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Iowa Telecommunications Association. Health Reform Update. [ www.kiesling.com ]. WELLNESS IN THE WORKPLACE How can it save you?. Lindsay Guenther, HR Generalist. Back to Health Class. Question: Even when resting, what muscles work twice as hard as the leg muscles of a person sprinting?

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iowa telecommunications association

Iowa Telecommunications Association

Health Reform Update

[ www.kiesling.com ]

wellness in the workplace how can it save you
WELLNESS IN THE WORKPLACEHow can it save you?

Lindsay Guenther, HR Generalist

back to health class
Back to Health Class

Question:

Even when resting, what muscles work twice as hard as the leg muscles of a person sprinting?

Answer:

The human heart.

back to health class1
Back to Health Class

Question:

Approximately how many gallons of blood is pumped through your body by your heart each day?

Answer:

2,000 gallons

back to health class2
Back to Health Class

Question:

During the average lifetime, how many times will the human heart beat?

Answer:

2.5 billion times

and the cold reality
..And the cold reality

Question:

What percentage of deaths in the U.S. are from heart disease?

Answer:

25% (1 in every 4 deaths)

the cost of poor health
The Cost of Poor Health
  • In 2010, the cost of cardiovascular disease in the U.S. was about $444 billion.
    • Heart conditions
    • Stroke
    • Peripheral artery disease
    • High blood pressure
  • $1 of every $6 spent on healthcare was spent on the above conditions
the cost of poor health to your business
The Cost of Poor Health (to your business)
  • Increased number of sick days/employee absenteeism
  • Turnover
  • Presenteeism
  • Increased healthcare costs
the rise of costs
The Rise of Costs

8%

Single

9%

Family

Overall inflation was 2%.

the rise of costs1
The Rise of Costs

Six causes of increased healthcare costs

  • Hospital Visits
  • Doctor Visits
  • New Medical Technologies
  • Lab Tests
  • Drugs
  • Health Plan Administrators
back to class
Back to Class

Question:

What is our controllable action in lowering the costs of healthcare?

Answer:

Education about being a smarter health consumer and wellness programs.

who even participates
Who Even Participates?

In a 2011 study conducted by Principal Financial Group, thousands of employees of companies who offered wellness programs said…

52%

Wellness programs give them more energy and productivity.

41%

Wellness programs encourages them to work harder and better.

40%

Wellness programs would drive retention.

creating a wellness program
Creating a Wellness Program
  • Organizational Culture and Leadership
    • Develop a “Human Centered Culture”
    • Demonstrate leadership
    • Encourage mid-level management
creating a wellness program1
Creating a Wellness Program
  • Program Design
    • Establish clear principles
    • Integrate relevant systems
    • Eliminate recognized occupational hazards
    • Be consistent
    • Promote employee participation
creating a wellness program2
Creating a Wellness Program
  • Program Design (continued)
    • Tailor programs to the specific workplace
    • Consider incentives and rewards
    • Find and use the right tools
    • Adjust the program as needed
    • Make sure the program lasts
    • Ensure confidentiality
creating a wellness program3
Creating a Wellness Program
  • Program Implementation and Resources
    • Be willing to start small and scale up
    • Provide adequate resources
    • Communicate strategically
    • Build accountability
creating a wellness program4
Creating a Wellness Program
  • Program Evaluation
    • Measure and analyze
    • Learn from experience
one last question
One Last Question

Question:

Although we can’t fully stop the rise of healthcare costs in the U.S., who can help create awareness around better lifestyles and healthy choices related to their employees?

Answer:

You.

sources
Sources
  • Iowa Public Television http://www.pbs.org
  • Cleveland Clinic http://my.clevelandclinic.org/
  • Center for Disease Control and Prevention http://www.cdc.gov/niosh/TWH/essentials.html
  • Kaiser Family Foundation http://kff.org/
  • WebMD http://www.webmd.com/healthy-aging/features/heart-disease-medical-costs
  • CNN Money http://money.cnn.com/
  • Principal Financial Group http://www.principal.com/wellbeing/2011/wbwellness-4q2011-data.pdf
  • National Institute for Occupational Safety and Health http://www.cdc.gov/niosh/
questions
Questions?

