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Posted on October 22, 2009June 27, 2018

GM Replacing Traditional Health Plan for Some Retirees


General Motors Co. will replace its traditional health care plan for salaried retirees younger than 65 with a consumer-driven health plan linked to health savings accounts effective January 1, 2010.


Under the new arrangement, posted on a GM retiree Web site, the annual deductible will be $2,500 for individual coverage and $5,000 for family coverage. The maximum annual out-of-pocket expense will be $3,500 for individuals and $7,000 for families.


A GM spokesman was not available for comment.


After deductibles are met, GM will pay 80 percent of the cost of medical services and prescription drugs delivered through in-network providers and 60 percent of out-of-network costs.


However, certain preventive services that include annual physicals, mammograms and prostate and colon cancer screenings will not be subject to the deductible.


In addition, certain preventive generic prescriptions, such as cholesterol-lowering medications, will be subject to smaller co-payments—$10 for a prescription from a retail pharmacy and $20 if filled through mail-order pharmacies.


In 2010, salaried retirees with individual coverage will be allowed to contribute up to $3,050 to health savings accounts, while retirees with family coverage will be allowed to contribute $6,150 to an HSA. Also, retirees age 55 and older will be allowed to contribute an additional $1,000 a year to their HSA in so-called catch-up contributions.


Retirees will be allowed to establish an HSA at a financial institution of their choosing. However, GM will pay administrative fees of HSAs that are set up with Bank of America Corp.


Monthly premiums for the retiree consumer-driven health plan will range from $150 for individuals to $253 for families.


GM will allocate $260 a month to retirees’ health reimbursement arrangements but will halt those allocations when salaried retirees turn 65. GM, which earlier this year filed for and then emerged from Chapter 11 bankruptcy reorganization, eliminated health care coverage for Medicare-eligible salaried retirees at the start of this year.


In addition, as part of a 2007 contract with the United Auto Workers, GM will stop providing retiree health care coverage to UAW members effective January 1, 2010. Instead, it will contribute billions of dollars in cash and other assets to a special trust controlled by the UAW.




Filed by Jerry Geisel of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.
 
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Posted on October 21, 2009June 27, 2018

McCain Delays Vote on Labor Board Nominee

President Barack Obama’s rival for the White House last fall will block the confirmation of one of his nominees for the National Labor Relations Board.


Sen. John McCain, R-Arizona, criticized Craig Becker, Obama’s choice for one of the Democratic slots on the board, at a Wednesday, October 21, meeting of the Senate Health, Education, Labor and Pensions Committee.


Although the panel approved Becker and two other NLRB nominees, 15-8, McCain said that he would place a “hold” on Becker, denying him and the others a vote by the full Senate.


Echoing objections from business organizations, McCain is wary of several articles that Becker has written on labor relations. McCain asserted that Becker, currently the associate general counsel for the AFL-CIO and the Service Employees International Union, would try to circumvent labor law through NLRB rulings.


“This is probably the most controversial nominee that I’ve seen in a long time,” McCain said. “I will, and others will, put a hold on his nomination.”


The NLRB has been operating for nearly two years with only two members—one Republican and one Democrat. At full strength, it has five. With Obama in the White House, the board will have a Democratic majority.


The tenor of Becker’s articles has the business community worried that the NLRB political pendulum will swing more forcefully—this time toward unions—than it normally does when a new president takes office. The NLRB is an independent agency that governs relations between unions and employers. 


McCain vented his frustration that Becker had not appeared before the committee. The chairman of the panel, Sen. Tom Harkin, D-Iowa, however, said that typically hearings are conducted only for the NLRB chairman.


“The tradition has been for a long time that we do not have hearings on these nominees,” Harkin said. “At this transition point, I want to continue that tradition.”


The committee reins passed from Sen. Edward Kennedy, D-Massachusetts, to Harkin several weeks ago following Kennedy’s death. Sen. Mike Enzi, R-Wyoming and the ranking Republican on the committee, expressed reservations about Becker but voted with Harkin and the panel Democrats to approve all three NLRB nominees.


