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Mgmt 383

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Title: Mgmt 383


1
Mgmt 383
  • Chapter 14
  • Managing Employee Benefits
  • Spring 2009

2
Strategic Benefits Considerations
Competitive Advantage
Attract Retain
Strategic Benefits Considerations
Benefits Management
Benefits Communication
3
Employee Benefits
  • Employee Benefits - indirect compensation given
    employees as a condition of organization
    membership.
  • Objectives that contribute to a competitive
    advantage
  • Help attract employees.
  • Help retain employees.
  • Enhance the organizations image with employees
    and outside constituencies.
  • Encourage job satisfaction and organizational
    commitment.

4
Employee Benefits
  • Unlike many other countries, in the United States
    employers have become a major provider of
    benefits for citizens.
  • U.S. companies face increasing pressure from
    federal and state governments as they shift many
    of the social costs for health care and other
    expenditures to the private sector.

5
Measures of Benefits Effectiveness
  • Benefits as a percentage of payroll.
  • Benefit cost by employee group
  • Full-time v. part-time.
  • Union v. nonuniion.
  • Office, management, professional, etc.
  • Benefits expenditure per FTE employee.
  • Benefits administrative costs.
  • Health-care benefits cost per participating
    employee.

6
Employee Benefits
  • Two major categories of employee benefits
  • Government Mandated Benefits - employee benefits
    that are required (mandated by law).
  • Voluntary - those not required by law.

7
Voluntary Benefits
  • Voluntary Security Benefits
  • Severance Pay
  • Supplemental Unemployment Benefits
  • Family Security Benefits
  • Health Care Benefits
  • Retirement Benefits
  • Time Off Benefits
  • Financial Other Benefits
  • Family-Oriented Benefits
  • Social Recreational Benefits

8
Security Benefits
  • Can be voluntary or government mandated.
  • Government Mandated
  • Workers Compensation.
  • Unemployment Compensation
  • Voluntary
  • Severance Pay
  • SUBs

9
Workers Compensation
  • Benefits are provided for employees who
    experienced work-related injuries/illness.
  • Cash benefits
  • Medical care
  • Rehabilitation services
  • Employers contribution is experience-rated.
  • Too many fraudulent claims.

10
Workers Compensation
  • Advantage
  • In exchange for workers' compensation coverage,
    employees give up the right of litigation for
    injuries and awards.
  • Disadvantage
  • Too many fraudulent claims.
  • Number one Workers Comp claim Back injuries.

11
Unemployment Compensation
  • Mandated as part of the Social Security Act of
    1935.
  • Benefits are provided to individuals when jobs
    are lost due to no fault of their own (economic
    reasons).
  • Up to 26 weeks (½ year).
  • Can be extended by Congress up to 13 more weeks.

12
Eligibility for Unemployment Compensation
  • Able, available, and actively seeking work.
  • Cannot refuse suitable employment.
  • Unemployment cannot result from a labor dispute
    (except in MI, RI, and NY).
  • Cannot leave the job voluntarily.
  • Cannot have been terminated for misconduct or
    poor performance.

13
Myths About Mandatory Benefits
  • Must provide breaks for meals.
  • Must provide paid sick leave.
  • Must provide vacations.
  • Must provide health insurance.
  • Must pay overtime for work performed on federal
    and state holidays.

14
Severance Pay
  • Severance Pay - payments to employees who have
    lost their jobs due to economic reasons.
  • Lump sum payment.
  • Time payments - continued regular pay for x
    months after termination.
  • Golden Parachutes are the ultimate form of
    severance pay.

15
Supplemental Unemployment Benefits (SUBs)
  • Employer supplements state unemployment benefits
    to ensure a guaranteed level of income.
  • Example An employer guarantees an 80 SUB.
  • An employee made weekly salary of 500 (80
    400)
  • The maximum Weekly Benefit Amount (WBA) allowed
    in Mississippi in 2008 is 230.00

Salary 500
SUB 170
State Unemployment 230
400
16
Health-Care Benefits
  • Major current problem is rising costs
  • Uninsured workers account for 18.8 of the
    workforce.
  • Many are illegal aliens
  • 15 to 20 of the U.S. population lacks health
    coverage an these expenses are shifted to
    employers providing insurance for their employees.

Source Employee Benefit Research Institute
estimates from the March Current Population
Survey, 2007 Supplement.
17
Controlling Health Care Costs
  • Co-Payments - the employee pays a portion of the
    medical costs (usually 10 - 20 after
    deductibles)
  • Deductibles - employee pays 100 of a fixed
    amount before co-payments kick in
  • Managed Care - strategies to reduce medical
    costs.
  • Preferred Providers Organizations (PPOs) - health
    care providers contracted to provide services at
    a fixed rate.
  • Health Maintenance Organization (HMOs) - medical
    services are provide for a fixed period on a
    pre-paid basis.

18
Controlling Health Care Costs
  • .Utilization Review - Identifying medical
    services that are unnecessary, incorrectly
    billed, or deliberately overcharged.
  • Mini-Medical Plans Provides only limited
    coverage for employees
  • Limits number of doctor visits
  • Covers on some prescription drugs
  • Only limited hospital coverage
  • Total annual health benefits are capped (usually
    lt10,000.

