Tag Archives: human resources

Four trends in the 2017 benefits delivery marketplace

If you’ve been following the headlines over the past few years, you’ve seen some big changes in the benefits administration world. For example, just last month Aon announced that it is selling its long-standing benefits and human resources (HR) administration business to Blackstone. In January, Xerox completed the spin-off of Conduent, which provides benefits consulting and administration services. Back in 2015, TransAmerica acquired Mercer’s U.S. defined contribution recordkeeping business.

Gartner Inc. research reveals that 80% of companies now outsource at least one HR activity. The trend toward benefits administration outsourcing continues to accelerate, with roughly three in four companies now outsourcing at least some benefits administration activities—up 12% from two-thirds in 2014. So how have these changes to the benefits delivery marketplace affected benefits strategies and buying decisions?

Here are four trends we’ve seen based on recent work with our clients.

1. Best-in-class purchasing
There’s a move toward best-in-class selection of outsourcing providers. In other words, employers are selecting providers by benefit “tower”—health and welfare, defined contribution, defined benefit—rather than consolidating delivery to one total benefits outsourcing (TBO) provider. Our observations are backed by a recent study, which revealed that 64% of employers surveyed use more than one benefits administration provider. Additionally, 35% of large employers, with 1,000 lives or more, indicated an increase in the number of providers they use to five.

There are a number of explanations to support this trend:
• Flux in the marketplace
• Inconsistent service quality across benefits towers
• Fewer providers who can deliver TBO

What this means to plan sponsors: Clients who bought a TBO/single-provider approach and like the integration have far fewer options to consider should they decide to go to market. They will need to expand their thinking to include the best-in-class approach and look for integration among providers—which can be accomplished with good leadership and vendor management from the client.

2. Provider disruption
The benefits administration marketplace has been, and continues to be, dynamic. In the 20+ years I have been in the market, there has scarcely been a year when some major provider change has not occurred. Providers have consolidated through acquisition and merger. Some have exited one or more towers of delivery. Others have spun off their administration units to stockholders as independent companies. The disruptive nature of the provider base has not led to market contraction. However, as affected client companies continue to outsource their administration it has led to movement by clients and opened the door for new providers.

What this means to plan sponsors: In this environment, a plan sponsor must be cognizant of its role as fiduciary to the plan. This means doing due diligence, soliciting proposals from alternative providers, and reviewing service levels with the current provider—especially as providers work their way through the changes.

3. Changes to bundled consulting and administration
Interestingly, providers are initiating very different strategies regarding the bundling of consulting and administration. Of the four largest administration providers in the large company market segment, two (Mercer and Willis Towers Watson) have tightened the link and two (Aon and Conduent) are breaking the link between consulting and administration. The exception is when a client chooses a private exchange model. In this case, the provider wants to keep consulting and administration tightly within its service offering.

Clients are split regarding the efficacy of bundling. Based on our work in this area and our observations of client choices, about as many believe that integration is important to effective plan management as believe in keeping them separate.

What this means to plan sponsors: Plan sponsors need to be aware of what products and services their consultants provide, such as benefits administration, private health exchanges, prescription collaboratives, etc. There may be corporate initiatives requiring consultants to present these products to you. That’s why it’s important to get independent insights into your decision-making process to ensure which strategy will work best for your organization.

4. Health and welfare outsourcing growth
The majority of retirement plans, both defined contribution and defined benefit plans, are outsourced today. Though health and welfare (H&W) benefits administration has lagged behind, over the past several years it has grown by 7% to 10% annually. Approximately 52% are outsourcing H&W administration, while 45% are administering in-house or using limited outsourcing services (flexible spending accounts, COBRA, Patient Protection and Affordable Care Act [ACA] reporting).

Rationale for administering in-house:

• Contact: Health plan administration involves many calls. Some plan sponsors believe that employees want to talk to company employees versus a call center.
• Cost: Some plan sponsors believe it is more costly to outsource than to manage the plans in-house or at least have a difficult time developing the cost/benefit analysis to move to outsourcing.
• Complexity: The plan design is very unique and/or complicated so the plan sponsor believes it needs to be administered in-house.

Reasons employers move to outsourcing:
• ACA compliance requirements
• Expanded benefit options for employees
• Lack of internal technology capability and expense of upgrades
• Overburdened staff or loss/reduction of staff
• Leverage of outsourced providers for administrative cost savings

What this means for plan sponsors: With the changing benefits marketplace, employers need to offer competitive benefits—with options for changing demographics. They also need to improve web-based employee access and still contain cost. The market is growing and changing quickly but your Milliman consultant can help you understand the current market, guide you through expected future changes and find a partner to serve you well over the coming years.

HR fatigue: Outsourcing solutions and private exchanges

Gray-MikelMost sales pitches about private exchanges position them as a game-changing way to cut benefit costs while offering employees more choices. While the market will determine whether the private exchanges can deliver on their cost-savings promise over time, they may prove to be appealing for some organizations even if they are cost-neutral, given their other attributes.

The prospect of spending several months forecasting health and benefit budgets, and then either gaining approval or spending even more time refining the budgets by tweaking the plan design, can exhaust a weary human resources (HR) benefits staff. Here are four questions for your organization to consider.

