Feds are pushing for fee-disclosure rules for health plans

You know those complex fee-disclosure statements you have to make sure your employees get regarding their 401k plans? If the DOL has its way, workers may have to get the same type of info about their health insurance.  

This is one of the surprising details that was tucked away in the Obama Administration’s Fiscal Year (FY) 2016 budget proposal.

Benefits consultant ERISA Diagnostics Inc. recently pointed out this proposal, which seemed to fly under the radar after the budget was released.

There have been a string of health-plan fee lawsuits — Hi-Lex Controls Inc. v. Blue Cross Blue Shield of Michigan and Dykema Excavators v. Blue Cross and Blue Shield of Michigan (BCBSM) â€” where plan administrators were accused of fiduciary responsibility violations.

So it looks like the DOL is looking to make providers in the healthcare industry as accountable for and transparent about plan fees as providers in the retirement field.

Dates back to 2011

Initially introduced back in 2011, the proposal was tabled until it was listed as a top priority by the Employee Benefits Security Administration (EBSA) this year.

Why the sudden urgency from the EBSA? One reason is because self-insured health plans are becoming more common, and the feds believe self-funded plan sponsors may not be fully aware of the fees they’re actually paying their administrators.

Fee info related to these plans, which are paid out of the general assets of the employer, can’t be found on the Form 5500.

Although there is a section of Form 5500 — Schedule A — that lists broker commissions, this section doesn’t require that these services be broken down on a line-by-line basis.

In the meantime …

While employers wait for the DOL to take action on this priority, there are several things that can be done to prevent paying excessive health plan fees.

For one, ERISA Diagnostics says employers should “review welfare plan [i.e., health plan] fees with the same scrutiny and diligence as you review 401(k) plan fees.”

And sponsors of self-insured plans can even go a step further. In the Hi-Lex lawsuit, the DOL filed a detailed amicus brief regarding â€œextensive discussion regarding plan assets.”

Employers can look at the DOL’s thoughts on this subject and then use that info to discuss fees with their administrators and brokers.



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Three Trends that are Impacting the Hiring Market Right Now

A snapshot of the current technology and engineering hiring market reveals several major trends that are creating a challenging landscape for employers and recruiters. Economic factors, changing candidate behaviors and increasing social media usage have converged to reshape the way recruiters and HR staff connect with candidates. Companies are advised to build an integrated sourcing strategy that capitalizes on positive trends and reduces the negative effects of other trends. Download the whitepaper to learn what three trends are impacting the market and how to address them.

Click here to learn more!  



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The next great HR challenge: 4 ways to prep

The next great HR challenge: 4 ways to prep

signs an employee will quit

The recent economic upswing has created an unwelcome, and unexpected, consequence for HR — and no, it’s got nothing to do with employees fleeing into a healthier job market. 

The real estate market is on the rebound — especially the commercial real estate market, according to the latest figures from CoreNet Global, a commercial real estate association.

Result: The increased demand for commercial space has not only caused real estate purchase prices to club, but also caused rent to go shooting skyward.

The effect on HR

So where does HR come in? The fallout from the commercial market’s recent surge has many businesses shrinking their offices to save cash.

In fact, CoreNet Global is reporting the average office space per worker in North America has shrunk to around 176 square feet — down from 225 square feet back in 2010.

In other words, employees’ work spaces are shrinking — and their will be consequences.

This is likely one of the reasons more employers have adopted the “open office” concept in which cubical walls come down and employees work at shared workstations. Some researchers suggest that “open” designs improve communication.

But the consensus seems to be this will also lead to more distractions.

What the overall impact on productivity will be remains to be seen. But either way, it’ll fall on HR’s shoulders to provide ways for employees to break free from their co-workers when they need to work uninterrupted.

How to prepare for a shrinking office

Evil HR Lady Suzanne Lucas agrees the working world is trending toward shrinking offices, and she’s even seen the consequences — both the good and the bad — firsthand.

She also acknowledges employers will have to find a way to help workers break away from the “noise” shrinking and shared work spaces will create.