19
Consumer-Driven Health Plans
  • Consumer-Driven Health (CDH) plan (a.k.a.,
    defined contribution health plans) employer
    provides financial contribution to employees
    health-related expenses.
  • Health Savings Accounts (HSAs) high-deductible
    health plans providing federal tax advantages.
  • The funds contributed to the account are not
    subject to federal income tax at the time of
    deposit.

20
Consumer-Driven Health Plans
  • Health Reimbursement Arrangements (HRAs) -
    IRS-sanctioned arrangements that allow an
    employer, as agreed to in the HRA plan document,
    to reimburse for medical expenses paid by
    participating employees.
  • HRAs reimburse only those items (copays,
    coinsurance, deductibles and services) agreed to
    by the employer which are not covered by the
    company's selected standard insurance plan.
  • Non reimbursed medical.

21
Health Care Legislation
  • COBRA (Consolidated Omnibus Budget Reconciliation
    Act) Provides for extended health care coverage
    for
  • Employees who voluntarily quit (not those
    terminated for misconduct).
  • Widowed or divorced spouses.
  • Retirees spouses.
  • May charge up to 102 of premium cost.

22
Duration of Continued Coverage under COBRA
  • Duration of continued coverage under COBRA
  • 18 months.
  • 29 months if the terminated employee is disabled.
  • 36 months for the employees former spouse and
    dependents when the qualifying event is the
    employees death or divorce (to include legal
    separation).
  • The maximum age for a dependent child to be
    eligible is 18. Should a child reach that age
    within the 36-month period, he or she is no
    longer covered.
  • Source 29 U.S.C. 1162(2)(A) et.
    seq.

23
Health Care Legislation
  • HIPAA (Health Insurance Portability and
    Accountability Act) Provides for employees
    switching health coverage from one company to
    another regardless of pre-existing conditions.

24
Retirement Benefits
  • Social Security Act of 1935
  • Objectives
  • Old age benefits (Medicare)
  • Survivors benefits
  • Disability benefits
  • Retirement benefits (x 1049.40/mo. in 2007)
  • Source Social Security Administration (2007).
    Master Beneficiary Record, 100 percent data.
    http//www.ssa.gov/policy/docs/quickfacts/stat_sna
    pshot/

25
Social Security
  • Year of Birth
  • 1937 or earlier
  • 1938
  • 1939
  • 1940
  • 1941
  • 1942
  • 1943 1954
  • 1955
  • 1956
  • 1957
  • 1958
  • 1959
  • 1960 or later
  • Full Retirement Age
  • 65
  • 65 and 2 months
  • 65 and 4 months
  • 65 and 6 months
  • 65 and 8 months
  • 65 and 10 months
  • 66
  • 66 and 2 months
  • 66 and 4 months
  • 66 and 6 months
  • 66 and 8 months
  • 66 and 10 months
  • 67

26
Social Security
  • Social Security Act of 1935
  • Cost to employers (10.58)
  • Employer matches employees 7.65 contribution.
  • FICA-M (Medicare tax) is 2.93
  • Eligibility for benefit
  • Must contribute a minimum amount (roughly 500),
  • Minimum 40 quarters (10 years of work) of
    contribution.

27
Social Security
  • The Solvency of Social Security
  • Around the year 2017 the fund actually will begin
    spending more than it takes in.
  • During 2004, an estimated 157 million people had
    earnings covered by Social Security and paid
    payroll taxes.
  • By the year 2041, according to the Congressional
    Budget Office, the trust fund will be depleted.
  • Source 2005 Trustees Report. SSA (March 23,
    2004).
  • In 1950, 16 workers paid into the system for
    every beneficiary. In 2004, it was 3.3 workers.
    In 2034, it will be 2 workers.

28
Retirement Benefits
  • Contributory arrangements
  • Contributory plan - employee pays all or part of
    the pension contribution.
  • Noncontributory plan - employer pays all of the
    pension contribution.
  • Benefit arrangements
  • Defined Contribution - a specific amount of money
    is paid to the employees pension account each
    pay period.

29
Retirement Benefits
  • Benefit arrangements
  • Defined benefit - a guaranteed benefit
    arrangement is promised the employee based on age
    and service.
  • Example 2 for each year of service of the
    average salary of the highest three years of
    service upon reaching age 60.
  • Assume a 60 year-old employee with 23 years of
    service.
  • Best three years 28,000 28,500 28,700.

30
Retirement Benefits
  • Retirement Benefits
  • Defined Benefit Pensions

28,000 x 28,400 28,500 28,
700 85,200
Years of Service 23 x .02 .46 entitlement
threshold 28,400 x .46 13,064 defined
benefit or 1,088.67 per mo.
31
Retirement Benefits
  • Portability the ability to move ones pension
    benefits form one employer to another.
  • TIAA/CREF
  • Individual Retirement Accounts (IRA) tax
    deferred retirement program (funds are not taxed
    until drawn at retirement).
  • 401(k) Plan employees may have up to 12,000 of
    their salaries withheld in a special tax-deferred
    retirement account.
  • Keogh Plan a tax-deferred retirement program
    for self-employed individuals. The lesser of
    40,000 or 100 of compensation.

