue Cross Blue Shield’s  OMINA  increasing only 4.8% increase.   This year the increase is only 5.2.  Other insurers offering EPO and HMO plans in the individual market for 2019 include Oscar Health and Oxford Health Plans.

With individual mandate repeal fewer people will buy health insurance raising the prices for those who do. NJ Banking and Insurance Department officials said premium prices would have increased, on average, by 12.6 percent.

For CT market, on the other hand, things are much worse at least for the individual marketplace with average 25% rate increases last year.  The 2019 proposed rate increases for both the individual and small group market are, on average lower, than last year: The proposed average small group rate increase request is a 10.22 percent and ranges from -5.0 percent to 21.1 percent. This compares to the average increase request of 18.06 percent requested last year.The proposed average individual rate increase request is 12.3 percent and ranges from -10.9 percent to 31.0 percent. This compares to the average increase request of 25.51 percent requested last year.

Final plan rates in New Jersey & CT will be finalized and released in the fall, state officials said. ACA open enrollment begins Nov. 1

  • Trend: Trend is a factor that accounts for rising health care costs, including the cost of prescription drugs, and the increased demand for medical services.
  • Uncertainty in Washington:
    • Removal of penalty for individual mandate: The elimination of the penalty means that individuals who are typically younger and healthier would have no inducement to participate in the insurance pool, which could further destabilize the market. Lack of participation shrinks the pool and increases the cost of insurance to the remaining members.
    • Short-duration health plans and Association Health Plans: Still pending are final federal regulations on non-ACA compliant short-duration plans, which may have implications for the ACA risk pool. Also, Connecticut along with other state insurance regulators, are awaiting clarification from the federal government on new federal regulations allowing association health plans, which could further shrink the ACA risk pool.

 A bipartisan group of congressional representatives has discussed an agreement to extend and guarantee the payments, but it’s unclear whether they could do so by the new filing deadline of Sept. 5. A lawsuit filed by Congress against the Obama administration to challenge the payments is still pending. In addition, Trump has repeatedly threatened to withhold payments to insurers that reduce cost-sharing – deductibles, copays and coinsurance – paid by low-income customers. More than half of New Jersey’s marketplace customers receive that assistance, and without it, most would be unable to afford coverage.

Finally, a tax on health insurance premiums has been reinstated in 2018 after a one-year “tax holiday” approved by Congress for 2017. That contributed 2.3 percent to the rate hikes that insurers requested for 2019 and for  2019

SMALL GROUP MARKET VS.  INDIVIDUAL MARKET

Importantly, small group market is still more advantageous than individual markets unless one gets a sizable low-income tax credit. Overall, about 350,000 individual plan consumers will be affected by the price hike, while more than a million users will be hit by higher small group fees. Last year, Blue Cross Blue Shield released a study showing Obamacare user costs were 22 percent higher than people with employer-sponsored health plans, while UnitedHealth plans to exit most Exchanges see –  Breaking: Oxford Exits Metro Indiv & Oxford Liberty HMO 2017.

The correct approach for a small business in keeping with simplicity is a Private Exchange and with our large buying group PEO partnerships. This is a true defined contribution empowering employees with a choice of leading insurers offering paperless technologies integrating HRIS/Benefits/Payroll.  Both employee and employers still gain tax advantage benefits under the business.  Also, the benefits, rates and network size are superior under a group plan as the risk are lower for small group plans than individual markets.

Learn how a PEO Partnership can help your group please contact us at info@360PEO.com or (855)667-4621.

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PEO vs. Employee Leasing. What’s the Difference?

PEO vs. Employee Leasing. What’s the Difference?

PEO vs. Employee Leasing. What’s the Difference?

Whats the difference of a PEO and Employee Leasing?

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A common question asked “PEO and Employee Leasing. What’s the Difference?” Despite the growth within the PEO industry and the increased usage of them by small businesses, there are still some misconceptions around PEOs. One myth seems to come up more often than others –  a PEO relationship and employee leasing are the same.

This confusion most likely stems from the relationship that actually exists between a PEO and its client, called co-employment. And while many think employee leasing and co-employment are one in the same, they are actually very different.

In order to clear up the misunderstanding, let’s take a closer look at both employee leasing and co-employment. How they differ from one another, and why PEOs aren’t the same as an employee leasing company.

What is Employee Leasing?

First, let’s define employee leasing. Also known as a temporary employment arrangement, it’s the practice of supplying new workers or contractors usually on a temporary basis. Often times employee leasing is for work on a specific project that has a start and end date.

Employee leasing is most often associated with staffing firms, although it also gets tied incorrectly to PEOs and HR outsourcing.

