Tag Archives: Health Insurance

by | November 5, 2012 · 7:10 am

Hospitality Industry Employment Risks: Hotels And Restaurant Groups Begin Limiting Employee Hours To Below 30 Hours Per Week To Avoid Health-Care Law Requirements

Several restaurants, hotels and retailers have started or are preparing to limit schedules of hourly workers to below 30 hours a week. That is the threshold at which large employers in 2014 would have to offer workers a minimum level of insurance or pay a penalty starting at $2,000 for each worker.

The shift is one of the first significant steps by employers to avoid requirements under the health-care law, and whether the trend continues hinges on Tuesday’s election results. Republican presidential nominee Mitt Romney has pledged to overturn the Affordable Care Act, although he would face obstacles doing so.

Pillar Hotels & Resorts this summer began to focus more on hiring part-time workers among its 5,500 employees, after the Supreme Court upheld the health-care overhaul, said Chief Executive Chris Russell. The company has 210 franchise hotels, under the Sheraton, Fairfield Inns, Hampton Inns and Holiday Inns brands.

“The tendency is to say, ‘Let me fill this position with a 40-hour-a-week employee.’ “Mr. Russell said. “I think we have to think differently.”

Pillar offers health insurance to employees who work 32 hours a week or more, but only half take it, and Mr. Russell wants to limit his exposure to rising health-care costs. He said he planned to pursue new segments of the population, such as senior citizens, to find workers willing to accept part-time employment.

He described the shift as a “cultural change” toward hiring more part-timers and not a prohibition against hiring full-timers.

CKE Restaurants Inc., parent of the Carl’s Jr. and Hardee’s burger chains, began two months ago to hire part-time workers to replace full-time employees who left, said Andy Puzder, CEO of the Carpinteria, Calif., company. CKE, which is owned by private-equity firm Apollo Management LP,  offers limited-benefit plans to all restaurant employees, but the federal government won’t allow those policies to be sold starting in 2014 because of low caps on payouts. Mr. Puzder said he has advised Mr. Romney’s campaign on economic issues in an unpaid capacity.

For more:  http://online.wsj.com/article/SB10001424052970204707104578094941709047834.html

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by | October 22, 2012 · 6:17 am

Hospitality Industry Insurance Risks: Restaurant Operators Face "Financial Hit" From New Health Insurance Benefit Programs That Take Effect In 2014

Under the Patient Protection and Affordable Care Act, companies with 50 or more full-time eligible workers must either provide basic coverage by Jan. 1, 2014, or face fines of $2,000 per employee. A full-time employee is defined as one averaging 30 or more hours per week over a 60-day period.

“We will have a financial hit,” said CEO Victor Ansara. “We first thought it was going to be $300,000, but maybe only $100,000 to $200,000. We just don’t know how many of our employees in their 20s, who are pretty healthy, will want coverage.”

Farmington Hills-based Ansara Restaurant Group, which operates 22 Red Robin outlets and five other restaurants in Michigan and northern Ohio, is bracing financially to expand its health insurance benefit program by as many as 665 full-time workers to accommodate expected federal health care reform.

The first 30 employees are excluded from the penalty. For example, an employer with 75 employees would pay the penalty for 45 workers, or $90,000.

Eligible employees that reject insurance coverage by their employer would have to pay a $95 tax, or 1 percent of income, whichever is greater, in 2014. The tax rises to $325 in 2015 and to a maximum of $695, or 2 percent of income, in 2016. Family coverage taxes would be about three times higher in those years. The penalty is estimated to raise $6.9 billion in 2016, said the Congressional Budget Office.

Ansara said his company covers about 130 management staff with various plans from Blue Cross Blue Shield of Michigan and Blue Care Network. Only about 35 of its estimated 350 eligible hourly workers have opted for the coverage, he said.

“It is very difficult to plan when we don’t know what our health care costs are going to be in 2014,” he said. “To comply with the regulation, we have to offer coverage to all full-time eligible employees.”

Of Ansara’s 2,300 employees, up to 700 hourly workers could become eligible for health insurance coverage, he said.