Harkin downplayed the need for a hearing, pointing out that Becker had answered 282 written questions from Republicans.


But that didn’t satisfy McCain. “There are a lot of questions about his answers to the questions,” he said.


McCain’s move was welcomed by the U.S. Chamber of Commerce. The organization spearheaded an October 20 letter to the Senate Labor Committee opposing Becker’s nomination that also was signed by the Society for Human Resource Management and the HR Policy Association.


“Many of the positions taken in his writings are well outside the mainstream and would disrupt years of established precedent and the delicate balance in current labor law,” the letter states.


A chamber analysis of a 1993 Becker article for the University of Minnesota Law Review says that he “expresses the view that employers should have no role in union organizing campaigns and union representation elections.”


But worries about Becker go beyond his approach to labor law. Steven Law, chief legal officer and general counsel at the chamber, said there are questions about whether Becker played a role in the vote-buying scandal that drove former Illinois Gov. Rod Blagojevich from office.


Law also said that Becker may have drafted Obama administration executive orders on organized labor while working at the SEIU.


“Senator McCain ensures that there will be a more substantive debate on this nominee than he received in the committee,” Law said. “We’ve got an Act II to play out next.”


An SEIU spokesman referred questions about Becker to the Senate labor committee Democratic staff.


Harkin defended Becker, a Yale Law School graduate and former UCLA law professor.  He said that in his answers to committee questions Becker had pledged to “fairly and impartially decide cases based on the relevant facts and established law.”


“I am confident that he will approach his new position objectively and without bias,” Harkin said.


With a bill that would make it easier for workers to form unions stalled in the Senate, many observers say that it is possible for a Democratic-majority NLRB to implement changes that would benefit labor in organizing campaigns.


“They could achieve through decision-making a lot of the facets that the Employee Free Choice Act in its current form proposes,” said John Bowen, a partner at Ford & Harrison in Minneapolis.


But he cautioned that major policy changes made by the board would be ephemeral.


“You’d be flipping back and forth depending on who’s in the White House,” Bowen said.


—Mark Schoeff Jr.



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Posted on October 21, 2009June 29, 2023

The Hot List: 2009 HRMS Providers

2009 HRMS PROVIDERS

Human resource management systems are no longer a sleepy corner of the business software world. For years, HRMS applications have been used by companies for the humdrum purposes of tracking basic data about employees, such as name, title and supervisor. But a number of factors have come together to make the HRMS market more interesting.

For one thing, companies are experiencing increased complexity in their organizational structures in the wake of mergers and global expansions and the rise of ad-hoc projects. In addition, “software as a service” continues to gain momentum, as businesses become more comfortable with placing sensitive data in the “cloud” of remote computers that can deliver applications over Internet browsers. Finally, new products are challenging HRMS mainstays such as SAP, Oracle and Ultimate Software. These include new software-as-a-service HR systems from Lawson and Workday and applications from talent management software providers.

For years, talent management specialists concentrated on key tasks such as recruiting, employee performance management and compensation. But a number of them, including SuccessFactors, have introduced employee profile products that contain large amounts of data about workers. Josh Bersin, head of research firm Bersin & Associates, sees an expansion of the talent management market into a broader “people management” category that eventually will encompass HRMS tools. “The HRMS market is hot,” Bersin wrote in a recent blog entry.

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Posted on October 20, 2009June 27, 2018

Vast Majority of Millennials Believe They Would Need at Least $1 Million to Retire, Survey Finds


Although retirement may be decades away for young adults, they are already acutely aware that they’ll need to become millionaires to stop working one day, according to a survey from the Northwestern Mutual Foundation.


A poll of 172 adults 18-29 on the foundation’s financial literacy Web site—themint—showed that 84 percent think they will need to save at least $1 million to retire.


Fully 45 percent of the young adults said that they will need upward of $2 million to retire.