When a business works with a staffing company that uses employee leasing, the staffing firm provides workers to their client who do their work at the client’s place of business. Once the project, timeframe, or contract is complete, the workers return to the staffing company, who is their actual employer.

Employee leasing is a popular option for business owners who need new workers for a set time frame.  A common strategy of 85% FT and 15% Temping is used.  A popular option for Employers who don’t want to worry about the HR administrative and regulatory tasks associated with hiring contract or temporary workers.

What is Co-Employment?

The National Association of Professional Employer Organizations (NAPEO) defines co-employment as “the contractual allocation and sharing of certain employer responsibilities between the PEO and the client.” Essentially, in a co-employment relationship, employees are employed by two different entities – the client and the PEO.

However, the PEO does not supply workers to their client. All employees are either currently with the client, or future employees who are hired by the client.

In a co-employment relationship, a PEO assumes certain employer rights, responsibilities, risk, and other HR administrative tasks. These can include:

  • Remitting wages and withholdings of the clients’ workers
  • Issuing Form W-2 for compensation under its Employer Identification Number
  • Reporting, collecting, and depositing employment taxes with local, state, and federal authorities

Meanwhile, the client retains control over the hiring and firing of its employees, and business leaders continue to make the day-to-day operating decisions for their company.

Co-employment Through a PEO and Employee Leasing Are Not the Same

We have already mentioned that one of the biggest myths about PEOs is that the relationship they have with clients is employee leasing. When you take a look at the differences between employee leasing and co-employment (which is how PEOs operate), it becomes clear that this myth is far from the truth.

  • As a matter of fact, employee leasing and co-employment differ greatly. The biggest difference is that in co-employment relationship through a PEO, the PEO does not provide staff for their client. This responsibility falls on the client, as does any other staff-related decisions. This includes hiring new talent after the PEO partnership is established.
  • Instead of being a leased or temporary worker, employees end up having two employers – the company who hired them AND the professional employer organization. The PEO becomes the company of record for HR, payroll, benefits, employment taxes, and other HR-related purposes.
  • It’s very important to keep in mind that in a PEO partnership, small business owners do not lose control of various aspects of their business, including their employees and hiring/firing decisions. This is another common misconception about PEOs. Business owners retain full-control of their business, while the PEO handles the administrative side of human resources.

Don’t Let This Common PEO Myth Prevent Business Growth and Success

Working with a PEO, especially a Certified PEO, ensures small business owners that they remain compliant with all HR and employment related laws and regulations. Instead of having to worry about HR, business leaders can focus all their efforts on other activities that can grow the company.

Working with a PEO also provides small businesses with access to much improved health insurance and employee benefit offerings, greatly assisting with recruiting and employee retention. PEO partnerships allow small business owners to maintain control of their company, and hire new employees as they see fit.

It’s a misconception that PEO and employee leasing are the same, which often times causes small business owners and brokers to dismiss a PEO solution, even though a perfect fit exists. Hopefully this article clears up the confusion surrounding co-employment and employee leasing.

Who knows, perhaps a PEO solution can be a competitive advantage for your business. Click here to get started on a PEO quote.

Want to learn more about PEOs? Check out PEO White PapersThis provides an overview of the PEO industry as well as helpful information employers!

White Papers PEO Small Business Growth McBassiWhite PaperOne

HealthPass Adds Oscar

HealthPass Adds Oscar

HealthPass Adds OscarHealthPass Adds OSCAR HEALTH INSURANCE

HealthPass New York will start offering OSCAR Health Plans effective Sept 1, 2017 to small employers. Oscar will offer eight plans with varying benefits package with 1 to 100 employees. The plans are available to small businesses located in New York City, Long Island, Westchester and Rockland counties. NJ residents can also access Hospitals & physicians through the NJ Qualcare PPO Network

HealthPass New York, a private insurance exchange for small employers.  The addition of Oscar gives small businesses access to 3 health networks – Oxford, CareConnect and  Oscar.  Also, Guardian is the insurer of record for the ancillary benefits comprising dental, vision, life insurance, disability and accident insurance

Oscar entered the NY market on Jan 1, 2014 and had around 16,000 members. In 2015, it expanded coverage to New Jersey and grew to about 40,000 members. In 2016, Oscar had 145,000 members in New York, New Jersey, California, and Texas. Oscar’s cutting edge technology and pioneering benefits have simplified the consumer health insurance experience propelled easier access and understanding of health plans.  Examples of success have been ease of physician locator, online appointment setting and no cost telemedicine 24/7.  Additionally, some plans have $0 Copay generics and annual 3 free office visits

Why a Private Exchange?  The advantage of a Private Exchange is the ability to empower employees with choice.  Much like a 401K your employees can use a defined contribution allocation for benefits.  As affordable health plan networks are increasingly smaller with specific coverage areas the one size show for all approach to benefits no longer works.

