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The days of affordable group health insurance seem to be in the history books in the eyes of business owners and employees. With the ever-increasing insurance premium spiking on an annual basis, companies are looking for alternative ways to contain the costs of premium and deductible expenses shared by the employer and the employee.
The traditional $500 or $1000 deductibles are going by the way side and Employers are choosing to move to higher deductibles and share the cost of the deductible in order to maintain a premium that is feasible.
The Health Reimbursement Arrangement (HRA) is allowing employers to do just that!
I recently worked with an insurance agent on a case in which his client was experiencing a 38% increase on their group health coverage. The employer previously had 71 employees participating in the three plan choices available: a $500/$1000, $1000/$2000, or $2000/$4000 deductible plan. With the 38% increase the company was looking at a monthly premium of $62,750 and an annual premium of $753,010! Yikes.
The employer needed options and the HRA was just the remedy to this issue. They changed the insurance plan choices to a $2500/$5000 and $4000/$8000 deductibles, and implemented an HRA+ to share the burden of the deductible between the employee and employer. By eliminating the lower deductible options and moving to higher deductibles, and in addition to implementing the HRA+, the premiums were significantly lower. In this case, the employer is saving $16,352.28 monthly on insurance premiums. That is a total savings of $196,227.36 on premium dollars in 2010.
In this plan design, the employer is assuming some risk by sharing the cost of the deductible with its employees. The employee’s have a certain level of deductible/co insurance responsibility and the employer is funding the HRA to pay the remaining expenses if needed. The average utilization rate within an HRA is 13%, making the risk versus reward of utilizing such a plan design very favorable for both the employer and the employee.
By utilizing the HRA+, the employer is able to save premium dollars by changing plan design, and is still able to maintain the same levels of medical coverage at an affordable rate for their employees. The above mentioned plan design reduced the annual increase of 38% (that the employer would have experienced with their renewal of the existing plan), to a 16% increase from their 2009 rates.
Increasing healthcare costs are allowing or demanding that employers and their agents/brokers become a little more creative and look at "choices" or "options." The HRA+ is the link to solving the puzzle of "how can we afford this coverage." It is possible to continue to have affordable health coverage, but we must all be willing to look outside of the box from time to time for the answers to more difficult questions.
Joe Havenhill BASE - Group Products
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