HomeMy WebLinkAboutExhibit13n L �i i fCJVI
CIGNA :flealthCare
VoluntaryLimited-Benefit Plans
Let Us Help Improve the. Health of Your Business
CIGNA HealthCare Voluntary Limited -Benefit plans offer affordable options for employers while
providing quality urgent, emergency and preventive health care opportunities to employees.
Understanding the Uninsured Health Crisis:
More than 43 Million Uninsured Individuals, Costing $65-$130 Billion a Year
It's no surprise that there is a national health care crisis in the United States. The National
Academy of Sciences study reports that the impact of the millions of uninsured Americans
costs the nation over $65 billion a year in lost earnings, output from absenteeism, chronic poor
health, disability and early mortality.
It's also no surprise that with the rising cost of health care and increases in premiums, it has
been more difficult for both employers and members to afford medical insurance coverage.
What may be surprising, however, is that of the more than 43 million people who were
uninsured in 2005, many were not unemployed. They were the workers who were stuck in
the middle — part-time or full-time employees who made too much for Medicaid, but were not
eligible for their company's core medical plans:
80 percent belong to working families — 30 percent come from households with incomes
exceeding $50k and 50 percent work for small businesses or are self-employed.
This not only creates additional pressure on our health care system with dramatically rising
medical costs, but it also impacts the health of those employees and the overall productivity
for the companies who hire them.
As companies search for creative solutions to recruit and retain good employees, increase the
satisfaction of both their employees and customers, and boost productivity, voluntary benefit
plans become the no-cost/low-cost benefit alternatives.
Employer Advantages:
Recruitment and Retention
As voluntary limited -benefit plans become more popular in the marketplace and are adopted
at a greater rate, employers who offer these plans can profit by attracting and retaining
entry-level talent.
Access to basic health care needs can be a deciding factor for an individual who is
considering multiple, similar employment opportunities.
N Health care benefits may also satisfy and keep employees who may otherwise look for other
opportunities.
In addition, benefit plans help improve employee health and, therefore, productivity.
is And proactive benefits also can curb incidents of workers' compensation, as well as the
severity of those incidents.
The Harvard Business Review reports "A 5% increase in retention results in a 10% decrease
in costs and a productivity increase ranging from 25 to 65%."
CIGNA
Top Industries Employing Uninsureds:
Retail, Entertainment, Service
Three industries that have been identified with likely employment growth and fairly high
levels of uninsured employees are the food service, hospitality and retail industries.
In the Food and Beverage Service industry, there are 7.4 million workers in service
occupations such as cooks, bartenders, waiters, etc., and an additional 347,000 workers
in sales occupations such as cashiers. In 2012, these numbers are projected to grow to 8.6
million and 395,000, respectively.
-; In the Hotel and Other Accommodations industry, there are 1.2 million workers in service
occupations such as maids, housekeepers, security, etc. In 2012, this number is projected to
grow to 1.4 million.
h=: In the Clothing, Accessory and General Merchandise Stores industry, there are 2.7 million
workers in sales and related occupations. In 2012, this number is projected to grow to
3 million.
Over the next five years, these industries are projected to employ some 13.3 million work-
ers. Many of these employers are not able to provide medical insurance to employees who
earn lower wages or those who work part-time; and therefore, these individuals often carry
no insurance. This not only creates additional pressure on our health care system with dra-
matically rising medical costs, but it also impacts the health of those employees and the
overall productivity for the companies who hire them.
8 Million —
7 Million —
6 Million —
5 Million —
4 Million —
3 Million —
2 Million —
1 Million --
7.4
2007 2012
1.2 1.4
2007' 20121
2.7
12007 2012
Food & Beverage
Hotel & Other Clothing, Accessories &
Accommodations .General Merchandise Stores
Source: Blue Cross Blue Shield, Census Population Survey.
Employers have sound business reasons for offering health benefits
to their employees
Consider the following:
«= 72 percent of employers report that it helps with recruitment and retention.
64 percent of employers report that it increases productivity by keeping employees healthy.
in 58 percent of employers report that it reduces absenteeism by keeping employees healthy.
- 69 percent of employers indicate it has had an impact on employee retention, attitude and
performance.
Source: EBRI 2002 Small Employer Health Benefits Survey
Studies continue to show that benefits have a positive impact on worker recruitment, retention,
satisfaction and productivity, as well as health status. Among employees reporting high levels
of job satisfaction, about two thirds indicate benefits are an important reason to stay with their
current employer — benefits that employees would not be able to access if they were not offered
by their employer.
Increased Productivity and Satisfaction Equals Increased Profits
Employee satisfaction can also increase customer satisfaction, which in tum generates improved
revenue. Consider the following:
Retention
Retaining good employees increases customer satisfaction and profit.