In an article she penned for Inc.com, she offers up for ways to help workers cope with working in close confines:

  1. Make sure private space is available. When downsizing your office, it’ll be tempting to spread out workers’ assigned seats among all the available work space. But set a few rooms aside and designate them private workstations — to which employees can escape temporarily when they need to work uninterrupted.
  2. Expand telecommuting. Sure, telecommuting may not be right for everyone, but it works great for a lot of workers these days — and it eliminates all of the distractions of the office. Granted, it’s not as though employees’ homes aren’t without their own distractions. But adding some flexibility to where employees are allowed to work can help those who, on occasion, feel hampered by the bustle in the office.
  3. Don’t chain them to their desks. When privacy is at a premium, give employees the freedom to step away for a while — whether it’s via a walk around your facility or a long lunch. It can be a big benefit to those who don’t love being in contact with everyone all the time.
  4. Invest in noise-cancelling headphones. These are very popular among airline travelers for a reason — they’re great at blocking out unwanted, outside noises. Chances are a lot of your employees work while listening to music through ear buds anyway, and this takes that just one step further.



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Obama plan would increase early 401(k) withdrawals

Are you a fan of this potential drain on your company’s 401(k) plan? 

In President Obama’s proposed 2016 budget, his administration included a provision that, if passed, would allow unemployed individuals to withdraw up to $50,000 from their individual 401(k) accounts penalty free.

Presently, early withdrawals (those made before age 59-1/2), are subject to a 10% penalty, plus income tax requirements.

The president’s proposal would eliminate the 10% penalty, but there are some rules attached to the plan.

The fine print:

  • Withdrawals would still be subject to income taxes.
  • Any person wishing to make a withdrawal must have received unemployment compensation for more than 26 weeks.
  • Participants could withdrawal at least $10,000.
  • If a participant has more than $10,000 in their account, the person could withdrawal half of their plan balance up to a total withdrawal of $50,000 per year. (For example: A person with $40,000 in their account could withdrawal $20,000. And if the person had $100,000 or more, they’d be allowed to withdrawal the maximum of $50,000).
  • Participants would have to withdrawal the funds either in the year they received unemployment compensation or the following year.

It’s unclear how likely the provision is to pass (presidential budget proposals usually undergo significant changes), but NBC News is reporting the provision appears to have bipartisan support.

How the business community would react is another story altogether. Generally, employers do all they can to discourage early withdrawals, as they know what kind of damage they can do to employees’ and ex-employees’ long-term retirement savings.



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Feds offer a first look at the upcoming ‘Cadillac Tax’

Even though the “Cadillac Tax” doesn’t take effect until 2018, it’s one of HR pros’ biggest concerns regarding the entire Affordable Care Act. Now, for the first time, the feds are offering guidance on how this tax will be calculated.  

Starting in 2018, employers will be required to pay a 40% excise tax on the value on any healthcare coverage that exceeds $10,200 for single coverage or $27,500 for families in premium costs.

Many firms have already determined they’re likely to be impacted by this tax in 2018 or soon after.

But even though they’ve been making decisions in anticipation of that tax, until now, the feds haven’t given any details on what to expect.

1. Pretax HSA contributions

In the guidance, Notice 2015-16, the IRS was clear that employer contributions to an HSA are subject to the 40% Obamacare tax. What’s less clear, however, is exactly how employee pretax contributions will be treated.

Specifically, the IRS said that the agencies (HHS, DOL and IRS/Treasury):

anticipate that future proposed regulations will provide (1) employer contributions to HSAs, including salary reduction contributions to HSAs, are included in applicable coverage, and (2) employee after-tax contributions to HSAs are excluded from applicable coverage.

Based on how the IRS plans to treat pretax HSA contributions, many employers will be subject to the Cadillac Tax unless they limit the amount that workers’ can contribute to their HSAs.

2. Vision, dental and EAPs

The guidance also said the feds were considering excluding self-insured vision and dental plans, which are considered excepted benefits, from the Cadillac Tax by using their “regulatory authority.” They will also look into doing the same for EAPs that fall under the excepted benefit category.

Under current health reform regs, fully insured dental and vision plans are excluded from the excise tax.

3. Specific onsite clinics

Finally, the IRS guidance touched on the type of onsite medical clinics that would likely be excluded from the Cadillac Tax.

