Healthcare pay or play: Tough issues for employers to consider
It’s a fact: The health care reform law’s individual mandate penalty would cost companies far less than providing health insurance for employees. But cost can’t be the only factor companies use to decide whether to drop coverage when the mandate takes effect in 2014.
Companies have until January to make a decision: offer healthcare coverage to employees even though it’s expensive or pay the law’s individual mandate penalty which is $2,000 per employee. In other words, pay or play.
Compare that to the average premium cost of $5,000 per individual and $15,000 per family and dropping coverage seems like the most cost effective option.
But is it a good idea to drop coverage?
However, health insurance is a basic benefit that candidates use to evaluate job opportunities. If a company doesn’t offer health insurance to its employees, where does that leave HR when it comes to recruiting and retaining top-notch workers?
It leaves them at a serious disadvantage. HR pros will have to answer:
- Why the company is dropping coverage and sending employees to state health exchanges
- What exactly employees need to do to get coverage elsewhere, and
- What the company is doing to help employees afford coverage on their own
Drop coverage, boost pay?
The question of whether to adjust salaries after dropping coverage is a tricky one. Industry research shows that employees feel as though comprehensive benefits, including healthcare, are as important as the amount of their paycheck.
If the company decides to bank the money it saves from dropping coverage instead of boosting salaries to make up the compensation gap, HR will have to show employees and recruits how much better employees have it there than if they worked at a company that doesn’t offer healthcare coverage.
A recent survey indicates companies do indeed worry that dropping coverage will hurt their ability to recruit top talent. HighRoads, an HR/benefits service provider, polled 70 employers, 30% of which were from the healthcare/hospital industry. Nearly two-thirds (65%) said they’d ditch their healthcare plans if most of the companies in their industry did the same. And 84% said they wouldn’t eliminate health insurance if only a few companies in their industry dropped coverage.
So if the company drops coverage, and doesn’t increase base pay rates, it’s likely that employees will see the move as a pay cut – and recruits will think the company’s cheap. Consequently, companies that go this route may have no choice but to roll over some of the cost savings into boosting salaries in order to compete for the best talent.
Yes, they would be CHEAP if they dropped their coverages. It also would leave an unfavorable impression on the public and its employees. It says, “if the company doesn’t treat its employees decently, what’s to say how they will treat their customers and products?” As far as “drop coverage, boost pay?” Isn’t pay and healthcare coverage part of the TOTAL salary package? If an employer doesn’t allow health coverage, YES, they should boost the pay.
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This post does makes sense to me. Health insurance became a benefit only because of governmental interference in the labor market by imposing wage controls.
Then, government social engineering added tax incentives to promote health benefits as a form of preferred compensation. Now the system government has promoted and drive costs up, is not being changed again. These new incentives promote a massive movement to personal insurance policies thru a regulated health market (exchange).
Why would any employer take any responsibility for the government created mess. Their responsibility ends with maximizing profits and returns the owner. With a little honest and direct communication, we help employers make this move all the time. Even Now! You do not need to wait until 2014. It is simple to design a system that promotes individual accountability as a health consumer, offering qualified reimbursements up to a defined contribution limit and educate the consumer to be able to purchase insurance and avoid risk, just as we have done with Life Insurance, Disability Insurance, Home and Auto. Health is no different.
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