Adults over 30, however, said that they could get by on less.


A survey by themint of 335 adults over 30 found that just 60 percent said that they will need to save $1 million to retire. Twenty-seven percent said they will need at least $2 million to stop working.


Tough economic times have made the younger set more aware of just how much they need to scrimp and save to get to retirement, said Meridee Maynard, senior vice president at Northwestern Mutual.


She attributed the younger individuals’ larger estimates of how much they need to retire to the fact that they are bombarded with news of economic distress.


“Younger people today have now realized that they may not be able to rely on the government and their employer; it starts with them,” Maynard said in an interview. “I feel from a future financial-security standpoint, people realize that, ‘It starts with me,’ and the news has really stirred the pot in a good way.”


Maynard also attributed the estimation gap between the older set versus the younger adults to the fact that the younger generation is receiving more education in financial literacy than their older counterparts did.


“Financial-literacy efforts have started to gain interest in the schools,” she said. “People like me relied on friends and family to develop habits, but now there are Web sites and other things to encourage young people to learn more about money and develop good habits.”



Filed by Darla Mercado of InvestmentNews, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


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Posted on October 20, 2009June 27, 2018

As Health Reform Enters Crucial Stage, Businesses Refocus on Key Issues


As the Senate begins to merge two health care reform bills, employers are refocusing their lobbying on three concerns they say are deal-breakers to any legislation.


Employers have stepped up opposition to government-run health insurance, known as the public plan option, as well as a proposal that would allow employees to drop health coverage provided by their employer. Employers also oppose strict requirements that would force a majority of businesses to provide health insurance for their employees.


Employers are particularly concerned about a public plan option, which they think will increase costs for private providers of health coverage.


Though the Senate Finance Committee passed a bill last week that included funding for health insurance cooperatives, a separate plan passed this summer by the Senate Health, Education, Labor and Pensions Committee would establish a publicly run health insurer to compete against private insurers.


Sen. Max Baucus, D-Montana and chairman of the Senate Finance Committee, has not ruled out endorsing the creation of a publicly run health insurance option, which has renewed worries among employers.


“I want any mechanism that keeps the health insurance industry’s feet to the fire,” Baucus said during a conference call with reporters Monday, October 19. “We need to find ways to help reach that goal.”


Employers are also trying to rally opposition to an amendment by Sen. Ron Wyden, D-Oregon, allowing companies to opt out of employer coverage.


Wyden, a longtime proponent of severing ties between employment and health care, says his amendment would allow some employees to receive a voucher equal to the value of the health plan offered by their employer and use it to purchase insurance on a health insurance exchange. Employers fear it would entice healthy employees to drop employer coverage.


Employers have also renewed their opposition to a mandate in the Senate HELP Committee that would require them to provide insurance to their employees or pay a fee.


There’s “no compromise” on those issues, said Martin Reiser, chairman of the national Coalition on Benefits, an organization composed of 200 employers and employer groups—including Xerox, UPS and Target—and such groups as the American Benefits Council and the National Association of Manufacturers.


“My sense is that the three are absolute bottom lines for everyone” in the business community, said Reiser, a manager of government policy for Norwalk, Connecticut-based Xerox.


After watching the relatively business-friendly health care reform bill pass through the Senate Finance Committee last week, the group helped hash out a more unified strategy through daily conference calls among members to beat back support for the public plan option, Wyden’s proposal and an employer mandate.


Employers also join health insurers and hospitals in worrying that any health care reform bill that does not assess heavier penalties on individuals who fail to buy health insurance will lead to higher health care costs overall and possibly more stringent requirements on businesses.


To ensure passage in the Finance Committee, legislators reduced the penalties individuals would have to pay if they did not buy insurance.


As it stands, the penalty would be phased in over five years beginning in 2013. By 2017, the penalty would be $750 per adult.


Most experts say that is not enough to compel young people to buy insurance. Employers say the penalties are not strong enough, and instead should be close to the cost of purchasing coverage.