For more: http://www.crainsdetroit.com/article/20121021/SUB01/310219956/red-robin-group-among-restaurants-bracing-for-health-insurance-reform#

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by | August 9, 2012 · 6:46 am

Hospitality Industry Insurance Risks: Hotel And Restaurant Owners Face "Greatest Cost Increases" From Healthcare Reform Laws; Must Cover Employees Currently Not Eligible

“…Many retail and hospitality industry employers face a “double whammy” due to the upcoming health care reform law requirements…employers that do not offer qualified coverage face a $2,000 assessment per full-time employee—those working at least 30 hours a week—starting in 2014…”
Employers in the retail and hospitality industries face the greatest cost increases when provisions of the healthcare reform law imposing financial penalties on employers that do not offer qualified coverage go into effect in 2014, according to a survey released Wednesday.Forty-six percent of employers in the retail and hospitality industries and 40% of employers in the health care services industry expect health care cost increases of at least 3% due to health care reform law requirements, according to the Mercer L.L.C. survey of 1,203 employers.

Some will face stiff cost increases as they must extend coverage to employees who are not eligible for coverage currently. In other cases, the coverage they provide, such as through what are known as mini-med plans, will not meet 2014 standards. That includes a ban on annual dollar limits on essential benefits as laid down by the Patient Protection and Affordable Care Act.

Read more: Retail, hospitality industries face big reform costs | Modern Healthcare http://www.modernhealthcare.com/article/20120808/INFO/308089995#ixzz233mGPu1M

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by | September 28, 2011 · 5:20 am

Hospitality Industry Employee Risks: Rising Health Insurance Premiums Force Hotel Management To Consider Shifting Costs Or Raise Deductibles

“…Employers are often forced to shift some of the cost to their employees in an effort to offset the increasing outlay. Organizations increased the employee portion of the premium at a rate of 54.3 percent, whereas 42 percent have increased deductible levels….”

 The 2011 Compensation Data Hospitality survey results show companies reported an average premium increase of 9.3 percent. More than 45 percent of respondents indicated they pay more than $9,600 annually for an employee plus family plan.

“The rising cost of insurance premiums is something that continues to be an issue for employers,” says Amy Kaminski, director of marketing for Compdata Surveys, the nation’s leading pay and benefits survey data provider. “To counteract these rising costs, organizations have to look in different directions in order to continue providing quality coverage for their employees.”

Premium costs remain high for hospitality employers, as 47.9 percent pay more than $7,200 for an employee-plus-spouse plan. Of survey respondents, 42 percent report paying more than $7,200 in premium costs for an employee-plus-children plan. Employee-only plans cost employers between $2,400 and $7,200 per year.

For more:  http://www.qsrmagazine.com/news/medical-insurance-rises-hospitality-industry

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by | April 8, 2011 · 10:53 am

Hospitality Industry Health Insurance: Law Firms Advise Hotel Ownership And Management To Prepare For Implementation Of Health Care Reform With "Wellness Programs" And State-Run "Insurance Exchanges" On The Way

Given the legal challenges to the proposed reform of the United States health care industry, there might be a temptation on the part of hoteliers to take a laid-back attitude toward preparing for the changes. That line of thinking, however, would be a mistake, said Scott Sinder, a partner in the Steptoe & Johnson law firm government affairs and public policy practice.

  • One of the biggest issues hotel companies will have to wrestle with will be whether to retain grandfather status, which refers to plans in place prior to 23 March 2010
  • Grandfathered plans, for example, can allow for changes to the network of providers but cannot impose new or decreased annual spending limits
  • The potential introduction of a wellness provision that provides funding for employers to establish wellness programs…will be the biggest key to keeping health-care costs down
  • The U.S. Bureau of Labor Statistics reports that just 38% of the employees in the hospitality sector had access to health care as of March 2010 compared with 71% across all industries
  • Every state will eventually have an Insurance Exchange as most state lawsuits against health care reform will be settled before Presidential Election

For more:  http://www.hotelnewsnow.com/Articles.aspx/5314/Hoteliers-should-assume-health-care-changes

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by | January 5, 2011 · 6:38 pm

Hospitality Industry Health Insurance: Hotel Owners Should See Benefits In Providing Health Insurance For Employees As Studies Start To Analyze Data

Researchers at Cornell University in Ithaca, N.Y., said they have found that providing health insurance for workers increases job performance.

Researchers conducted a study reviewing six months of job data to see if providing insurance would affect “job anxiety, tardiness, absenteeism and overall task performance,” the university said in a release. They found only task performance was affected, but a parallel study that concerned workers with health insurance that also included mental health insurance showed a slight increase in job tardiness.

“We wanted to take a scientific look at whether having health insurance made a noticeable difference,” said Sean Way, assistant professor at the Cornell School of Hotel Administration and one of the authors of the study, titled “The Impact of Health Insurance on Employee Job Anxiety, Withdrawal Behaviors and Task Performance.”

Way called the study results that showed increased tardiness among workers provided with mental health insurance “puzzling.”

