Case Study 3 - Medical Plan
SITUATION
“I run a growing company that has
outgrown its medical plan. What can
you do for me?”
For years, this successful,
family-owned business has offered
its employees a simple, affordable
medical plan. The plan covers most
of the workers’ medical expenses,
and premiums are low. Because of
this, plan and claims costs are
skyrocketing.
SOLUTION
RJ Ahmann reviewed the current plan
and the company’s claim history. We
then suggested a multi-tiered
alternative that offered employees
freedom to choose from three
coverage options.
The company’s traditional coverage
was still available on a voluntary
basis. Employees could also opt for
a new plan that cost them (and the
company) less. A third option, an
HSA plan at no cost to the
employees, was also offered.
The following year, employees on the
expensive, traditional plan were
migrated to one of the two other
choices, and the original plan was
retired. The company increased its
contribution to the second option to
make it more attractive, while
continuing to provide the no-cost
HSA.
During this second year, RJ Ahmann
also worked with one of our contacts
to create a company-wide wellness
program. This new program improved
overall employee health and morale,
while it reduced claims costs. The
company reinvested the savings in
its people, offering employees cash
incentives and prizes for losing
weight, quitting smoking, and more.
The result was an affordable,
comprehensive health care program
that employees and the company could
both feel good about.
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