Lindsay Guenther, HR Generalist

Kiesling Associates LLP

lguenther@kiesling.com

(515)221-4647

West Des Moines, IA

Thank you!

upcoming changes
Upcoming Changes
  • Individual mandates
  • Employer play or pay – Employer mandates (2015)
  • Large employer auto enroll requirement
  • Insurance exchanges for individuals and small businesses
  • Guaranteed issue, renewability and rating variation requirements
  • Annual limits
  • Limit on waiting periods
  • Wellness incentives
  • Preexisting condition exclusions
  • Comprehensive health insurance coverage
  • Limits on cost sharing and deductibles
major changes
Major Changes

Insurance Exchanges

  • Under the law, states will create insurance exchanges that will be operational by 2014
  • Open to both eligible individuals and some employers
    • Before 2017, open to employers with 50 or fewer employees only
    • Starting 2017, each state will be allowed to open up the exchange to larger employers
individuals
Individuals
  • The Shared Responsibility Provision
    • Effective January 1, 2014
    • Certain exemptions, some of which need to be certified
      • You are not required to file a tax return
      • Coverage is more than 8% of household income
    • Penalties apply if exceptions do not apply
premium tax credit
Premium Tax Credit
  • Insurance is through the exchange
  • Are not eligible through employer plan
  • Are within certain income limits
  • If married you must file joint
  • Cannot be claimed as a dependent
income limits
Income Limits
  • Individuals – Up to $45,960
  • Family of two – Up to $62,040
  • Family of four – Up to $94,200
business health insurance credit
Business Health Insurance Credit
  • Available 2014 if participating in exchange
  • Phase-outs
    • 10 to 25 full time equivalents
    • $25,000 to $50,000 in wages
  • 50% of employer’s non-elective contributions
  • Credit is netted against deduction
health insurance credit
Health Insurance Credit
  • Exclusions
    • Self-employed
    • 2% shareholders in an S-Corp
    • 5% shareholders of C-Corp
health insurance exchange credit
Health Insurance Exchange Credit
  • Available in 2014
  • Credit equal to 50% of costs purchased through state exchange
  • Available for only 2 consecutive years
  • Additional exchange information available in October 2013
employer responsibilities
Employer Responsibilities

Employers with more than 50 Ees to pay 2k per employee if no health insurance coverage is offered and 1 EE is receiving premium assistance

  • First 30 employees are excluded from calculation of penalty
  • Full time employees only are used in calculation
minimum essential coverage
Minimum Essential Coverage
  • The employee’s share must not exceed 9.5% of household income
  • The employer’s share must be at least 60% of the actuarial value of the total plan
full time equivalent fte
Full Time Equivalent (FTE)
  • Employed on average 30 hours in a week
  • Employed 130 hours in a month
  • Part time hours are divided by 120 per month
  • Seasonal workers excluded if 4 months or less
counting employees
Counting Employees
  • Full time employees for each month +
  • FTE for each month =
  • Divide by 12
wellness program
Wellness Program
  • Limited to 30% of employee coverage and 50% for smoking.
  • May increase premium or provide credit
  • Can be a
    • Participatory Wellness Program
    • Contingent Health Program
participatory wellness program
Participatory Wellness Program
  • Providing incentives for
    • Health club memberships
    • Smoking cessation classes
    • Preventive care
contingent health program
Contingent Health Program
  • Increasing employee rates for
    • Smoking
    • Body Mass Index
    • Blood Pressure
    • Cholesterol Levels
w 2 reporting of health costs
W-2 Reporting of Health Costs
  • If <250 W2 filed in prior year exemption for 2012 forms and 2013 until further guidance issued
  • Reporting done in box 12, code DD
  • Reporting is for information purposes only
w 2 reporting of health costs1
W-2 Reporting of Health Costs
  • Exemptions
    • Long term care insurance
    • Worker compensation
    • Supplemental liability
resources
Resources
  • Kaiser Family Foundation – www.kff.org
  • www.healthcare.gov
  • http://www.cms.gov/cciio/index.html
  • http://www.irs.gov/uac/Affordable-Care-Act-Tax-Provisions-Home
questions1
Questions?

Todd Thorson, Partner

Kiesling Associates LLP

tthorson@kiesling.com

(515)221-4623

West Des Moines, IA

Thank you!