For more:   http://www.upi.com/Business_News/2011/01/05/Insurance-shown-to-help-work-performance/UPI-11801294259532/

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by | December 8, 2010 · 4:21 am

Hospitality Industry Insurance Issues: Santa Cruz Hotel Owners Negotiate Successful Contract With Union Employees Saving Substantial Benefits And Expenses

 In negotiating the new contract the owners and operator initially hoped to slash more than $500,000 from their operating costs; the union, meanwhile, sought to guard employees’ insurance, eight-hour workday and paid vacation.

“It was very, very challenging because the owners were spending more than a million dollars a year in benefits,” says Jane Howard, Chief People Officer for Joie de Vivre Hospitality. “We needed to work together to get the cost of that down some, and we were able to do that.” The hotel ultimately accepted an insurance plan proposed by the labor union that is expected to save it $130,000 annually.

The owners and operators of Santa Cruz’s Dream Inn can rest easy now that the unionized employees at the hotel have finally ratified a contract following nearly a year of negotiations and union demonstrations. The employees, represented by UNITE HERE Local 483, voted to accept a new four-year contract last Tuesday, Nov. 30. 

The Dream Inn is jointly owned by the Southern California real estate developer Ensemble Investments and AEW Capital Management and operated by Joie de Vivre Hospitality, which manages a number of other properties around the state.

The final agreement, which will allow employees to keep their insurance and eight-hour work day but not their paid vacation time, was reached in arbitration with an outside mediator that took place at the hotel on Nov. 23. A week later, the employees voted with a 91 percent majority to accept the contract; had they failed to ratify, the union would have moved to strike.

“I think we made some progress,” Michael Roberts, a bartender at the Dream Inn’s Aquarius restaurant, said. “We definitely got a reasonable contract, but for me, a lot of it came down to the fact that I didn’t feel like the membership would have supported a strike if it came down to that. They were willing to do certain actions, but I don’t think a strike would have been supported.”

The new contract covers 85 workers at the hotel, who, under its terms, will keep a generous benefits package that includes health, dental, vision and life insurance—all free—for the employee’s entire family. “It was very, very challenging because the owners were spending more than a million dollars a year in benefits,” says Jane Howard, Chief People Officer for Joie de Vivre Hospitality. “We needed to work together to get the cost of that down some, and we were able to do that.” The hotel ultimately accepted an insurance plan proposed by the labor union that is expected to save it $130,000 annually.

The insurance policy was ultimately the most important factor for Roberts, although he sympathized with longtime employees who, under the new contract, will lose paid vacation time accrued over many years of service. “I’ve only worked there for three and a half years, but we have employees who have worked there for almost 20 years who are taking hits for vacation—like losing a week or more days—so it was a very big deal for them.”

“That was painful for us, we really didn’t want to have to move on vacation,” says Lizzie Keegan, a representative for UNITE HERE who was present throughout negotiations. “There were some things that obviously stung a little bit, but overall we ratified with over that 90 percent because everybody feels that, in this economic recession, we will have to [make some concessions] and it will be hard, but we’re really proud that we have really good insurance and it covers us and covers our families.”

For more:  http://news.santacruz.com/2010/12/07/dream_inn_hotel_workers_keep_bennies

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by | September 5, 2010 · 9:03 am

Hospitality Industry Health Insurance: American Health Strategy Project Aims To Lower Health Insurance Costs Through Increased Data On Employees Medical Leaves, Drug Utilization, Disability Claims And Demographics

 Until now, most employers setting up value-based insurance designs have relied primarily on medical claims data, which may or may not provide a complete picture of health risks lurking in their workforces, said Marianne Fazen, executive director of the Texas group.

In addition to medical claims data, employers participating in the American Health Strategy Project will collect data on family medical leaves, pharmaceutical and prescription drug utilization, short- and long-term disability claims, workers compensation claims, employee assistance program usage, disease management and employee demographics

The Texas Health Strategy Project is one of five initiatives announced in May by the Washington-based National Business Coalition on Health as part of the American Health Strategy Project, which intends to help employers use data from multiple sources to develop and implement value-based insurance designs. Such designs remove barriers that might prevent employees from receiving necessary health care, such as preventive screenings and maintenance medications.

While the Texas project is under way, the four other projects involving other coalitions—the Midwest Business Group on Health in Chicago, the Oregon Coalition of Health Care Purchasers in Portland, the Pittsburgh Business Group on Health and the Virginia Business Coalition on Health in Virginia Beach—are in various stages of deployment.

