Talking About Financial Matters That Affect You and Your Organization
Continuation of Benefits for Disabled Employees
Jun 28th, 2017
One of the questions most commonly asked by our clients is:
“How long do we have to continue benefits for an employee who is no longer actively at work due to illness or injury?”
Unfortunately, there is no definitive answer and each situation must be carefully examined on an individual case basis.
In this article, we have outlined the position of the Worker’s Compensation Boards,...Read More
4 Key Benefits of Automating HR with Human Capital Management Tools
Jun 13th, 2017
Increasing Efficiency & Accuracy
Moving your data to a single platform which can then feed payroll, benefits, group retirement, and project management ensures compliance and drives efficiency. Managing multiple solutions with different data feeds and logins is terribly inefficient prone to error, not to mention lack of control over data ownership! Through secure web based technology, manage...Read More
Feb 21st, 2017
Medical Marijuana and your benefits
On January 30, 2017 the Nova Scotia Human Rights Commission ruled that it was discriminatory to deny coverage for medical marijuana under a welfare trust plan. You can read the decision here. This decision is important, but there are some key elements that must be considered as follows,
- The plan did not limit eligibility to drugs with a drug ...
I'll Take a Drug Plan with Travel Please!
Sep 6th, 2016
Recently I came across a prospective client who was utilizing a health spending account to provide reimbursement of their plan member Health and Dental claims. The allocation was a modest amount that was quickly utilized by a number of plan members. Through the discussion with the prospective client we chatted about the goal of the existing program and how the plan was performing. The...Read More
3 Benefits Landmines
Aug 21st, 2016
As with all administrative duties, the devil is in the detail. Over the last few months there has been a disturbing trend among clients around missing some of the day-to-day obligations of administering the benefits program. Here are three common landmines,
- Failure to enroll an eligible plan member within 31 days of eligibility. Since benefits can form part of the employment agreement...
4 Dont's - Sometimes You Have No Choice
May 2nd, 2016
When living in tough economic times, organizations must make difficult decisions about their workforce and compensation. Reducing wages and benefits is typically the last straw as organizations struggle to survive.
Few relish the decision to make cuts, but sometimes there are no other choices. So how the changes are made will have significant impact on how they are received. As with wages,...Read More
Pharmacogenetics and Benefits
Jan 15th, 2016
Pharmacogenetics is the study of inherited genetic differences in drug metabolic pathways which can affect responses to drugs, both in terms of therapeutic effect as well as adverse effects. Test results help identify which medications will be the most effective as well as which frequency it should be taken to maximize the metabolic process and minimize adverse side effects.
How is the test...Read More
What's Reasonable & Customary Mean?
Dec 12th, 2015
Most if not all group insurance plans contain some mention of reasonable and customary. This is an approach by providers to limit allowable costs for some services within a plan without providing a fixed hard cap. Reasonable and customary refers to the maximum allowable amount that a provider will reimburse on a particular service or item.
Few insurers post their reasonable and customary...Read More
Does It Really Matter If I'm Late?
Dec 4th, 2015
Most group insurance providers require that employees and eligible dependents enroll with the group insurance plan within 31 days of becoming eligible. The purpose of this limitation is to reduce advise risk within the plan from plan members who choose to enroll only when they have a need for services (and therefore claim much more than the average current member which drives up pricing for...Read More
Building the Solution
Oct 31st, 2015
: able to be used without being completely used up or destroyed
: involving methods that do not completely use up or destroy natural resources
: able to last or continue for a long time
© 2014 Merriam-Webster, Incorporated
As we move into 2016 one of the most common discussions with clients revolves around sustainability.
The workforce is the...Read More
6 Steps to Prepare for Your Benefits Renewal
Oct 25th, 2015
Ever get that feeling when something just does not feel right? Trust your intuition. Although you cannot control every factor that impacts the pricing of your benefit plan, you can protect yourself by following these simple steps in assessing your renewal.
Review the Data – Is the data being used accurate? Have you had a change in your workforce that is not reflected in the...Read More
Benefits.....Yah we got them.
Oct 12th, 2015
All too often we engage with a new client on their employee benefit plan strategy and upon some simple due diligence we find the existing plan operating in some level of obscurity. Obscurity in the sense that the plan members may not appreciate the investment being made by the plan sponsor organization. Obscurity in the sense that the plan members have little or no accountability to the...Read More
The Industry Must Change
Aug 19th, 2015
The employee benefits market is broken. It is broken because there is no reality check between what a provider takes in terms of risk and what the policyholder is prepared to pay. At any point in time, a policyholder could test the market and find half a dozen quotes with savings ranging from 8% to 40%. 40% you say? Absolutely, in all my years working in employee benefits I have never seen...Read More
Anatomy of a Group Insurance Death Spiral
Aug 18th, 2015
Group insurance in its simplest form is a promise of an employer to provide protection against unforeseen or unwanted financial loss due to illness or injury. In its most complicated form, group insurance is a part of wages which can be acquired or disposed of based on the net economic benefit seen by the participating party.
Over the last few months, I have had an opportunity to meet with...Read More