Getting Sick Over Your Health Plan?

Posted by Jim Van on May 12, 2011 under Uncategorized | 3 Comments to Read

Spring has finally sprung, and as surely as the green is returning to the trees, our annual health care prospectus came in the mail the other day. I truly think that the real purpose of this annual ritual is merely to provide our health insurance company the opportunity to raise rates (5% this year) and to reduce benefits (20& increase in copays this year). Add to the confusion: the plan that we’ve offered employees for the past five years has a new name, and, yes, shall we say different benefits. Our average cost to cover an individual employee (we cover 80%) is now $360/month. Our average cost to cover a family is now $900/month (we split the total premium). Add to that a $45 monthly dental and vision benefit, and it becomes a pretty big burden for a small business to bear. 14.5% of payroll costs, just to cover health insurance, and that doesn’t even take into account the FICA/Medicare/Unemployment Insurance/Workman’s Comp contributions, 401k contributions, vacation, sick/personal dayws, holiday pay that all add up to a 36% premium on basic salary costs. Never mind continuing education and a dozen other incidental costs that most employees never take into consideration.

Still, offering a solid health benefit package is the best retention insurance a company can provide, because so few companies do. Respndants to a recent survey conducted by Robert Half International, an employment firm, said that health insurance was the main reason they accepted the offer at their current employer by a 83% margin. Given that it costs, on average, $4,000 to acquire a new employee, even in today’s climate, perhaps there’s a somewhat reasonable ROI on our investment in our employees’ coverage.

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  • Dave D. said,

    Agreed about the ROI being in retaining good employees, but I have to wonder: with copays and premiums rising, and providers being reimbursed the same, how can the insurance providers justify their continual premium increases and cutbacks in benefits?

  • Roy said,

    I was laid off my job after 15 years back in 2008, and have had to freelance and work part-time since. COBRA was expensive enough, but when it ran out in 2010, talk about a wake up call! I can’t believe these companies charge the outrageous premiums for health plans that cover maybe 60% of what I had from my former employer. Where’s this Obama-care that all the right wingers are screaming over?

  • admin said,

    Sue: when one views the incredible bureaucracy present in most health care systems, and particularly insurance carriers, it’s not as much of a surprise as one would think. What we really need is a change in the overall model, which I suspect won’t happen in my lifetime…

    Roy: Most employees have no idea of what they cost their employers in addition to their salaries. On average, we pay about a 35% premium for mandated taxes, insurance, plus the ‘fringe’ benefits of health dental and vision insurances plus vacation and sick/personal/holiday time. I think the national average is up to 30% now, up 2 points in just the past 4 years, and up 10 points from the mid-nineties. It’s one reason why there’s a lot of work but few jobs out there….

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