“If the individual mandate doesn’t work, then this bill doesn’t work,” said James Gelfand, senior manager for health policy at the U.S. Chamber of Commerce. All proposals so far have included an individual mandate but have been vague on how the government would enforce the requirement.


The individual mandate is seen by experts as a twin pillar of health reform—the other being a guarantee that no American is denied coverage.


Baucus on Monday defended the Finance Committee bill but acknowledged that he hadn’t succeeded in crafting a law that would get every American enrolled in health insurance.


“We are wrestling with this concept of how to we get all Americans [into the health insurance system],” he said. “Everybody should participate in the system and have health insurance and we need to figure out ways to do that.”


Under the Baucus plan, an employer or health insurer would have to offer medical coverage that covered 65 percent of health care costs. Such a plan could not cost an employee more than 10 percent of that employee’s salary.


The Finance Committee bill would allow people under 25—the so-called young “invincibles” who tend to believe they do not need health insurance—to purchase cheaper catastrophic plans.


Employers had been pleased with the more business-friendly stance of the Finance Committee, which would impose softer penalties on employers that did not offer insurance.


In the Finance Committee bill, as of July 1, 2013, employers with 50 or more employees would be required to offer health insurance. If not, employers would have to reimburse the government for any subsidy provided to an employee.


The Senate HELP Committee and House bills would require employers to pay for richer coverage and would assess steeper fines.


—Jeremy Smerd


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Posted on October 20, 2009June 27, 2018

Recruiters Use of Criminal and Credit Checks Colliding With Legislative Constraints

Explosive growth in the background screening industry during the past decade has generated near-universal adoption of criminal checks and a steady rise in credit checks for all U.S. job candidates.


In some industries, recruiters are using criminal and credit screening as a quick and easy method for culling the ever-larger pile of applications. But this growing reliance on screening is on a collision course with new legislative restrictions, legal challenges and mounting evidence that such results are poor predictors of behavior and performance.


Even employers that limit the types of screening results that will lead to adverse hiring decisions may violate federal law. On October 1, the Equal Employment Opportunity Commission filed a discrimination lawsuit against Freeman Cos., a nationwide convention and corporate events marketing company.


Since at least 2001, Freeman has rejected job applicants based on their credit history and if they have had various types of criminal charges or convictions, the suit claims. The EEOC says these exclusionary practices are not job-related or justified by business necessity.


In March, the EEOC settled a lawsuit against Franke Foodservice Systems, which refused to hire a black applicant who disclosed a felony conviction on his application even though the company hired a white applicant a year earlier who made a similar disclosure. A spate of EEOC and private lawsuits are pending against other companies for unlawfully denying employment to people with criminal records or bad credit histories.


EEOC hearings on screening practices in November 2008 included expert testimony that the results are not good predictors of employee behavior or performance. In addition to greater EEOC scrutiny of criminal record screening practices, a growing number of states now prohibit or limit pre-employment arrest inquiries.


One in five U.S. adults now have a criminal record that would show up on a routine pre-employment background check, according to estimates based on Bureau of Justice data.


“Everyone checks for criminality for all jobs,” says Robert Pickell, vice president for customer solutions at HireRight, a background screening provider based in Irvine, California.


HireRight’s 2009 survey results confirm this, with 93 percent of employers reporting that they run criminality checks, up from 85 percent in 2008.


“Criminality usually leads to adverse actions,” Pickell notes.


HireRight surveyed 1,411 employers of all sizes from more than 15 industries. The survey found that 84 percent of employers conduct comprehensive screening before the first day of work; 8 percent screen immediately after the start.


The HireRight survey found that 42 percent of employers check credit histories, up from 36 percent in 2008, but legislators are increasingly challenging the use of credit checks in pre-employment screening. In the second quarter of 2009, U.S. consumer loan and credit card delinquencies rose to their highest level in 35 years, according to American Bankers Association.


