Tag: healthcare

VBBD—A Practical Case Study Shows Benefits

In yesterday’s Advisor, consultant Carla McCormick offered tips for moving toward Value-Based Benefits Design (VBBD). Today, she offers a case study in VBBD plus we introduce a timely webinar on your 2014 Affordable Care Act obligations. McCormick, a consultant with Fallon Benefits Group in Atlanta, made her remarks at BLR’s Advanced Employment Issues Symposium, held […]

Handling Suspected FMLA Fraud

“Intermittent leave and reduced schedule leaves are sometimes fertile grounds for deception and fraud.” Charlie Plumb told us in a recent BLR webinar. Intermittent leave is one of the toughest parts of the FMLA to administer and it can cause frustration for employers, employees, and their coworkers. This is never more so than when fraud […]

Infographic on Health Care Costs 2014

This infographic via Mercer shows that although US health benefit cost growth slowed again in 2013, employers expect the rate of growth in per-employee cost of coverage to increase in 2014. “The good news is that employers have already taken decisive action to slow cost growth so they will be in a better position to […]

What’s the Real Cost of EE Healthcare? (Hint: More than You Think)

How Big Is the Number? Most HR managers underestimate the full costs of employee health (or lack thereof), says Ahlrichs. He refers to a study involving auto manufacturers and 171,250 employees. The study recorded basic medical costs for the measured period—the metric most wellness plans look at—at $509 million. But add pharmacy and the number […]

Same-Sex Marriages Legally Recognized: How Do Healthcare Benefits Change?

With the DOMA ban on same-sex marriage being ruled unconstitutional, what does this mean for healthcare benefits—will a same-sex marriage be recognized in the same way as other marriages, thus allowing the same-sex partner to receive spousal healthcare benefits paid for at the pre-tax rate? This is just one of the many questions employers are […]

Tips for Curbing FMLA Abuse

Combating FMLA abuse can be frustrating, but there are some straightforward actions employers can take to limit abuse before it happens. It all starts with proper administration of FMLA leave, including the use of medical certifications and recertifications as allowed within the FMLA regulations. These tools not only provide clarity for FMLA leave eligibility, but […]

Want to ‘Clarify’ or ‘Authenticate’ an FMLA Cert? Strict Definitions

In yesterday’s Advisor, we offered guidance on FMLA certifications; today, we’ll cover when you can “clarify” or “authenticate” those certifications, and we’ll introduce the unique checklist-based audit system that lets you find problems before the feds and the lawyers do. Authentication and Clarification of Medical Certifications Employers are entitled to authenticate or clarify information received […]

Q&A on Employee Benefits under DOMA Ruling

With the DOMA ruling so recent in our minds, employers have more unanswered employee benefits questions than ever before. Is it now illegal to tax healthcare benefits for a same-sex spouse? How should multi-state employers react if the final ruling comes down that only same-sex couples who reside in a state that recognizes same-sex marriages […]

Investigating Potential FMLA Abuse

FMLA abuse is one of the biggest concerns for employers when complying with FMLA leave regulations. One example of potential FMLA abuse is questionable leave use. This is when someone is out on leave and they are doing something that seems inconsistent with the leave. For example, what happens when an employee is found to […]