32
Legal Requirements for Retirement Benefits
  • Employee Retirement Income Security Act (ERISA)
    of 1974 Regulates defined benefit programs.
  • Participation requirements (who must be covered).
  • Vesting requirements ( how long the person must
    work to be entitled to the benefits).
  • How much money the employer is required to se
    aside to fund the plan.

33
ERISA
  • Plans must meet minimum funding requirements.
  • Employers must pay termination insurance to
    ensure employee pensions will be there even if
    the company goes out of business.
  • Accrued benefits must be given to employees when
    they retire or leave.

34
Pension Protection Act
  • Pension Protection Act of 2006 requires
    employers who have underfunded their pension
    plans to pay higher premiums to the Pension
    Benefit Guaranty Corporation (PBGC) and extends
    the requirement of providing extra funding to the
    pension systems of companies that terminate their
    pension plans.

35
Insurance Benefits
  • Life insurance usually pays 150 to 200 of the
    deceased employees annual salary
  • Disability insurance provides income protection
    if employee is disabled and unable to work.
  • Short-term and long-term variants.
  • Long-term care insurance - cover the costs of
    long-term assisted-living.
  • Legal insurance

36
Financial Services and Other Benefits
  • Financial Benefits
  • Credit unions
  • Purchase discounts
  • Stock-investment plans
  • Social Recreational Benefits
  • Sports teams
  • Gymnasiums/weight rooms
  • Recreation centers

37
Educational Benefits
  • Educational Benefits
  • Educational assistance
  • Tuition
  • Books

38
Family and Medical Leave
  • Eligibility Requirements for FMLA
  • Must work for a covered employer (private with
    50 employees, state governments and agencies, or
    the federal government.
  • Employee must have worked for at least 12 months
    for a covered employer.
  • Employee must have worked in excess of 1,250
    hours to be eligible. 156.25 work days, 31.25
    work weeks
  • Work at a facility with 50 or more employees who
    live within 75 miles of the place of employment.

39
Benefits under FMLA
  • 12 weeks unpaid leave.
  • Employee must be allowed to return to his/her
    previous (or equivalent) job.
  • Employee is entitled to health insurance coverage
    during the leave period.

40
Qualifying Events for Family Medical Leave
  • Qualifying events for FMLA benefits
  • Childbirth
  • Adoption
  • Family Serious Health Condition
  • Spouse
  • Child
  • Parent
  • Personal Serious Health Condition
  • A 30-day advanced notice is required for
    foreseeable situations.

41
Serious Health Condition under FMLA
  • Serious Health Condition
  • In-patient care.
  • Hospital care.
  • Hospice care.
  • Residential medical care
  • Continuing physician care.

42
Options under FMLA
  • Employer Options
  • Employer can require employees to use up all
    paid vacation, personal leave, and paid sick
    leave before taking the unpaid leave under the
    FMLA.

43
Family-Oriented Benefits
  • Child care
  • Referral services - assistance in locating day
    care facilities.
  • Subsidies - vouchers or discounts.
  • Sick-child programs in hospitals.
  • In-site child care.
  • Elder care

44
Family-Oriented Benefits
  • Domestic Partners
  • Domestic Partnership. Domestic Partners are two
    adults who have chosen to share one another's
    lives in an intimate and committed relationship
    of mutual caring, who live together, and who have
    agreed to be jointly responsible for basic living
    expenses incurred during the Domestic
    Partnership. They must sign a Declaration of
    Domestic Partnership, and establish the
    partnership under Section 62.3 of this chapter.
  • San Francisco Administrative Code 62.2.
  • Benefits for domestic partners or spousal
    equivalents (unmarried partners).

45
Domestic Partners
  • Effective June 1, 1997, Chapter 12B of the San
    Francisco Administrative Code was amended to
    prohibit the City and County of San Francisco
    from entering into contracts or leases with any
    entity that discriminates in the provision of
    benefits between employees with domestic partners
    and employees with spouses, and/or between the
    domestic partners and spouses of employees.
  • Entities recognizing homosexual domestic
    partners
  • San Francisco - mandatory
  • States of HI, VT, MA mandatory
  • Disney voluntary

46
Time-Off Benefits
  • Holiday pay
  • Vacation Pay
  • Paid Leaves of Absence
  • Paternity/maternity leave
  • Paid and Unpaid Medical Sick Leave
  • Well-pay (extra pay for not using sick pay)
  • Other Leave
  • Military
  • Election
  • Jury duty

47
Proposed Government-Mandated Benefits
  • Universal health-care benefits for all workers.
  • Child-care assistance.
  • Pension coverage that can be transferred by
    workers who change jobs.
  • Core benefits for part-time workers working at
    least 500 hours (12.5 weeks) per year.
  • Paid time off for family leave.
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