The key to maintaining benefits affordability is creating a “partnership” mentality between the employees, who are the consumers of health care, and the employer, who provides the financing mechanism for coverage," said George Duczak, president.
Hoffman Estates, IL (PRWEB) June 11, 2013
Fully insured group medical premiums are projected to increase 20 to 30 percent or more in 2014 for mid-size 50+ employers. The Affordable Care Act (ACA) provides an incentive for employers to explore alternatives to the fully insured employer-sponsored group health marketplace.
According to George Duczak, president of The American Worker Plans, the key to maintaining affordability is in creating a “partnership” mentality between the employees, who are the consumers of health care and the employer, who provides the financing mechanism for coverage. This will take a dramatic change in affecting “stewardship” in the way that group health benefits are delivered and utilized. This will also change the role of the health producer to a “Trusted Advisor” of the customer’s benefit plan.
Employers in the 15+ employee market, who are currently fully insured, will begin to consider the option of modified or partial self-funding and these decisions will be made in 2013 and early 2014. While self-funded employers do not have to comply with certain aspects of ACA that apply to the fully insured marketplace, there are still tremendous challenges to maintain affordability. To meet the meets of these employers, The American Worker Plans, Self Insured Services Company (SISCO) and Strategic Underwriting Solutions, LLC., have joined together to offer employers an Integrated Group Medical Management Program called “Benefit Partnership.” This collaboration provides a unique combination of consolidated administration health management, effective benefit redesign and creative funding to deliver long-term affordability.
The construct of the Benefit Partnership is based on a solution that takes commitment, cooperation and the services of trusted advisors, agents and brokers for its success. The American Worker Plans’ HR and ACA premium calculator model encourages plan designs that can provide positive employee value reinforcement, while satisfying the government’s minimum benefit levels. This is supported with a consolidated enrollment and full service integrated administration.
Integral to the Benefit Partnership program and as a first step is a HealthCheck 360 onsite health risk assessment of the group’s overall health, inclusive of families, so that a more predictable model of future exposure and morbidities is established. This will have a positive impact on enhanced pricing and long-term health improvement.
Benefit Delivery Partnership
The American Worker Plans is seeking quality benefit agencies nationally for training and geographically protected distribution of the program.
About American Worker Plans, Inc.
Founded in 1992, the American Worker Plans has exclusive contracts with numerous carriers to provide a wide variety of health service products. The American Worker Plans’ primary focus for more than a decade has been to develop affordable health and employee benefit plans for working Americans who are traditionally excluded or unable to afford comprehensive benefit plans, including hourly, part-time, and 1099 employees. For more information, visit http://www.theamericanworker.com.