 

 

 

Is a Private Exchange Right For My Group?

If you’re a small business owner who has concerns about payroll, filing paperwork, and complying with government regulations, co-employment may be the service you’ve been looking for.  In some cases, a Private Exchange may NOT be right for you. With Health Care Reform your company may qualify for a small business tax credit or a be eligible for a large group discount under a PEO.

Try us on a custom demo, contact us at (855)667-4621.

NYS 2018 Health Insurance Rate Filing

NYS 2018 Health Insurance Rate Filing

NYS 2018 Health Insurance Rate Filing

Yesterday, NYS 2018 Health Insurance Rate Filing were released. The total weighted average increases were 11.5%  small groups and 16.6%  individual market.  This early filing request deadline request requirement is not an Obamacare requirement.  As per NY State Law carriers are required to send out notices of rate increase filings to groups and subscribers.

These are simply requests and the state’s Department of Financial Services has authority to modify the final rates. But they are the first indication of what New Yorkers can expect when shopping for health insurance on the individual marketplace at the end of this year. The news comes as insurance companies across the country brace consumers for another year of large rate hikes, owing in part to the composition of the individual market, and in part to the uncertainty over the future of the law under the Trump administration.

Background:

By comparison last year  NYS 2017 Rate Request early filings were higher at 12.3% small group and 19.3% for individuals.  The final filing rates were lower  NYS 2017 Final Rates were 8.3% small group and 16.6% for individuals.  The NYS 2016 Rates final rates were 9.8% small group and 7.1% for individuals.  Using these past figures one projects a 2018 Final Rates of 7% small groups and 14% individuals.

With only 3 months of mature claims in 2017 to work of off Insurance Actuaries have little experience to predict accurate projections. Simply put the less credible information presented to actuarial the higher the uncertainly and higher than expected rate increase.  The national rate trend, however, has been much higher than in past years due to higher health care costs and the loss of Federal reinsurance fund known as risk reinsurance corridor.

Individuals:

NYS 2018 Filing Request for Individuals

Individual rates are expected to be higher than small group. The national rate trend, however, has been much higher than in past years due to higher health care costs  Like other states throughout the nation, the 2018 rate of increase for individuals in New York is higher than in past years partly due to the termination of the federal reinsurance program.  The lost of the program’s aka federal risk reinsurance corridor funds accounts for 5.5 percent of the rate increase.

This is one of the reasons why the individual market is significantly more costly to operate than small group as per recent Aetna and United Healthcare pull out of most State Individual Exchanges.   Another local example was last year’s Oscar Health Insurance which had lost $105 million and is asking for up to 30% rate increase.  The 3 year old company  said the increase was necessary because medical costs have risen, government programs that helped cover costs are ending, and its members needed more care than expected.  For 2018, with successful pivotal changes Oscar is asking below average 11% individual increase and a decrease of 3.2% small group next year.

Small Groups:

While small group rates are better risk and naturally lower rates.  There is some rate shock with notably Careconnect.  CareConnect, the financially struggling health insurance arm of Northwell Health, has asked the Cuomo administration to allow an average 30 percent premium hike on the individual market in 2018. The company, which lost $157 million in 2016, is asking for small group increases that range between 9 and 24 percent.NYS 2018 Health Insurance Rate Filing

THE THREE R – RISK CORRIDOR, RISK ADJUSTMENT & REINSURANCE designed to mitigate the adverse selection and risk selection. The problem, according to many insurance companies, is that the formula is flawed, and CareConnect executives have consistently complained that they are at an unfair disadvantage. The Cuomo administration has taken steps to ameliorate some of those problems, giving the DFS the authority to essentially overrule the federal numbers.  In its first-quarter financial report, executives made clear that the risk adjustment penalty was a threat to its business.

Instead, the correct approach for a small business in keeping  with simplicity is a Private Exchange.  This is a true defined contribution empowering employees with choice of leading insurers offering paperless technologies integrating HRIS/Benefits/Payroll.  Both employee and employers still gain tax advantage benefits under the business.  Also, the benefits, rates and network size are superior under a group plan as THE RISK OUTLINED ABOVE ARE HIGHER FOR INDIVIDUAL MARKETS THAN SMALL GROUP PLANS.

You may view the NYS 2018 Rate Requests DFS press release, which includes a recap of the increases requested and approved by clicking here.

