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1 A F L A C | W O R K F O R C E S R E P O R T
Results from the 2015 
Aflac WorkForces 
Report
Benefit Trends & Challenges
2 A F L A C | W O R K F O R C E S R E P O R T
About the Aflac WorkForces Report 
• Groundbreaking research designed to uncover timely benefits trends that impact 
companies and their employees – now and in the future.
• Fifth annual study includes responses from over 5,300 workers, nearly 2,000 HR 
decision‐makers and business owners, and more than 300 insurance brokers 
surveyed in February 2015.
• Nationally representative sample of employees and employers, conducted by 
Research Now.
• Media coverage: USA Today, CNN, Yahoo!, Bloomberg, CBS, ABC Radio, Benefits 
Selling, Advisor Today, Employee Benefit Adviser and many more.
3 A F L A C | W O R K F O R C E S R E P O R T
Latest findings
• Confusion remains with health care reform (HCR).
• The financial state of the U.S. workforce is 
concerning.
• Benefits provide a competitive advantage.
• Engagement and communications are lacking.
• Voluntary insurance is in demand.
• Brokers are unsure about the future.
Adapting to the realities of
health care reform
5 A F L A C | W O R K F O R C E S R E P O R T
Current realities
• Moving to the next phase of reform.
• Implications are beginning to be felt.
• Confusion remains.
• Costs continue to rise.
• Employees are vulnerable.
6 A F L A C | W O R K F O R C E S R E P O R T
Current realities: Rising insurance costs
Average annual 
health insurance 
premiums and 
worker 
contributions for 
family coverage 
from 2004‐2014
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2004-2014
$2,661
$4,823
$7,289
$12,011
2004 2014
Worker Contribution Employer Contribution
$16,834
$9,950
69% Total 
Premium 
Increase
81% Worker 
Contribution 
Increase
7 A F L A C | W O R K F O R C E S R E P O R T
Current realities: Rising health care costs
$13,700
Average annual medical 
cost for people 
diagnosed with diabetes
(American Diabetes Association) 
$21,200
Mean hospital cost in 
2012 for a surgical stay
(Agency for Healthcare Research 
and Quality) 
8 A F L A C | W O R K F O R C E S R E P O R T
Broker perspectives
9 A F L A C | W O R K F O R C E S R E P O R T
FACT: Brokers are unsure about the 
future.
75%
75%
of brokers have seen 
peers EXIT the industry 
in the last year.
45%
of brokers are 
considering EXITING the 
industry.
10 A F L A C | W O R K F O R C E S R E P O R T
FACT: Brokers have serious concerns. 
81%
say clients aren’t 
prepared for health care 
reform.
89%
agree rising health care 
costs impacted their 
clients’ benefits 
offerings.
36%
said their firm’s 
sales/revenue grew in 
the last 12 months.
11 A F L A C | W O R K F O R C E S R E P O R T
Successful brokers: 
• View HCR as an opportunity.
• Are expanding their list of target clients.
• Are enhancing consulting services.
• Are pursuing opportunities via exchanges.
• Are increasing sales of voluntary benefits.
12 A F L A C | W O R K F O R C E S R E P O R T
Brokers’ views on voluntary benefits: 
59%
offer voluntary to satisfy 
the needs of clients’ 
employees.40%
began selling it in the 
past three years.
58%
plan to increase 
voluntary benefits 
revenue in 2015.
13 A F L A C | W O R K F O R C E S R E P O R T
Brokers currently offering voluntary: 
65%
more likely to have 
increased sales in 2014.56%
more likely to have 
increased client base in 
2014.
14 A F L A C | W O R K F O R C E S R E P O R T
Employer perspectives
15 A F L A C | W O R K F O R C E S R E P O R T
Today’s employers: 
• Are concerned about rising costs.
• Still lack understanding about HCR.
• Are moving employees toward consumerism.
16 A F L A C | W O R K F O R C E S R E P O R T
Top business objectives for employers
26%
Finding the right 
talent
40%
Remaining 
competitive 
49%
Controlling 
health care costs 
24%
Managing 
productivity
17 A F L A C | W O R K F O R C E S R E P O R T
Health care reform: Confusion
65%
of employees believe 
employers will educate 
them about HCR.
41%
of employers 
understand health care 
reform very/ extremely 
well
18 A F L A C | W O R K F O R C E S R E P O R T
Reform is impacting costs and choices
65%
increased employees’ 
copayments and/or 
share of premium.
17%
cut back on employee 
major medical/health 
care plan options.
19 A F L A C | W O R K F O R C E S R E P O R T
Employee perspectives
20 A F L A C | W O R K F O R C E S R E P O R T
Today’s workforce: 
• Is financially unprepared and feels unprotected.
• Is in denial about health realities.
• Isn’t engaged in benefits decisions.
21 A F L A C | W O R K F O R C E S R E P O R T
Workers are financially unprepared
34%
feel extremely/ 
very confident in 
their financial 
future.
40%
are NOT 
prepared to pay 
for out‐of‐pocket 
expenses.
45%
have NO financial 
plans in place.
28%
have less than 
$500 to pay for 
out‐of‐pocket 
expenses.
22 A F L A C | W O R K F O R C E S R E P O R T
Workers do not feel protected
12%
are already 
dealing with high 
medical bills.
15%
feel their 
benefits package 
meets the needs 
of their family 
extremely well.
31%
are distracted by 
personal health 
or financial 
issues.
23 A F L A C | W O R K F O R C E S R E P O R T
Workers are not facing health/accident 
realities:
10%
say they/family 
will become 
disabled.
8%
say they/family 
will likely be in a 
car accident.