For more:   http://www.businessinsurance.com/article/20100905/ISSUE01/309059972

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by | August 31, 2010 · 11:39 am

Hospitality Industry Health Insurance Trends: Large Employers Are Starting To Require Employees To Disclose “Unhealthy Habits” With Resulting Health Insurance Premiums Being Higher Than “Healthier” Workers

“…Navistar Inc. executives turned up the heat on smokers five years ago as part of a pioneering move to improve employee health and rein in medical costs…”

     Smoking employees are now required to disclose their habit during the open enrollment period for health insurance or, if they fail to truthfully answer, risk violating the company’s ethical business policy.

Some critics consider it intrusive and discriminatory to penalize unhealthy behaviors like smoking and reward people for taking positive actions such as losing weight. Nevertheless, other employers—fed up with rising obesity rates and related health costs—are following Navistar’s lead. Nearly two-thirds of large employers either have a smoking penalty or plan to impose one during the next three to five years, according to a 2010 Hewitt Associates Inc. survey of nearly 600 employers.

As long as Navistar employees continue to light up, they pay higher premiums—$50 more monthly. The policy applies only to nonunion workers, slightly more than half of Navistar’s 11,000 U.S. employees; union health benefits fall under a separate contract. Navistar realized the smoking surcharge could be controversial. “We were a little hesitant that we were setting ourselves up for some employee complaints,” says Dawn Weddle, wellness and behavioral health manager at Warrenville, Illinois-based Navistar, which makes trucks, RVs and other vehicles. Feedback was generally positive, with some “rumblings” but no formal complaints, Weddle says. “You have to remember: The majority of employees don’t smoke.”

     The insurance premium penalty is helping to reduce the number of smokers even more. The percentage of employees reporting that they smoke has declined from 10.3 percent in 2005 to 8.6 percent in late 2009.

         In Alabama, however, state officials have chosen a positive incentive to encourage high-risk employees to consult a doctor or seek other medical help. The state provides a $25 monthly discount on health insurance premiums to all employees who receive such wellness screenings, whether their medical risks are high or low. But employees identified as high risk must take an additional step, such as seeing a doctor or enrolling in a wellness program, to retain that discount. Alabama decided not to tie the incentive to specific health goals but rather to simply try to motivate employees to seek medical feedback, says William Ashmore, chief executive officer of the State Employees’ Insurance Board in Alabama.

For more:   http://www.workforce.com/section/benefits-compensation/feature/special-report-health-benefits-butting-in/index.html

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by | August 18, 2010 · 7:28 am

Hospitality Industry Health Care: Smaller Hotel Owners Will Struggle With “Medical Loss Ratio” And Must Find Hospitality Industry Health Care Insurance Specialist

The Affordable Care Act sets a minimum threshold for what’s known as the “medical loss ratio” — the percentage of premium dollars that go into medical care (a “loss” from Wall Street’s view) rather than into overhead or profits. For plans sold to small businesses or directly to individuals, that ratio must be at least 80 percent; for plans sold to large groups, it must be at least 85 percent.

For big insurance companies that sell predominantly to big employers, the medical loss ratio shouldn’t be hard to meet. With their economies of scale, these insurers and employers together provide coverage at relatively low administrative cost (although, it should be noted, Medicare’s overhead is even lower). But smaller insurers that deal primarily with individuals or small businesses will have a tougher time. Among other things, they typically lose 8 percent of premiums on commissions to agents and brokers who sell policies on their behalf. (Once the insurance exchanges exist, much of that cost will disappear.) These are also the insurers most likely to bilk consumers, since individuals buying coverage on their own typically lack the knowledge — or ability — to bargain as shrewdly as corporate benefits managers do. (The exchanges should also help with improved information and bargaining leverage.)

There’s leeway in the rule in two key places. The law doesn’t dictate a precise formula for calculating the medical-loss ratio. It’s up to the administration which “care management” activities count as medical care, whether taxes should be part of the calculation, and the extent to which carriers can average out the ratio among different plans. And while the law calls for the requirement to take effect starting in January 2011, the Department of Health and Human Services has the authority to phase it in; Sebelius could, for instance, set the floor at 70 percent for 2011 and then gradually ratchet it up until 2014. Some insurance and employer lobbyists have urged the administration to move slowly, lest insurers unable to meet those requirements go out of business. Then again, insurers that can’t meet those requirements are, by definition, less efficient.

For more:   http://www.tnr.com/blog/jonathan-cohn/77080/get-ready-sebelilus-v-insurers

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