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Benefits strategies for a new era Trends, challenges and solutions Buyers Study: 2012 outlook [Name] | [Date] MK-2843 (10-12) Agenda Post-recession economic challenges The impact of health care reform New and emerging buying trends Finding “future-ready” solutions 2 Post-recession economic challenges 3 Top trends & challenges in post-recession recovery Economic pressures Rising health care costs and slow economic recovery Health care reform Legal mandates and tax implications Employee engagement Decreased worker satisfaction/productivity Administrative demands Absence management and employee benefits data Employees at risk High expense of illness or injury Delayed retirement Multiple generations in workforce Buying trends Benefit sales demographics 4 Financial pressures continue Rising premiums remain a top challenge Health insurance premiums expected to increase by double digits for the third consecutive year.1 ● Average health care premium cost per employee is above $10,000 a year.2 11.6% 11.1% 11.1% 11% 11% 11% 2009 2010 2011 2011 premiums 2010 premiums 2009 premiums Premium growth for traditional PPO coverage3 1,3 Buck Consultants, “22nd National Health Care Trend Survey,” October 2010. 2 Towers Watson, “2010 Health Care Cost Survey 2010:New Deal, New Dividend, 21st Annual U.S. Results Report,” 2010. 5 How companies are responding Cost-control strategies change plan designs Actions taken by employers: 33% 33% 56% 33% increased employee contributions1 33% raised deductibles2 56% offered financial incentives to encourage healthy choices3 1,2 Mercer, “National Survey of Employer Health Plans,” 2011. 3 Tower Watson, “Health Changes Ahead, Survey Report,” March 2012. 6 How employers are encouraging wellness engagement Wellness incentives, like health risk assessments and employee assistance programs, add value to benefits. 1 NBGH/Fidelity, “Employer Investments in Improving Employee Health, Results from the Third Annual Investments Benefits Consulting Survey,” March 2012. 7 The impact of health care reform 8 Reform drives new strategies Employers’ top areas of focus for health care strategy in 2013:1 40% develop a workplace culture where employees are accountable and supported for health and well-being 34% stay up to date and manage health care reform impacts 33% educate employees to be more informed consumers Buying trend: The Cadillac tax may accelerate the move toward CDHPs 1 Towers Watson, “Performance in an Era of Uncertainty,” March 2012. 9 Consumer directed health plans CDHPs offer 20% lower premiums than Preferred Provider Organizations (PPOs)1 2006 3% 2014 (expected to enroll) 75% 0 10 20 30 40 50 60 70 80 Buying trend: Nearly 3 in 4 employers expect to offer account-based CDHPs by 2014.3 Percent enrolled in CDHPs2 1 Mercer, “National Survey of Employer-Sponsored Health Plans,” November 2011. 2 Mercer, “National Survey of Employer-Sponsored Health Plans,” 2010. 3 Towers Watson, “The 2011 Towers Watson Health Care Trend Survey,” August 2011. 10 Reform presents opportunities Strategic offerings help employers and employees HIPAA-excepted benefits — not in calculation for “Cadillac” tax: Life Disability Critical illness* Accident ► Small business tax credits = higher benefits ROI *Critical illness exempt only when paid with post-tax dollars. 11 Benefit relevance after the recession 12 Recession drags down employee engagement A downward trend:1 I would choose to stay with my current employer even if I were offered the same pay and benefits elsewhere It would take a lot for me to look for another employer 64% 62 60 58 56 54 52 50 2008 2009 2010 2011 1 Unum, “Employee Education and Enrollment Survey,” January 2012. 13 Employees choose benefits Two of the top five motivators of employee satisfaction in today’s workforce:1 Job security Benefits Employees who are offered voluntary benefits at work report higher levels of satisfaction with their benefits plan and their workplace2 1 SHRM, “2011 Employee Job Satisfaction and Engagement Gratification and Commitment at Work in a Sluggish Economy,” December 2011. 2 Unum, “Beyond the usual benefits: 2012, The power of education to influence workforce satisfaction,” February 2012. 14 How companies are responding A need to reward employees — within budget With limited rewards options: 52% of U.S. employers have difficulty finding critical skills workers.1 21% expect to offer a wage increase — average amount is under 3%.2 This need to reward workers has fueled growth in voluntary benefits. 52% Say it’s hard to find critical skills workers Buying trend: Unum data shows a 6% increase in voluntary sales during 2011.3 1 McKinsey, ”Economic Conditions Snapshot, September 2010: McKinsey Global Survey results,” 2010. 2 Mercer, “2010-11 U.S. Compensation Planning Survey,” August 2010. 3 Unum, internal data, 2011. 15 Voluntary benefits help employee satisfaction Being offered a choice of coverage influences employees’ satisfaction with their employer and their benefits package1 1 Unum, “Beyond the usual benefits: 2012, The power of education to influence workforce satisfaction,” February 2012. 16 Job satisfaction shown to boost profits Benefits now a must-have for successful business 40% At companies with HIGHLY engaged workers, operating income: ZZZ INCREASED Percent Operating Income 0 19% At companies with LESS engaged workers, operating income: DECREASED 33% (-40%) Source: Towers Watson, “Employee Engagement in Practice,” June 2010, in comparing highly engaged workers to peer companies with less-engaged workers. 