The onsite clinics the IRS guidance refers to are the type that only offer de minimis (i.e., minimal) care to workers. The IRS cited a COBRA reg to spell out the type of clinics that will likely be excluded from the tax. According to that reg, an onsite clinic isn’t considered a group health plan if:

  • The care consists primarily of first aid provided during the employer’s work hours for treatment of a health condition, illness or injury that occurs during work hours
  • the care is only available to current employees, and
  • employees aren’t charged for the use of the facility.

If an employer’s onsite clinic meets this criteria, it likely won’t be subject to the ACA’s excise tax, the IRS said.

More to come

The IRS also made it clear that there was more guidance to come on the types of care that will trigger the Cadillac Tax.

The feds are accepting public comments on the details of this notice until May 15, 2015, after which they’ll release additional guidance followed by proposed regs on the Cadillac Tax.

Specifically, the feds are requesting employer comments on onsite clinics that provide the following health services in addition to first aid:

  • immunizations
  • allergy injections
  • provision of nonprescription pain relievers, such as aspirin, and
  • the treatment of injuries caused by accidents at work, beyond first aid.



For more HR News, please visit: Feds offer a first look at the upcoming ‘Cadillac Tax’

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Are employees protected when they post negative comments about customers?

You know that employers have to tread carefully in their social media policies concerning what employees can and can’t say about work. But does that same leeway apply when it comes to employees posting negative comments about customers?  

A case in Hawaii could give us some answers. A brief rundown:

Maurice Howard was a regular customer of a Hertz car rental agency. He alleged that Hertz employees posted messages on Facebook that constituted “an attack on [his] race, sexual orientation and financial state and condition.”

Howard pointed to several insulting Facebook posts made by Hertz employee Shawn Akina. Several of Akina’s co-workers also posted comments on Akina’s page, Howard alleged.

Howard originally sued for assault, racial and sexual orientation bias, libel, and violation of privacy. He later dropped those counts, however, and maintained his claims for negligent supervision by the employer, negligent retention and negligent training.

Here’s the rub: Howard said that Hertz management knew of Akina’s activities — he had supposedly made negative comments about customers on two previous occasions — but took no action against him or provided him with training on what is and isn’t acceptable on social media.

Akina’s early posts should have gotten him suspended or fired, Howard claimed, and added that Akina’s comments about him “caused him to sustain injuries and losses.”

The federal District Court judge ruled that Howard “sufficiently alleges that … Akina posted ‘hostile and harassing content’ on Facebook’ about a Hertz customer and Hertz manager in the past. It is therefore at least plausible that similar conduct in the future may have been foreseeable.” The case continues.

Bottom line: Hertz is looking at a big legal bill for a court fight, or writing a big check for a settlement.

Where are the boundaries?

As you know, a number of employer policies dealing with social media have been found to be too broad by the National Labor Relations Board, which staunchly protects employees’ right to discuss the “terms and conditions” of their work. And it seems possible that such discussion might occasionally include a mention of a specific customer.

There’s a fine line to walk here. It seems safe, however, to prohibit insulting, negative postings about specific customers, especially when they have no connection with workplace conditions.

The case is Howard v. The Hertz Corporation (link courtesy of law firm Hall Render).

 

 



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The best team wins: Ten tips to hone your recruiting, hiring, and onboarding processes

Human resources departments continue to struggle to build the best workforce. There are plenty of applicants but not enough candidates with the right combination of skills, experience, work ethic, and attitude to be top performers. This guide provides tactics and tips to help you improve the effectiveness of your company’s recruiting, hiring, and onboarding processes.

Click here to learn more!  



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Can you believe what the DOL’s doing to suspected wage violators now?

Can you believe what the DOL’s doing to suspected wage violators now?

DOL, FLSA

There’s one superpower you probably didn’t know the DOL even had.

It’s the ability to seize your inventory in a single bound if the agency believes you’ve violated FLSA’s wage-and-hour laws.

It’s called the “hot goods” provision, and you likely haven’t heard about it because the DOL’s been reluctant to unveil its secret weapon — until recently.

