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Edward J. Eybsen is a Senior Vice President for Bolton & Company, insurance brokers and employee benefits consultants. Ed’s primary focus is the design and implementation of medical, dental, vision, life and long-term disability insurance programs. The U.S. healthcare system is reaching a breaking point. The amount we spend on healthcare and the rate of spending growth outpaces all other industrialized countries. Neither the private nor public sector can sustain this trend. Employer sponsored health insurance programs have seen double digit premium increases in recent years, resulting in increased employee contributions. Thus, an increasing number of employees and their dependents are opting out of employer sponsored plans and, in many cases, not electing alternative coverage. The result is a smaller pool of insureds and a higher proportion of high healthcare users. If this trend continues fewer employers will be able to offer healthcare for their employees and public healthcare spending will skyrocket as qualified, low income individual’s sign on to Medicaid and the other state-sponsored medical programs. Majority of healthcare costs incurred by a few Disease management for the chronically ill Disease Management is for chronically ill patients, but also helps improve outcomes and control costs. The goal is to reduce ER visits, costly hospitalizations, and invasive procedures. The most common conditions are: depression, cancer, lower back pain, cardiac disease (congestive heart failure, coronary artery disease), respiratory disease (asthma, chronic obstructive pulmonary disease), and diabetes. The top three cost-drivers in healthcare expenditures are cardiac disease, respiratory disease, and diabetes. Identifying high medical care users
The second step would be to analyze the data and develop a predictive model for future claims. Some individuals that were high users of services in the past may not be high users in the future, just as some low users will increase their need for services in the future. It is essential to develop a quality predictive model to make sure resources are used effectively. The third step is to solicit future high users to complete a Health Risk Assessment (HRA) and enroll in the Disease Management program. The Health Risk Assessment covers medical conditions, service utilization, lifestyle issues and psychological risks. Disease Management providers
Disease management also takes a more patient-focused approach to providing all components of care, including psychological aspects, caregiver issues, and treatment of multiple diseases. The emphasis is on both quality and overall cost, while coordinating physician care with pharmaceutical and institutional care. This improved coordination helps provide chronically ill patients with access to state-of-the-art, evidence based treatments and instructs them how to be active participants in their health care through health education. The core of a successful Disease Management program is management buy-in to the program. Convincing senior management that investing in health (as opposed to paying for treatment) makes economic sense. Disease Management providers can provide statistical and anecdotal examples of the effectiveness of a Disease Management program. (Editor’s Note: For information about obtaining a Disease Management provider, contact Employers Group’s liaison for Bolton & Company, kscott@employersgroup.com.) |
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By Mark Nelson, J.D., Helpline Consultant It seems as if there is an unlimited number of human resources-related content on the Internet, even among sites that target California companies. As we have all learned (and some the hard way), not all material on the Internet may be trusted. Even among the more legitimate compilations of online information, the sheer volume is daunting. While an invaluable resource, even the Employers Group’s own HR Links page at http://www.employersgroup.com/knowledgecenter/hrlinks/index.shtml can seem a bit overwhelming. Nonetheless, below are a few more links you should add to your favorites if you are not already familiar with them. Wage and Hour Nonetheless, it is a great document to peruse if you want to know what the primary state agency vested with the responsibility of enforcing wage and hour laws thinks about your company’s practices and procedures. Finally, because the document is available as a 300+ page .pdf file, the easiest way to find what you’re looking for is to click on the binoculars icon at the top of the page and when a window appears at the right of the screen, type in the appropriate search term. If you don’t know what term the agency uses to address your issue, you may always review the table of contents. When you find the issue, click on the relevant chapter and subchapter headings and from the table of contents page itself, you can link directly to the page that contains the text of interest. Family and Medical Leave The Employers Group makes available just such a document for purchase. Nonetheless, it’s never a bad idea to have the regulations themselves on file should you find it necessary to get additional context for an issue you must resolve. The FMLA regulations can be accessed online at the U.S. Government Printing Office’s website. From their homepage at www.gpoaccess.gov, you can link to the Code of Federal Regulations (where the FMLA regs are located; the link to them is located to the right of the picture of