17 Benefits education has strong payoff HR professionals see a strong correlation between employee benefits education and perception of value 87% of employers who highly rate their company’s benefits communications believe their workers highly value their benefits. 45% of employers who do not highly rate their company’s benefits communications believe their workers highly value their benefits. Unum research, survey of 480 human resources professionals at the Society for Human Resource Management (SHRM) 62nd Annual Conference held in San Diego from June 27–June 30, 2010. 18 Administrative demands press resources 19 Administrative demands create data squeeze Absence management is increasingly complex ►Family and Medical Leave Act — frequently updated ►State leave laws — more than 160 For additional savings and efficiency: Integrating FMLA with disability coverage helps to: ● Avoid costly leave overlaps ● Reduces compliance liability Buying trend: Almost 38% of employers choose to outsource their leave administration.1 1 DMEC/Spring Consulting, “2011 Employer Leave Management Survey,” February 2012. 20 A growing trend – across case sizes Companies of all sizes are now on board LIMRA, “Shifting Paradigms? Examining Employee Benefits in the Midst of Economic Uncertainty,” page 150, 2010. 21 More impacts of health care reform Reform mandates create administrative headaches Mandated health coverage for eligible dependents up to age 26 Annual budget buster: Covering ineligible dependents’ health care 6% $3,380 $22 BILLION increase in a company’s costs1 average cost of providing health insurance for one ineligible dependent2 spent by U.S. companies3 1,2 Employee Benefits News, “When all else fails, pull a DEVA; Considerations for dependent eligibility verification audits,” March 2010. 3 Ceridian, “Dependent Eligibility Audits Bring employers ‘Immediate, Often Staggering Savings,” February 22, 2010. 22 Administration technology boosts efficiencies More employers want time-saving help 53% surveyed implemented a benefits administration and/or enrollment system — 11-point increase over the previous year.1 53% Electronic enrollments offer added value • Accurate documentation • Effective education • Data cleansing • Eligibility verification 42% 2009 2010 Added benefits administration and/or enrollment systems 1 Unum research, survey of 480 human resources professionals at the Society for Human Resource Management (SHRM) 62nd Annual Conference held in San Diego from June 27–June 30, 2010. 23 Employees need financial protection 24 Employees at financial risk Economy has put a squeeze on workers’ resources 42% of American workers live paycheck to paycheck1 Many have no safety net to protect from expense of a serious illness or injury ● ● More than 70% could not pay their normal living expenses if a wage earner is disabled for six months2 42% Live paycheck to paycheck 69% of workers say they do not own disability insurance3 1 CareerBuilder.com, nationwide survey of more than 5,200 workers, August, 2011. 2 Charles River Associates, “Financial Security for Working Americans: An Economic Analysis of Insurance Products in Workplace Benefits Programs,” August 2011. 3 LIFE Foundation, “This May, LIFE Urges Americans to Evaluate Their Need for Disability Insurance,” May 12, 2012. 25 Recession creates “life” crisis Economic recovery opens door to meet needs Troubling trends: Four in 10 households carry no life insurance1 10% 50- year low of insured adults own both permanent and term life insurance coverage – half as many as in 20042 Evidence of appeal: A LIMRA survey shows high employee interest in purchasing life insurance at the workplace. Of those who shopped at the workplace, 75% ultimately decide to buy.4 of life insurance ownership3 1,2 Facts About Life 2011, Facts from LIMRA Life Insurance Awareness Month, September 2011. 3 LIMRA, “Household Trends in U.S. Life Insurance Ownership (2010),” by Cheryl D. Retzloff, November 1, 2010. 4 LIMRA, “Shopping on the Job: Life and Disability Insurance Sales at the Workplace,” Kimberly Landry, Research Briefings, March 2012. 26 Diverse workforce requires choices in coverage Examples: Life stages drive financial protection needs Young Gen Y male Insurance needs • Little or no savings • An injury could be financially devastating • Can’t afford to miss a paycheck • Accident • Disability • Basic life Gen X family Insurance needs Boomer female Insurance needs • • • • Need for income during maternity leave Active children in recreational sports Large home and mortgage Responsibilities growing faster than savings • Higher salary to protect • Aware that cancer risk increases with age • Planning for long-term financial needs • Individual short term disability • Accident • Combination of term and whole life • Individual disability • Critical illness • Whole life/LTC rider 27 The economy is forcing employees to delay retirement 61% of working Americans expect to work at least three years longer — up from 43% in 20081 Planning to delay retirement – at least three years 100% 23% 36% think they’ll be able to take care of basic living expenses – plunging from 42% in one year2 delayed a routine or elective medical procedure to reduce spending3 61% 43% 0% 2008 2011 1,2,3 Sun Life Financial, “Sun Life Financial Unretirement Index 2011,” October 2011. 