The provision is part of the FLSA, and under it

“… the Department of Labor can seek a court order to prevent the interstate shipment of goods that were produced in violation of the minimum wage, overtime, or child labor provisions of the FLSA.”

Guilty until proven innocent?

Now here’s the kicker: Despite the phrase “that were produced in violation of … ,” the DOL can apparently invoke this ability before proving any FLSA violations even exist.

Example: The DOL recently stopped a group of Oregon blueberry growers from sending millions of dollars in blueberries to market when it suspected the farmers were using a “ghost picker” scheme to pay it’s workers less than the minimum wage.

The DOL alleged that a picker could only pick so many berries in a day. And since, in the DOL’s estimation, a larger amount of berries had been picked than the number of reported workers could account for, the growers must have been using off-the-books pickers.

The growers, however, claimed the DOL’s figures on how much a single worker could pick were formulated via guesswork and extremely inaccurate. (To disprove the claims, a grower even hired an investigator to test the DOL’s theory. He allegedly had workers pick berries on a field that had already been picked, and those pickers were able to pick well over the DOL’s estimated amounts).

Still, after seizing it’s crops, the agency told the pickers that the crop couldn’t be released until the growers paid $240,000 in back pay and penalties — or the DOL had completed its investigation and levied any appropriate monetary penalties against the growers for any violations found.

Faced with the prospect of losing millions in crops, the growers agreed to fork over the $240,000.

Actions labeled as “extortion,” “fraud”

The following year, with the Oregon Farm Bureau at their backs, the growers challenged the DOL’s actions in court.

They claimed the DOL’s tactics of seizing their goods until they shelled out $240,000 in back pay and penalties amounted to “extortion.”

U.S. District Judge Thomas Coffin agreed. He said the DOL “unfairly stacked the deck” against the growers.

Coffin wrote in his ruling:

“Although the government’s use of the hot goods authority is authorized by statute to resolve wage and hour violations, applying such authority to perishable goods in this situation, in effect, prevented defendant’s from having their day in court.”

Then, in a ruling upholding Coffin’s decision, U.S. District Judge Michael McShane said the DOL’s actions amounted to “fraud.”

McShane wrote:

“It was the specific manner in which the plaintiff used the “hot goods objection” in this instance, as opposed to the general use of the “hot goods objection” as to perishable goods, that constituted fraud under rule 60(b)(3).”

Result: The DOL was ordered to pay back what it had collected from the growers.

In response, the agency said it would file new charges against the growers.

Shortly thereafter, however, the DOL had a change of heart and decided to drop the case (some believe this may have been the result of the GOP taking over Congress and potentially removing the DOL’s “hot goods” power had the case dragged on).

The agency not only ended up issuing the court-ordered payback, it also threw in an additional $30,000 to each grower to make the case go away.

Is this the end of ‘hot goods’?

So what now? Will the in-court smack down the agency suffered result in the DOL putting its “hot goods” powers back in the closet?

Don’t bet on it. Read the judges’ comments carefully and you see that they didn’t necessarily take issue with the powers themselves, just the specific circumstances under which the DOL used them against the growers.

For proof the DOL isn’t planning to shelve its “hot goods” powers, look no further than its website. It just posted a Fact Sheet detailing the “hot goods” provision.

It outlines just how far-reaching the DOL’s powers are.

It says the goods that the agency can essentially seize include:

  • “manufactured goods”
  • “agricultural goods,” or
  • “any other product sold or shipped in interstate commerce.”

The Fact Sheet’s a clear shot across employers’ bow — and highlights that the DOL can and will use the provision when it chooses.

Cite: Perez v. Pan-American Berry Growers LLC



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Obamacare faces the music before the Supreme Court — again

The Affordable Care Act — known to one and all as Obamacare — began its latest legal test before the U.S. Supreme Court on Wednesday.  

You recall that last fall, the high court agreed to hear a case challenging the legality of Obamacare subsidies in states that have refused to set up their own healthcare exchanges.

The case, King v. Burwell, is an appeal of a July ruling from the 4th Circuit Court of Appeals, which upheld the subsidies.

The essence of the case is one phrase in the law, which says that subsidies — in the form of tax credits — would be offered in health insurance exchanges “established by the state.” But more than 30 states passed on setting up their own exchanges, so the feds stepped in to do so.