For a custom analysis comparing PEO with YOUR upcoming 2017-2018 renewal please contact our team at 36PEO (855)667-4621.  We work in coordination with Navigators to assist with Medicaid, CHIP Child Health Plus, Family Health Plus and Medicare Dual Eligibles.   We have Spanish, Russian, and Hebrew speakers available.  Quotes can also be viewed on our site.

Summary of 2018 Requested Rate Actions

INDIVIDUAL MARKET

Company Name2018 Requested Rate Action
Affinity23.5%
Care Connect29.7%
CDPHP15.2%
Crystal Run Health Plan, LLC8.7%
Emblem (HIP)24.9%
Empire **N/A
Excellus4.4%
Fidelis8.5%
Healthfirst Insurance Company, Inc.13.0%
Healthfirst PHSP, Inc.22.1%
HealthNow New York47.3%
IHBC25.9%
MetroPlus7.9%
MVP Health Plan13.5%
Oscar11.1%
UnitedHealthcare of New York Inc38.5%
Total Weighted Average16.6%

SMALL GROUP MARKET

Company Name2018 Requested Rate Action
Aetna Life14.2%
Care Connect19.3%
CDPHP21.1%
CDPHP UBI8.6%
Crystal Run Health Insurance Company0.0%
Crystal Run Health Plan, LLC3.9%
Emblem (HIP)8.5%
Empire Healthchoice Assurance12.9%
Empire Healthchoice HMO13.8%
Excellus8.0%
Healthfirst Health Plan, Inc.10.0%
Healthfirst Insurance Company, Inc.10.0%
HealthNow New York8.9%
IHBC14.5%
MetroPlus5.1%
MVP Health Plan8.5%
MVP Health Services Corp11.7%
Oscar-3.2%
Oxford Health Insurance Inc11.4%
UnitedHealthcare Ins Company of New York15.2%
Total Weighted Average11.5%

*These averages may change based on DFS’s review of the rate applications.

** Empire submitted a filing that DFS is evaluating.

Here’s How Trump Will Change Obamacare

Here’s How Trump Will Change Obamacare

Leading article on the direction of TRUMPCARE we’ve read thus far. Former president Barack Obama’s budget director, Peter Orszak thinks Obamacare will be replaced through the waiver process.

Here’s How Trump Will Change Obamacare

By Peter R. Orszag FEB 14, 2017 6:00 AM EST

Promises made by Donald Trump and Republicans in Congress to repeal and replace the Affordable Care Act are proving to be more complicated than they sounded on the campaign trail. With reality now setting in, what’s most likely to happen?

I expect to see Republicans stage a dramatic early vote to repeal, with legislation that includes only very modest steps toward replacement — and leave most of the work for later. Next, the new administration will aggressively issue waivers allowing states to experiment with different approaches, including changes to Medicaid and private insurance rules. At some point, then, the administration will declare that these state experiments have been so successful, Obamacare no longer exists.

In other words, the repeal vote will be just for show; the waivers will do most of the heavy lifting.

I predict something like this will happen because of two core challenges that stand in the way of Republicans’ replacing the ACA through legislation: the need for so-called community rating and the need to have 60 votes in the Senate to pass a comprehensive new health-care law.

First, community rating. It is one of the basic building blocks needed to create a workable private insurance market — whether Democrats or Republicans are doing the building. If your insurance covers a pre-existing condition but at a cost of, say, $100,000, that doesn’t really help. Community rating requires that your premium be the same as that of other people in your area, no matter how unhealthy you are.

With community rating in place, the next step is to recognize how easy it is to game the system: People can just wait until they get sick, then buy insurance at the community rate. To discourage that practice, the system needs to give people some strong incentive to purchase insurance before they get sick. The Affordable Care Act used an individual mandate; most Republican plans instead propose a requirement for continuous coverage. That is, people enjoy access to community-rated premiums in the future only if they have kept themselves insured over some period of time in the past.

Given the costs involved, subsidies are also needed to ensure that low- and moderate-income households can afford the coverage. This overall structure means that younger, healthier people implicitly subsidize older, sicker people.

Such are the inescapable constraints imposed by community rating. Community rating could be discarded, as Mark Pauly of the University of Pennsylvania has argued. Pauly instead proposes that insurance companies be allowed to vary people’s premiums according to their health status, and that general revenue be used to pay sicker people’s higher premiums. This would require substantial new taxes, however, which is presumably a nonstarter in a Republican plan. In any case, it would only make the transfers to older, sicker people more explicit.