28 Older employees face highest risk Weakened financial safety nets leave them vulnerable 21.3% of employees have taken out loans on their 401(k) balances1 They have a limited time to recover from recession Social Security fund projected exhaustion date: 20182 Retirement savings shortfall projections 1 Workforce Management Online, “Under Pressure as Other Options Vanish,” as of 1Q2010, August 2010. 2 Social Security and Medicare Boards of Trustees, “Status of the Social Security and Medicare Programs: A Summary of the 2010 Annual Reports,” 2010. Available at: http://socialsecurity.gov/OACT/TRSUM/index.html. 3 Employee Benefits Research Institute, “Retirement Savings Shortfalls for Today’s Workers,” October 2010. 29 Buying trends and demographics 30 The move beyond “defined benefit” plans LIMRA: 91% of employers offer both employer- paid and employee-paid coverages1 A strong shift from 100% employer-funded benefits 1 LIMRA, Unpublished Employer Research, sales data from 2002 to 2010. 31 Funding shifts vary by product Increase in employee contributions is highest in long term disability funding Buying trend: Unum customers reported a 24% increase in cost sharing across all benefits2 1 LIMRA, Unpublished Worksite Employer studies, 2002–2010. 2 Unum, 2009 Employer Loyalty Study, December 2010. Companies with < 2,000 employees. 32 Long term disability buying trends Employee contribution funding continues to grow Chart information taken from Unum’s 2007-2009 database of new and inforce coverage. 33 Short term disability buying trends Funding shift to employee contributions persists Chart information taken from Unum’s 2007-2009 database of new and inforce coverage. 34 Life buying trends More employees paying for base and buy-up coverage Chart information taken from Unum’s 2007-2009 database of new and inforce coverage. 35 Individual disability insurance buying trends Often employer-paid, high incidence of shared funding Chart information taken from Unum’s 2007-2009 database of new and inforce coverage. 36 Financial risk drives voluntary sales 2011 voluntary purchases grew despite economy Unum recorded a 6% sales increase in 20111 Voluntary sales far outpaced U.S. consumer spending, which averaged 2% for 20113 1 Unum internal data, 2011. 2 LIMRA, “U.S. Worksite Sales survey,” March 2012. 3 Bloomberg, http://www.bloomberg.com/news/2012-07-27/economy-in-u-s-grows-at-1-5-rate-as-consumer-spending-cooled.html. Cited August 22, 2012. 37 Voluntary benefits buying trends Most common plan designs for top products Chart information taken from Unum’s 2007-2009 database of new and inforce coverage. 38 Voluntary benefits: who’s buying what? Demographic data shows trends in buying patterns Women still purchase more often than men, but gap is narrowing Age varies according to product, reflecting life stage preferences Age at purchase is largely consistent year-to-year Chart information taken from Unum’s 2007-2010 database of new and inforce coverage. *Includes child policies. 39 Voluntary benefits by industry Professionals at the frontline of health care most clearly see the need for voluntary coverage The top three industries offering voluntary benefits: #1 Health services and doctors #2 Retail/wholesale trade #3 Manufacturing Chart information taken from Unum’s 2007-2010 database of new and inforce coverage. 40 Which combinations do employers sponsor? The most common voluntary offerings Unum recommends limiting an initial voluntary benefits offer to two or three benefit choices. Top three most popular combinations: #1 #2 #3 Accident Critical illness Short term disability Accident Critical illness Life Accident Chart information taken from Unum’s 2007-2010 database of new and inforce coverage. 41 Which combinations do employers choose? Today’s most common group/voluntary buying trends Top three most popular combinations: #1 #2 #3 Life/AD&D Life/AD&D Life/AD&D Long term Individual short Long term disability term disability Short term disability disability Individual short term disability Voluntary life Tomorrow’s buying trends expected to change… Chart information taken from Unum’s 2007-2010 database of new and inforce coverage. 42 Impact of health care reform These combinations are expected to shift as more employers adopt CDHP health plans Natural fits for high-deductible plans: ► Reduce Critical illness Disability Accident CDHP workers’ financial vulnerability to injuries and illnesses ► Fit needs of various employee life stages ► Can lower employers’ costs and keep premium levels below the threshold for the 40% “Cadillac” excise tax 43 What’s next? Creating a “future-ready” plan Work with your benefits adviser to craft a benefits strategy that: Is health reform-savvy and pairs a consumer-directed focus with financial protection Optimizes ROI with valuable services, including EAP and leave management Partners with a provider experienced in both employerfunded and voluntary benefits Saves HR time with technology to streamline administration Boosts employee engagement with education on benefits value Offers choices to meet the needs of a diverse workforce Minimizes employer touch points and maximizes value with proven service and claims support 44 How “future-ready” is your benefits strategy? Insurance products are underwritten by the subsidiaries of Unum Group. unum.com © 2012 Unum Group. All rights reserved. Unum is a registered trademark and marketing brand of Unum Group and its insuring subsidiaries. MK-2843 (10-12) FOR BROKERS AND EMPLOYERS 45