1. Is the HR team keeping up with all of the latest requirements of the Patient Protection and Affordable Care Act (ACA), including the new reporting requirements?
2. Does HR spend more time reviewing budgets and plan designs annually than makes sense?
3. Are the number of vendor contracts and meetings still manageable?
4. Does HR have the support of the management team to hire staff to effectively deal with all of the above?

If you answer no to any of these questions we recommend evaluating an outsourcing solution, or an outsourcing upgrade. In addition, you could also consider a private exchange. Below we show a comparison between outsourcing and private exchanges:

Feature Outsource Private Exchange
Manage Enrollment and Vendor Data Feeds Yes Yes
ACA Reporting Yes Yes
Member Services Yes Yes
Outsource Vendor Renewals No Yes
Rate and Budget Setting No Yes

While the private exchange solution offers a couple of key advantages, it also comes with some downside. Once your organization is committed to exploring either of these options, we encourage you to also consider the following:

• To what degree is your organization’s culture consistent with the change?
• Is there a risk to your organization’s reputation for making this type of change?
• Will your new vendor improve the employee/dependent experience in dealing with enrollment and issues?
• Will the cost of the additional administration be offset by decreases in soft dollars within your organization? Will you be able to show that to decision makers?
• How long is the contract? Are there early termination penalties?
• What if, two to three years down the road, the private exchange decides to evolve to a platform that you are no longer comfortable with? Can you take it back in-house?

Milliman is here to help you work through issues with HR fatigue to find the best solution for your organization.

HR fatigue: Realities and solutions

Reed-SueHuman resources (HR) professionals experience job fatigue that is due to constantly changing organizational and regulatory environments. This continuation of the HR fatigue series explains three realities facing HR professionals in today’s climate and offers a solution that can benefit them.

Reality 1: HR is a cost center, not a profit center.
HR has a critical role to play in the success of an organization, but HR must be extremely stringent in the allocation of resources because it is not a money-earning department. This means HR must allocate resources to the areas that can drive company profitability and streamline administrative time and resource-consuming activities.

Reality 2: Attracting and retaining key talent is a challenge.
As technology continues to increase in all aspects of work and life, critical technical resources are becoming more difficult to recruit and retain. HR professionals need to spend more time strategizing about the most effective attraction and retention drivers for their organizations.

Reality 3: Administrative costs must be carefully managed.
Healthcare reform adds an administrative burden to an already stretched HR organization. In addition, the continued rise in healthcare costs shifts a greater burden to HR professionals to find ways to reduce costs administratively.

Outsourcing health and welfare benefits administration can begin to solve HR fatigue and allow HR professionals to focus on business issues. Outsourcing benefit administration includes:

• Programming business rules to ensure accurate, consistent interpretation and implementation of eligibility rules, waiting periods, and documentation to prove employees meet requirements. HR professionals are no longer required to be experts to navigate this complicated process.

• Administering welfare benefits such as life, accidental death and dismemberment, and disability insurance, which is often complex and can be administratively burdensome, resulting in hidden costs for the employer. Benefit administrators work with the insurance carrier to interpret and program contingent benefits and evidence of insurability rules to streamline the administration of these benefits.

• Implementing electronic transmission of carrier and payroll files to enable efficient, accurate, and prompt benefit information for employees while eliminating administration for HR and finance departments.

• Interpreting and programming new regulatory requirements, such as the Patient Protection and Affordable Care Act (ACA), which can eliminate new administrative responsibilities for HR professionals.

When implemented correctly, outsourced benefit administration can reduce HR fatigue and increase an organization’s productivity. For more information about Milliman’s benefit administration services, click here.

HR fatigue in relation to the ACA

Gray-MikelWhile the human resources (HR) community continues to adapt to changes caused by the implementation of the Patient Protection and Affordable Care Act (ACA), we wonder if HR professionals are experiencing job fatigue in relation to ever-increasing responsibilities created as a result of the ACA? Here are just two of the many additional responsibilities facing HR professionals post-ACA:

• HR professionals are tasked with additional reporting requirements under the ACA, including Section 6056 Reporting for applicable large employers to demonstrate they have met their shared responsibilities by providing affordable coverage, as well as 6055 Reporting (required starting in 2016) to provide documentation about which employees and dependents are covered by minimum value coverage month by month.
• HR professionals are seeing increased scrutiny from management as benefit budgets expand, which is due to the high and rising cost of coverage, potentially compounded by excise tax implications. These costs are gaining exposure at the top levels of organizations. More and more, HR departments are being asked, “What are we doing to control these costs?” That can be a difficult question to answer in meetings that demand encapsulated answers.

As a result, HR professionals are being asked more and more to take the lead in considering plan design changes and technology improvements to gain efficiencies and appeal to younger employees, but only when compared with the cost and feasibility of successful implementation. Finding a solution to these issues can be an exhausting process, especially for those HR professionals who have traditionally concentrated much of their efforts on other areas of the business.

We will be writing two follow-up blogs regarding what employers can do to solve the fatigue. The first will be on outsourcing, and the second will be on private exchanges. Stay tuned.