Congress is considering a bill that would prevent employers from using credit reports in their hiring or promotion decisions. In June, Hawaii joined Washington state in limiting the use of credit checks in pre-employment screening; bans or restrictions also are under consideration in Michigan, Ohio, Connecticut, Missouri, New York and Texas. A California bill that restricts credit checks in pre-employment screening cleared the state Legislature in 2008 and 2009, only to be vetoed twice by Gov. Arnold Schwarzenegger.


Adverse actions
For 53 percent of employers, screening results adversely affect the hiring decision in 4 percent or less of the cases, according to the HireRight survey. Ten percent of employers report that adverse actions occur in 10 to 15 percent of the screens.


“This is often around issues in the verification area, plus criminality,” Pickell reports.


At the other end of the adverse-action spectrum, 10 percent of employers report that screening adversely affects the hiring decision in a staggering 50 percent or more of the cases.


“The 50 percent-or-more adverse-action group is probably in industries where you have low-skilled hourly workers and low job requirements,” Pickell says. “Employers are interested in quickly filling positions and conduct screening across a broad population.”


In these industries, he notes, recruiters may put large numbers of candidates though a less stringent recruiting process with minimal criteria and then use screening to narrow the group. In addition, adverse selection may be at work.


“People with problems in their background will go to the jobs and industries where they think employers will be less stringent—for example, retail employers, staffing companies and small employers,” Pickell says.


Legal challenges to screening practices may increase as more employers extend screening to their existing employees. The HireRight survey found that 16 percent of employers now screen their existing employees on an ongoing basis, up from 12 percent in 2008.


“The number of employers screening existing employees is absolutely increasing,” Pickell says. “Previously, it occurred only in specific industries, but now it is definitely becoming more broad-based across all industries.”


Pickell reports a wide variety of practices for screening existing employees, but generally sees employers using a set period of two to three years after the start date, or every three years across the employee base. Ongoing screening for existing employees commonly includes criminality checks and drug testing, but omits education and past employment verifications that were completed at the time of hiring.


Among all employers surveyed by HireRight, 71 percent report that their organization conducts screening to “reduce risk to the organization”; 68 percent say the purpose is to “ensure a safer workplace.” Pickell believes that the risk reduction motivation stems less from the fear of negligent hiring lawsuits and more from direct business concerns.


“The industry talks about negligent hiring because of large-dollar lawsuits, but a far bigger factor for employers is loss prevention, preventing fraud and productivity issues,” he notes.


Scrutiny of screening practices may also grow as new technologies make screening more pervasive and intrusive. A new free iPhone application allows users to conduct background screening on any person if the user inputs basic personal information. New technologies imported from anti-terrorism and police interrogation programs are now available to private-sector employers.


Suspect Detection Systems Ltd., an Israeli security company, is now marketing its Cogito “hostile intent” detection technology to employers.


“Any company that is already using polygraph tests can use this technology,” says CEO Shabtai Shoval. He believes that critical infrastructure and finance companies may adopt the biometric screening technology.


“It’s a new concept and instrument, so the legalities are still unclear,” he says.


What is clear is a growing legislative and regulatory backlash against screening practices that are not tied to demonstrable risk and business necessity. Recruiters who indiscriminately use criminal and credit screenings to cut applicants fuel the increasingly widespread calls for greater regulation and leave their employers open to costly legal challenges.

Posted on October 19, 2009June 27, 2018

Ruling Could Spur Hiring Bias Against Obese Workers

An Indiana state court’s ruling that would require a small business to pay for weight-loss surgery could make employers more cautious when hiring obese people, employment attorneys say.

The Indiana Court of Appeals upheld a workers’ compensation board ruling in August that pizza chain Boston’s The Gourmet Pizza would be required to pay for the weight-loss surgery of a former cook, Adam Childers, after doctors said the procedure was necessary to fix a back injury he suffered on the job in 2007.

