Making Healthcare Hit Home — How to Explain Group Benefits to Your Employees

Jill GouletEmployee Benefits, Health Insurance, Human Resource Consulting, Uncategorized

Group Benefits are both the most important and the most valued benefit provided by employers. American workers regularly cite healthcare as one of the main factors affecting their employment decisions – good or bad. A good group plan provides your people with peace of mind and helps them be happier and more confident in life and work.  In the end, it’s a game changer on many levels when it comes to employee retention and satisfaction.

It’s a shame then that so many people find health plans confusing — whether it’s benefits, coverage, deductibles, premiums, or copays, the bewildering number of choices makes it difficult for employees to make the right decision. Let’s face it – insurance is complicated.

Why is choosing health insurance difficult for employees?

There are many reasons for this including:

  • The sheer number of plans available.
  • The difference in benefits and coverage between plans.
  • Not understanding how premiums and out-of-pocket costs will affect finances.
  • Differences between in-network and out-of-network providers.
  • And many more areas…

 How to make the decision easier

There are several things you can do to make things easier for your team, they include:

Get your employees involved in choosing and educating about group benefits:

Get your managers and team leaders involved so they have a good understanding of all group benefit options and are comfortable discussing it with their direct reports. A great idea would be to create a Benefits Team within your organization. Here’s how: take one employee from each department and create a team. Involve them in the process of decision making when it comes to all areas of group benefit insurance. This way, if a change in benefits is necessary, employees are armed with the reasons why. They can educate others on their team and throughout the company. This helps ward off any negative discussions around changes that are going to happen with your company’s group benefit structure, whether it’s dental, medical, short term disability (STD), long term disability (LTD), etc. Ensure that group benefit insurance is presented both team or company meetings and via one-on-ones if needed.

 Provide a more limited number of health insurance plans

Research shows the more choice consumers are given, the more difficult it is to make the right choice. Think about providing five or six plans as “core” choices, but give employees the option to choose other types of plan if they need them.

Centralize all health insurance information in one place

Link to or create a good comparison of healthcare plans, that show benefits, co-pays, premiums, coverage, and other key elements side-by-side, so people can contrast and compare. Provide supporting material, examples, and context that discusses what the plans cover and how they would work in real life. Your health insurance provider or broker can help with this.

 Get your insurance broker to talk to your team

Your health insurance broker is an expert. Invite them to talk to your employees about the importance of making the right decision. Have them clearly explain the various options open to them and let your employees ask questions and share concerns.

Keep health insurance simple

Explain health coverage in simple terms. Have a person available – ideally your broker, who can answer questions from your team on the options open to them. Provide follow up information people can download and use to understand their coverage.

If you’re changing carriers, explain the reasons why

Sometimes you might need to change your insurance carrier. If you need to do this, provide very clear, simple explanations of how benefits and coverage are changing. Let people know exactly what benefits are being removed, what’s being gained, and any changes to existing benefits. If necessary, provide the reasoning behind changing insurers.

Above all, remember that health insurance is confusing to most people. Be completely transparent, provide simple, useful information, answer questions and ensure employees understand their responsibilities. Rely on your broker to help with the hard tasks – that’s what they are there for!

Jill Goulet
Risk Management Consultant
jgoulet@srfm.com

Sinclair 7-22-15-14