A 5% increase in employee loyalty can increase profits by 50%.
Source: www.crmguru.com/features
Presenteeism
Reduced productivity on the job due to illness or a medical condition can manifest itself in poor
time management, lack of concentration and lower quality work.
Studies reveal that presenteeism can cut individual productivity by one-third. A 2004 Harvard
Business Review article estimates the annual national costs of presenteeism at $125 billion.
A two-year study of 7,000 employees showed that individuals who reduced health risks tended
to experience improvements, and each risk factor reversed led to an improvement of $950
annually in productivity.
Source: Aon Consulting Forum, December 2006/January 2007
Turnover
Decreased turnover has a direct impact on productivity and profit.
A large company estimated that locations with low tumover (100% average) had a greater
profit margin than those averaging 150%.
Source: Frostin and Helmin, 03 Tackling Turnover
Another company hiring 200 employees per pay period (with an average hourly wage of $8)
had a per -employee turnover cost of $3,500.
Source: Fred Reichheld, Loyalty Effect and Loyalty Rules
Training/Hiring
Cutting down on training costs will save the company money.
17,4 The average cost to train an hourly employee at a national chain is about $3,500.
Source: Restaurant and Institutions Magazine #114
= Another company found that indirect costs of recruiting, hiring, training and getting new
hires up to speed was 50% of annual salary.
Source: Fred Reichheld, Loyalty Effect and Loyalty Rules
Replacement
Keeping current employees reduces replacement costs.
One company found that indirect costs of replacing employees earning $6.50 an hour
was at least $3,637.
Source: www.worksourcepartners.com
While most business people are concerned with turnover, few recognize the power they have to
control it. If employees stay longer, costs of replacing workers decrease — costs that range from
six months of an hourly workers' wage to 18 months of a professional employee's salary. In
CIGNA
addition, the turnover causes lost productivity and contributes to low employee morale. In the end,
controlling turnover means managers can spend more time growing the business, and less time
outprocessing terminated old employees and hiring, orienting and training new employees
Flexible Solutions, Simple Administration: The Right Plan for You
Limited -benefit plans give selected employers access to a broad range of fully -insured and
voluntary benefits that help address cost concerns and satisfy employees who might not otherwise
have access to any type of health coverage. Additionally, such plans offer a variety
of benefits to employers including:
Flexibility - ability to customize plan designs based on the employee population
needing coverage.
Cost Control Options - employee premiums can be deducted from the employee's paycheck,
and can be effectively managed through payroll withdrawal or direct billing.
Consumer Advantages
For most individuals, these plans provide several key attributes including:
Opportunities for coverage that might not otherwise exist.
No health exams required for coverage.
Emergency care - in- or out -of -network access to physicians and hospitals, anywhere in
the country.
Easy to understand benefits - with benefit amounts clearly defined in advance.
The value of holding an ID card - provider recognition, not having to worry about a physician
not accepting your card, a guaranteed minimum amount of coverage.
Employees appreciate benefits more when employers work to select and communicate plans that
will work for them. Employee research notes the top reasons that voluntary benefits continue to.
grow in popularity are because:
lEfrj
k.
Payroll deduction is convenient (60%).
No medical exams (50%).
More convenient than shopping for individual coverage (53%).
Cost-effective way to meet diverse employee needs (45%).
Most important, because consumers of limited -benefit coverage are often corning from a position
of having no coverage at all, they now have access to qualified doctors and are able to provide
basic coverage to their families - something many of them could not do in the past.
Source: Metiife study of employee benefit trends. www.rnetlife.com.
CIGNA HealthCare
With our Starbridge and Fundamental Care products, we offer a product suite of affordable
voluntary Iimited-benefit health plans that enhance the value of a company's benefits program
without adding to the employer cost. Today, CIGNA can better serve the working uninsured by
offering employers a simple to use, cost-effective benefit solution for their hourly or part-time
employees and other employees who have not been eligible for benefits in the past.
Let us help you improve the health of your employees and the health of your business.
_ ; Zi'b :.oy Coe Conr::.t.,cut.:..r. .:9
r n a rJ `_.
CIGNA HealthCare Shared Administration PPO - City of Miami
ZIP Codes not meeting the access standard
13
All Employees
-
CRY . ..
ZIP ..
Code
Total
number of
employees
Total
: number of
providers
Employees without
desired access
Number
".;
Pct
Average distance
to a choice of
1 provider
NO EMPLOYEES MEET THE SPECIFICATIONS
Access standard: 1 hospital within 20 miles
Provider group: Hospitals