the White House) and browse the CFR until you find Title 29 and within Title 29, the link to the Department of Labor’s Wage and Hour Division (which spans Parts 500 to 899 of the CFR). The FMLA regs are located at Part 825. Alternatively, you can just link to http://www.access.gpo.gov/nara/cfr/waisidx_05/29cfr825_05.html. The CFRA regs are equally as difficult to locate if you don’t know where to look. From the California Office of Administrative Law’s website, www.calregs.com, click on the link to “List of CCR Titles.” Click on the “plus sign” to the left of “Title 2. Administration,” and then select “Divison 4. Fair Employment and Housing Commission.” From there, click on the link to “Chapter 2. Discrimination in Employment.” The CFRA regs are located at “Subchapter 12. Family Care and Medical Leave.” Incidentally, the Pregnancy Disability Leave regs are right above the FMLA regs at “Subchapter 6A. Pregnancy, Childbirth or Related Medical Conditions.” Again, unless upheld by the courts in your jurisdiction or by the U.S. Supreme Court, they may still be subject to challenge in the courts by employers that feel the agencies went beyond their powers to enact the regulations. |
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By Jeffrey Hull, Director, Learning Services On June 20, 2006 the Fair Employment and Housing Commission (FEHC) released the latest proposed regulations that affect the mandatory harassment prevention training for supervisory employees of employers with 50 or more employees. The commission will meet on August 29, 2006 in Riverside, CA and will, at that time, decide to adopt the regulations or consider additional comments. Employers Group will attend this meeting, and report back to you in September. Here is a synopsis of the proposed draft regulations: Affected employers Affected supervisory employees Training requirements
Frequency Documentation Trainers Training content Remedies for non-compliance What do you need to do as an employer?
In summary, while the regulations do put much more burden on California employers, the purpose of the requirements are for California employers to receive significantly less harassment and discrimination complaints lodged against them. (Editor’s Note: If you would like a copy of the draft regulations, please email jhull@employersgroup.com. Upon adoption of the final regulations, EG will provide another newsletter article on this topic and will alert you at www.employersgroup.com. |
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Michael Byrd is the Executive Vice President for ScreeningOne. His experience in both background investigations and physical surveillance provides a unique perspective into the investigative resources available to employers and the myriad of laws governing the employment screening industry. Michael is a nationally recognized expert and speaks to groups about fraud and background investigations. Prior to beginning his career in the investigative industry Michael was drafted and played professional baseball for the Cleveland Indians. Employers Group has partnered with ScreeningOne to provide its services to members. As employers, when a hiring need comes up, our primary concern is often hiring someone, anyone, as quickly as possible. However, the risks associated with not conducting a thorough background investigation are significant. Many companies find that turnover, theft, and safety problems plummet when they conduct pre-employment screening. Pre-employment screening is a “non-discrimination” action that weeds out fraudulent data and misrepresentations by potential employees. The Society of Human Resources Managers has estimated that 53% of job applications contain fraudulent information. Verifying the history of an applicant also provides companies with documentation in negligent hiring and retention suits, as well as providing proof of compliance with the web of federal and state mandates. As of June 30, 2005, the United States Department of Justice reported that federal and state prisons or local jails had a total of 2,186,230 prisoners under their jurisdiction. Of these offenders, 47% were incarcerated for violent crimes, 23% for property offenses and 22% for drug related charges (http://www.ojp.usdoj.gov/bjs). In the absence of a background screening program, there is a strong possibility that one of these criminals could end up working for you. The importance of background checks
Based on the research available, it is easy for companies to justify the investment in a background screening program. Once you have made the commitment to screen employees your work has only begun. In addition to protecting employees from violence and your organization from theft and potential liability, a company must also protect itself from conducting unlawful background checks. Penalties and negative publicity could be detrimental to an organization that does not understand and comply with the laws pertaining to background screening. For this reason, it is very important to partner with a screening company that thoroughly understands the various laws pertaining to employment screening. Applicable law One of the most frequent mistakes made by organizations is the perception that the FCRA only pertains to credit reports. In reality, all aspects of a pre-employment background check is considered a “credit report” and falls under the FCRA. The only exception is information considered to be an “investigative credit report,” which would include information resulting from an interview that would be considered an “opinion” and not necessarily fact. An example of an investigative credit report would be a past employment verification in which questions requesting one’s opinion, such as “was the applicant a good employee” or “did the employee get along with management,” are asked during the interview and reported. After a Credit Reporting Agency collects the information on an applicant, the employer may decide to deny the job application, reassign or terminate an employee, or deny a promotion. When this type of action is taken based on the credit report, it is called “adverse action” and falls under the guidelines of the FCRA. If you rely on a consumer report for an “adverse action,” be aware that:
There are typically two exceptions to adverse action laws:
While no background checking process is foolproof, it is crucial for companies to know how to obtain the most accurate information available. There are many sources of information to consider when conducting pre-employment background checks. Often the type of background check that should be conducted will be dictated by the industry that you operate in. Regardless of the background screening service utilized, make sure to request a thorough briefing of the options available and ensure that any company you partner with thoroughly understands the myriad of laws pertaining to employment screening. There are a multitude of records available and it is important that you take the time to discuss with your vendor the right combination of searches that will be best for your organization both economically and legally. (Editor’s Note: For information about ScreenOne’s services, contact kscott@employersgroup.com.) |
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By Jennifer Shin, Research Marketing and Communications Coordinator Survey results are finding that Americans work really hard, maybe too hard. According to new survey results, while the average paid vacation time in the U.S. gained two days, America’s vacation practices continues to trail behind other nations such as France and Great Britain. What's more is that one in three U.S. employees said that they don't even plan on using all of their vacation days. According to Employers Group’s 2006 January HR Practices and Benefits Survey, 79% of midsize California companies (100-300 employees) provide an average of 10 paid vacation days per year for employees of at least one year of service compared to 12 days in 2005. On the other hand, employees in France earn an average of 39 vacation days per year and in Great Britain, about 24 vacation days. Despite the fewer paid vacation days, however, employers are finding that they still have to persuade employees to take time away from the office. “Absolutely we have to encourage our employees to take their vacation time, said Brook Dumhart, HR Manager of Momentum Textiles in California. “If employees took the time available, we would have an entirely different situation in the U.S. But at this point, giving employees more vacation time would only increase employer liability.” Some reasons that employees said they avoid vacations are feelings of guilt and the stress of coming back to an overflowing workload. Sixteen percent of workers report feeling guilty about missing work while on vacation and 7 percent actually fear that time off could lead to unemployment, according to a survey conducted by Expedia.com. Seventy-seven percent say they feel burned out on the job. While 84 percent of workers are planning to take a vacation this year, they might not be taking enough time to recharge. Survey results also indicate that technology may be the culprit in why many employees feel so burnt out. Even while on vacation, employees said that they often check email or phone messages. Some workers have gone to such extremes as to lie about bad wireless connections and other technology issues to avoid work while away from the office. Men were more apt to lie about finding Internet access or cell phone signals to avoid being contacted by their employers at 13 percent, compared to 10 percent of women. Companies are consequently finding that more vacation days do not mean more relaxation. According to Mary Formosa, Office Manager of California Corporate Benefits, while employees receive an average of seven paid vacation days, employees make sure their days off are completely away from the office. Formosa said that while “clients always come first,” employees are cross-trained so that there’s someone in the office to help out. As a result, employees rarely have to check in with the office or work during days off. “We’re a tight-knit family. Pretty much when you take a vacation, they’re people here to cover for you,” Formosa said. According to CareerBuilder.com there are some other tips employees and employers can do to ensure that employees don’t suffer from burn out and enjoy their vacation time:
Legal liabilities aside, employers should encourage employees to enjoy their vacation time for the sole purpose of maintaining a happier and healthier workforce. Whether employees receive three days or three weeks of paid vacation time, employers are finding that employees who are slaves to their cell phones and computers during their off-time continue to feel overworked and stressed. Consequently, employers should focus on the quality, not quantity, of vacation time given to employees. For more information or questions about Research Services’ surveys, please contact us at surveys@employersgroup.com or by phone at 213.765.3935. |