The ruling mirrored a similar finding in August by the Oregon Supreme Court in which an employer was told to pay for weight-loss surgery for an employee whose workplace injury required a knee replacement.

The issue could lead employers—particularly small businesses—to think twice before hiring an obese worker, just as some businesses have enacted policies against hiring smokers, says Joseph Lazzarotti, a partner in the benefits group of Jackson Lewis. Weight-loss surgery can cost upwards of $25,000.

“How do you deal with the fact that … hiring somebody could potentially bankrupt you?” Lazzarotti says. “As a small-business owner, people might think of that and weigh the risks of a [discrimination] claim because the alternative is they may be bankrupt.”

Obese employees, like smokers, so far have had little success claiming they were discriminated against.

Weight generally is not considered a disability covered under the Americans with Disabilities Act despite changes that went into effect in January broadening the definition of a disability, says Ramona L. Paetzold, a professor at Mays Business School at Texas A&M University.

“We don’t know yet if [the changes to the ADA] will include people on the basis of weight,” Paetzold says. “If so, what will ‘obese’ be defined as, and will causes of obesity play a role?”

If obesity is included under the ADA, it would likely be narrowly defined to exclude a condition that is the result of a person’s lifestyle.

While there have been few cases like the one in Indiana, the growth of obesity in the workplace may lead to more workers’ compensation or discrimination cases.


If the courts recognize obesity as a disability, millions of obese Americans could potentially claim discrimination. About two-thirds of Americans are overweight, and 27 percent—about 72 million—are obese, according to data from the Centers for Disease Control and Prevention.

The recent workers’ compensation rulings, meanwhile, could lead companies to narrowly define a person’s job so that employers are not held accountable for a workplace injury that falls outside their job role, says Michael McAuliffe Miller, an attorney in the labor and employment group of Eckert Seamans Cherin & Mellott in Harrisburg, Pennsylvania.

“To avoid the outcome of the Boston case, employers have to make sure that the people they hire are physically able to do the job,” he says.

Still, Miller says the ruling may not have broad legal implications for employers.

A key fact that went against the company was that Childers’ weight ballooned from 340 pounds to 380 pounds after he stopped working.


A doctor concluded that Childers’ back recovery was “doomed to failure” unless he lost weight. After physical therapy worsened Childers’ back pain, his doctor recommended back surgery.

The company argued that Childers’ weight constituted a pre-existing condition for which it was not responsible.

Citing a precedent in a case involving a longtime smoker, the court ruled differently. It said the employee’s pre-existing obesity, combined with his back injury and subsequent weight gain, formed a new work-related “single injury” the employer was responsible for treating.

One policy resolution, Lazzarotti says, could be for states to create insurance pools for obesity-related workers’ compensation claims similar to “second injury funds” established to encourage workers to hire disabled individuals. The funds help employers pay for pre-existing disabilities further complicated by workplace injuries.


—Jeremy Smerd


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Posted on October 19, 2009June 27, 2018

Some Firms Get Tougher on Workers’ Health Habits to Help Control Insurance Costs


Stinging from yet another year of rising health care costs, some employers are forcing high-risk employees to pay more—in some cases, a lot more—for their health care coverage in 2010.


While smoking surcharges remain the most popular added premium assessment used, the size has grown significantly from a nominal fee when such surcharges were introduced several years ago to what many consider “real money,” especially during a recession.


A few intrepid employers have gone a step further, relegating employees who decline to take better care of themselves to health plans that provide less coverage.


Some benefits law experts are concerned these employers may be pushing the envelope a bit too far, but legislation passed last week by the Senate Finance Committee appears to reinforce employers’ aggressive efforts to rein in health care costs through the use of incentives.


More than half of employers plan to introduce or expand an existing wellness program next year to lower health care costs, according to the 2009 Benefits & Talent Survey by Aon Consulting, a unit of Chicago-based Aon Corp. Of those, 34 percent plan to either introduce or increase financial incentives for their wellness programs in 2010.