Four Virginia residents — the original plaintiffs in the case —  claim that the subsidies are illegal in the states where only federal exchanges have been established.

It’s been estimated that should the court rule against the administration, up to nearly 8 million people in at least 34 states would lose the subsidies that help low- and moderate-income people buy private health insurance.

Although this case doesn’t directly involve individuals who receive health coverage through their employers, experts agree that if the court rules the federal subsidies illegal, the whole healthcare reform law could be in deep trouble.

A ‘rational reading’ and a ‘death spiral’

Here are some highlights of Wednesday’s oral arguments, courtesy of the Washington Post:

Attorney Michael Carvin opened the proceedings for the plaintiffs, who said that his interpretation of the phrase “established by the State” is the sole reading that would makes sense to “a rational, English-speaking person.”

But earlier, Justice Sonia Sotomayor told Carvin, “I’m a little concerned with how you envision this provision working,” adding that without the subsidies, the states with federal insurance exchanges would see the market collapse — a “death spiral” for those who receive coverage through the exchange.

“Tell me how that is not coercive in an unconstitutional way,” the Post quoted Sontamayor.

Justice Anthony M. Kennedy echoed Justice Sotomayor’s concern. “There is a serious constitutional problem,” he told Carvin.

Justice Elena Kagan suggested a hypothetical she thought applied to the question of whether the subsidies should apply across the board. Quoting from the Post:

She has three clerks, she says: Will, Elizabeth and Amanda. She asks Will to write a memo and Elizabeth to edit it. If Will is too busy, Amanda is to write it. If Will is too busy to write it, should Elizabeth edit it? she asks, eliciting a round of laughter from the audience.

“It’s obvious that Elizabeth should edit the memo,” she says.

Following Carvin’s presentation, Solicitor General Donald Verilli began the administration’s argument, asserting that Carvin’s opinion on who could receive subsidies would make the law “an incoherent statute that doesn’t work … That cannot be the statute Congress intended.”

Justice Antonin Scalia’s icy response: “The question is whether it’s the statute Congress wrote.”

The court is expected to issue a ruling by the end of June.

 



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Don’t do it: 5 costly hiring mistakes employers are making

Some analysts are predicting 2015 will be a big year for hiring. That’s good news. But the bad news is some employers have glaring holes in their hiring processes. 

More than three-quarters (76%) of employers plan to grow their workforce this year, according to HireRight’s “2015 Employment Screening Benchmark Report.” That’s certainly encouraging.

But not all of the findings were as chipper as that figure.

In producing the report, the background check provider HireRight polled more than 3,000 HR, recruiting, security, and management professionals to find out what their hiring practices look like.

It found some employers are making mistakes that could hurt them down the line.

A handful of the most common mistakes:

  1. Failing to verify credentials. HireRight found that 50% of employers weren’t checking job candidates’ education backgrounds, and 32% weren’t checking previous employment. This is particularly concerning when you consider that 86% admitted to having caught a candidate in a lie at one time or another.
  2. Not re-screening after the initial hire. Just because a person was squeaky clean when you hired him or her five years ago doesn’t mean their record’s still spotless. HireRight warns that failing to spot potentially dangerous additions to an existing employee’s record could leave you open to negligent retention claims down the road.
  3. Failing to drug test. Changing marijuana laws are making this a more complex area, but HireRight suggests that more employers consider conducting pre-hire and ongoing drug tests in the name of preserving workplace safety and productivity, and decreasing absenteeism. Currently, 34% of employers don’t conduct any type of drug testing, the poll found.
  4. Conducting risky social media screenings. HireRight says 36% of respondents use social media to screen applicants, a figure which is growing. This is an area where employers need to tread carefully to make sure they’re not screening out applicants for discriminatory reasons or digging up protected information.
  5. Not going over the border. HireRight says 15% of respondents conduct global screening — a figure it deems too low. The firm says it’s important for companies to take their screenings global and not bypass verifying candidate’s non-U.S. work history and qualification claims.

Cite:2015 Employment Screening and Benchmarking Report,” by HireRight.



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