The second challenge is more nakedly political: Without a substantial change in Senate procedure, a bill to fully replace the Affordable Care Act, including changes to insurance rules, will require 60 votes. Republicans have only 52, so at least eight Democratic senators would need to be persuaded to go along. This is a much tougher assignment, especially since the administration will already be calling in legislative favors on ongoing confirmations, the debt limit, tax reform and other issues.

The Republicans’ desire to hold an early partisan vote repealing the ACA (through the reconciliation process that requires only a simple majority in the Senate) seems too strong to resist. The repeal will probably be set to become effective in the future, perhaps 2019 or 2020.

This vote will probably be closer than many people think, given the concerns that some moderate Republican senators have expressed about repealing the ACA with no replacement ready. Some far-right Republicans may also balk at anything less than a full immediate repeal. For the White House, however, the closeness of the vote will be a feature rather than a bug, because it will create the impression that the vote is significant.

The repeal legislation will probably include some modest steps toward replacing the ACA, but these will be mostly symbolic measures such as allowing insurance companies to sell across state lines (which by itself would do little to lower people’s premiums). The hard work of a creating comprehensive replacement is then likely to get bogged down in legislative muck.

But the administration can use its expansive waiver authority to allow states to experiment with both Medicaid and the individual insurance markets. As these 50 flowers bloom, President Trump could at some point declare victory and assert that the ACA has been sufficiently reformed.

This approach, whatever its potential substantive shortcomings, provides a major political benefit: The administration would not necessarily own the many problems that inevitably would remain. In response to any particular complaint in a specific state, the administration could simply shrug its shoulders and direct the inquiry to the relevant governor.

This outlook assumes that the Republican leadership in Congress isn’t willing, or lacks the votes, to change the Senate’s traditional rules, and that a comprehensive replacement for the ACA will indeed require 60 votes. If that changes, all bets are off.

This column does not necessarily reflect the opinion of the editorial board or Bloomberg LP and its owners.

To contact the author of this story:
Peter R. Orszag  at porszag5@bloomberg.net

To contact the editor responsible for this story:
Mary Duenwald  at mduenwald@bloomberg.net

Trump Order and ACA

Trump Order and ACA

White_HouseTrump Order and ACA

President Trump signed an Executive Order on Jan 20 Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal. As a practical matter, he can’t repeal it “line-by-line on day one” of his Presidency. So he did the next best thing: sign an Executive Order.

While lawmakers work on a repeal and replacement plan, here are 5 things you should know. The executive order will:

  1. End the individual mandate.
  2. Expand Medicaid waivers and provide states more flexibility to implement healthcare programs.
  3. Encourage the creation of interstate insurance markets to “the maximum extent permitted by the law.”
  4. Remove ACA taxes, including some placed on health insurance and pharmaceutical companies, in addition to waiving PPACA taxes, fees, and penalties.
  5. Grant leaders of the Department of Health and Human Services (HHS) and other agencies to exercise greater discretion. This includes the ability to waive, defer, or grant an exception to any provision that would impose a fiscal burden on a state or place a financial or regulatory burden (cost, fee tax, penalty) on individuals, families, healthcare providers, and patients.

We will soon know whether the Executive Order is more symbolic or has practical effects.   Employers should continue to comply with the provisions in current law, until official guidance provides otherwise.

No Tax Restarts

No Tax Restarts

No Tax Restarts

No need to wait till next Jan 1st to make changes.  No tax restarts are good news for PEO prospective groups. Federal Tax Restarts Are No Longer An Issue  The significant added expense of having to pay tax restarts often postponed or ended the PEO conversation for many of our prospective clients. It was an important consideration since companies were not eligible for tax restart credits and the cost of the restarts often diminished the financial value proposition of partnering with a PEO.

Example: A group starting a plan in May would have to pay for annual FICA and FUTA all over again with new PEO. A PEO is considered a different employer group.

Moving forward, there are no federal tax restarts to worry about. FICA and FUTA wage bases will not restart when an employer joins a PEO. Ask us about our Quick Start Program to ensure a smooth start to our personalized PEO model, and offers perks for your staff.

Contact us to learn more about our Quick Start Program on-boarding processs but here are the high points:

  1. You’ll have access to the best healthcare providers, coupled with the pricing that is offered to much larger companies.
  2. Your Worker’s Compensation rate may favorably adjust since you will be “adopted” under the PEO and their typically much better rates.
  3. You’ll have a partner that will help build systems for recruiting, hiring, employee administration and more.
  4. You’ll also have experts who will work with you to establish and maintain policies and programs, including workplace safety, sexual harassment, diversity and others that are typically required by law.

While this certainly is not going to fix everything in the ever growing PEO industry, it’s a huge leap forward and offers clarity. If you would like to explore how a PEO can help your company, contact us and we will be happy to help you.

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