The incentives, the value of which averages about $400 per employee per year, include gift cards, merchandise, premium discounts, co-payment or deductible credits, and contributions to health savings accounts or health reimbursement arrangements, according to IncentOne, a Lyndhurst, New Jersey, company that tracks employer-provided wellness incentives.


At Black & Decker Corp., for example, employees and dependents who certify in an honor system that they have been tobacco-free for at least six months will pay $75 less per month for their medical and dental coverage in 2010.


That discount, now in its third year, grew from $30 per month in 2008 to $55 this year, said Raymond Brusca, vice president of benefits at the Towson, Maryland-based tool manufacturer.


While sizable, Black & Decker’s incentive still is less than 20 percent of the cost of employee-only coverage, a cap set by the Treasury, Health and Human Services, and Labor Departments under regulations implementing the Health Insurance Portability and Accountability Act, Brusca said.


Whether those applied by the Illinois division of the American Federation of State, County and Municipal Employees are within allowable limits, though, is subject to debate.


For the past two years, the union’s 170-member Chicago-based staff has had a choice between two health plans: a “health-improvement plan” that provides 90 percent of coverage for in-network services above a $250 deductible for individuals and $500 for families, and 80 percent out-of-network coverage above a $500 individual and $1,000 family deductible; or a “standard plan” that provides 80 percent in-network coverage and 70 percent out-of-network coverage above deductibles that are double the health-improvement plan’s.


In addition, the standard plan’s out-of-pocket maximum is twice that of the health-improvement plan, with a lifetime limit that is half the health-improvement plan’s.


To qualify for the richer plan, employees and dependents must agree to annual biometric screening, complete a health risk assessment and meet with a nurse-coach to address any identified health risks.


Employees who qualify for the health-improvement plan pay nothing for coverage for themselves and 1.5 percent of salary for dependent coverage. Healthy employees and those who wish to improve their health also qualify for this option.


However, if those covered decline biometric testing, refuse to give up smoking or address other health risks, they must enroll in the standard plan, for which they pay 1.5 percent of salary for themselves and an additional 3 percent of salary for dependent coverage.


Although annual enrollment takes place each fall, individuals who violate the health-improvement plan rules during the year are demoted to the standard plan.


Bob Gorsky, president and senior consultant at HPN Worldwide Inc. in Elmhurst, Illinois, which manages the AFSCME plan, said that even though the incentives can be more than 20 percent of individual coverage, this dual-plan approach is permissible under federal law.


The Employee Retirement Income Security Act “already has precedent set where people are paying more than 20 percent [more] if they don’t comply with plan rules, such as by going out of network or not getting pre-certification when required. This could be applied for noncompliance with expected actions, such as screenings,” Gorsky said.


Hank Scheff, director of employee benefits for the Illinois division of AFSCME, said the plan is not subject to HIPAA’s 20 percent threshold because “we do not require plan members to achieve a certain outcome.” For example, if an individual is having a hard time quitting smoking, they need only to participate in a smoking cessation program, he said.


“It is aggressive at the point of enrollment,” he said. “But once we get people into the system, we’re trying to help them. If they fail, we don’t whack them. We ask them to try again.”


On the other hand, “if they sign up for a smoking cessation program and they don’t attend, they get moved” to the standard plan, Scheff said.


“To say this program only requires a person to participate in a smoking cessation program and therefore is merely participation-based misses the mark,” said Edward Fensholt, senior vice president and director of compliance services at Lockton Cos. in Kansas City, Missouri.


“The person is being targeted for disparate treatment at the outset due to tobacco usage. The key is that if he doesn’t want to participate, he’ll pay the higher premium cost. This makes the program subject to the 20 percent rule, in my view, and it makes it different from a voluntary biometric screen for which the employer awards incentives simply for participation,” Fensholt said.


Sharon Cohen, group and health care benefits counsel at Watson Wyatt Worldwide in Arlington, Virginia, suggested such an aggressive approach could violate ERISA because certain employees can be seen as being denied benefits.



Filed by Joanne Wojcik of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


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Posted on October 19, 2009June 27, 2018

Study Finds Almost Half of New York City’s Workers Lack Sick Leave


Nearly half of New York City’s workforce—about 1.9 million New Yorkers—don’t get paid sick leave, according to a new study by the Community Service Society of New York, a nonprofit advocacy group for the poor.


Low-income workers are nearly twice as likely as higher-income workers to receive no paid sick days, with 66 percent of workers earning less than $36,000 a year for a family of three lacking the benefit, according to the study.


More than seven in 10 low-income workers without paid sick leave reported going to work sick in the past year, while three in 10 reported sending a sick child to school because they could not take time off from work, the study shows.


The portion of workers in households earning $18,000 to $36,000 annually for a family of three has declined as the economy has tanked. Only 33 percent received paid sick leave in 2009, compared with 43 percent the year before and 56 percent in 2007.


The survey comes as a bill that would compel employers to provide workers with paid sick days wends its way through the City Council.


Under the measure, employers with 10 or more workers would have to provide nine paid sick days, while companies with fewer than 10 workers would have to give five. The city’s five chambers of commerce have raised opposition to the measure, arguing it would place an unfair burden on businesses during tough economic times.


“It’s really low-income workers who are affected the most,” said New York City Councilwoman Gale Brewer, the bill’s lead sponsor.


Low-income Latino workers are most likely to be without paid sick days, the study shows, with seven in 10 not receiving any paid sick leave. Authors of the report attributed this to the fact that Latinos are less likely than blacks or whites to be union members.


Workers without paid sick leave are concentrated in the leisure, hospitality, and retail and wholesale trade sectors, which account for two-thirds of workers who don’t get the benefit, according to the study.


Small businesses are least likely to provide paid sick leave, the study shows.


For instance, nearly two-thirds of workers in businesses with 10 or fewer employees do not receive paid sick leave—as compared with only 18 percent of workers in large businesses with 500 or more employees. Those in businesses with 10 or fewer employees represent more than a quarter of all working New Yorkers without paid sick leave.


“For those that don’t offer five days or more, it is most likely that they simply couldn’t afford to stay in business if they did,” wrote Carl Hum and Nancy Ploeger, heads of the Brooklyn and Manhattan chambers, in a recent issue of Crain’s New York Business, a sister publication of Workforce Management.


Mayor Michael Bloomberg has said he supports paid sick leave for large companies, but has stopped short of embracing it for small ones. His rival, City Comptroller William Thompson, has said he supported paid sick days, but that “one size does not fit all.”


Council Speaker Christine Quinn has yet to take a position.


Brewer said that she has met with many small business owners and representatives of the chambers and is eager to include them in the legislative process.


“There’s lots of room for compromise,” she said. “But the basic issue is, if you’re sick, you should be able to stay home.”



Filed by Daniel Massey of Crain’s New York Business, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


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Posted on October 14, 2009June 27, 2018

California Bans Denying Workers’ Compensation in Racially Motivated Attacks


California Gov. Arnold Schwarzenegger signed legislation into law Monday, October 12, that prohibits the denial of a workers’ compensation claim filed by an employee attacked because of race, sexual orientation or religious creed.


The legislation, A.B. 1093, also known as Taneka Talley’s Law, was introduced after the death of a black employee who was stabbed to death in 2006 while on the job at a Dollar Tree store.


The employer’s insurer initially denied death benefits for the woman’s 8-year-old son. The insurer argued that because the perpetrator said he sought to kill a black person, there was a personal connection between the attacker and the employee unrelated to Talley’s employment.


The new law, which takes effect January 1, 2010, also bars denying coverage because of a personal connection when someone is killed or injured on the job due to their national origin, age, disability or gender.



Filed by Roberto Ceniceros of Business Insurance, a sister publication of Workforce Management. To comment, e-mail editors@workforce.com.


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