17%
think they/family 
will be diagnosed 
with a chronic 
illness.
11%
say they/family 
will require a 
long‐term 
hospital stay.
24 A F L A C | W O R K F O R C E S R E P O R T
Workers are distracted
11-20%
is the range 
employers most 
often selected 
when estimating 
how much 
productivity is 
lost due to 
personal or 
health issues.
20%
named “personal 
financial issues” 
as the top non‐
work‐related 
issue that 
distracts them 
during work.
25 A F L A C | W O R K F O R C E S R E P O R T
Productivity: Benefits solution
44%
of HR decision‐
makers think an 
overall benefits 
package is 
extremely/very 
influential on 
work 
productivity.
55%
of workers say 
adequate 
insurance would 
strongly/ 
significantly 
impact their 
ability to cope 
with personal 
issues.
26 A F L A C | W O R K F O R C E S R E P O R T
Benefits matter: The importance of
a benefits package on…
Job satisfaction 96%
59% of employees are likely to accept a job with lower pay but better benefits.
Loyalty to employer 91%
Decision to leave 85%
Referring a friend 82%
27 A F L A C | W O R K F O R C E S R E P O R T
Benefits alone may help alleviate
projected turnover:
45%
of these workers 
agreed: 
“Improving my 
benefits package 
is one thing my 
employer could 
do to keep me in 
my current job.” 
49%
of workers are 
likely to look for a 
new job in the 
next year.
26% of those are 
extremely/very 
likely.
28 A F L A C | W O R K F O R C E S R E P O R T
Despite the importance, employees 
aren’t engaged in benefits decisions
* Figures are from Aflac’s 2014 open enrollment survey, conducted by Research Now. 
17%
understand
their total
annual health
care costs
extremely well.
62%
say they “some-
times” or
“rarely”
understand
changes in
coverage.*
90%
choose the
same benefits
each year.*
43%
spent less than
30 minutes
researching
benefit options
during their last
open
enrollment.
29 A F L A C | W O R K F O R C E S R E P O R T
Choosing high‐deductible health plans 
(HDHPs)
* Figures are from Aflac’s 2014 open enrollment survey, conducted by Research Now. 
47%
agree an HDHP 
was financially 
detrimental to 
their families.*
34%
chose an HDHP in 
2013.* 
30 A F L A C | W O R K F O R C E S R E P O R T
The voluntary advantage
31 A F L A C | W O R K F O R C E S R E P O R T
More employers are offering 
voluntary benefits
64%
55%
47%
32%
36%
57%
52%
48%
39%
34%
71%
62%
55%
45%
41%
67%
56%
52%
47%
40%
70%
61%
56%
49%
43%
Supplemental life insurance Long-term disability insurance Short-term disability insurance Accident insurance Long-term care insurance
ERQ2: Which of the following voluntary insurance benefits does your company offer to employees? Select all that apply. Among those that offer voluntary benefits.
Note: Voluntary hospital insurance labeled Hospitalization for sickness and injury in 2014. Hospital intensive care insurance dropped from 2015 survey. In order to answer this question, respondents
must indicate that they offer voluntary benefits in Q1. Due to changes in response options year over year, caution is advised when making comparisons to trend data.
38% 39%
31%
25% 24%
38% 40%
31% 31% 29%
44%
41%
31% 30% 30%
40% 39%
34%
31% 31%
40% 39% 37%
26%
36%
Voluntary vision insurance Voluntary dental Cancer or other specified disease
insurance
Voluntary hospital insurance Critical illness insurance
2011 2012 2013 2014 2015
32 A F L A C | W O R K F O R C E S R E P O R T
Desire for voluntary benefits
88% say voluntary benefits are part of a comprehensive benefits program. 
64% see a growing need for voluntary insurance versus previous years.
55%
say because of
changes due to
HCR.
64%
say because of
rising medical
insurance
costs.
68%
say because of
increasing
medical costs.
33 A F L A C | W O R K F O R C E S R E P O R T
48% of employees are enrolled in voluntary benefits programs.
Among those enrolled through their current employer:
15%
less likely to
look for a new
job.
31%
more likely to
be satisfied with
the benefits
offered.
19%
more likely to
be
extremely/very
satisfied with
their jobs.
Impact of voluntary benefits
34 A F L A C | W O R K F O R C E S R E P O R T
Importance of brand in health
insurance decisions
49%
say it is 
extremely/very 
important.
87%
of workers say 
brand is 
important when 
selecting a health 
insurance option.
35 A F L A C | W O R K F O R C E S R E P O R T
Learn more…
Aflac.com/Resources
– Executive summary
– Articles
– Fact sheets
– Presentations
– Infographics
– Calculators
– Co-branding
Z150301R
Questions?
9/15

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2015 Aflac WorkForces Report | Presentation For Brokers

  • 1. 1 A F L A C | W O R K F O R C E S R E P O R T Results from the 2015  Aflac WorkForces  Report Benefit Trends & Challenges
  • 2. 2 A F L A C | W O R K F O R C E S R E P O R T About the Aflac WorkForces Report  • Groundbreaking research designed to uncover timely benefits trends that impact  companies and their employees – now and in the future. • Fifth annual study includes responses from over 5,300 workers, nearly 2,000 HR  decision‐makers and business owners, and more than 300 insurance brokers  surveyed in February 2015. • Nationally representative sample of employees and employers, conducted by  Research Now. • Media coverage: USA Today, CNN, Yahoo!, Bloomberg, CBS, ABC Radio, Benefits  Selling, Advisor Today, Employee Benefit Adviser and many more.
  • 3. 3 A F L A C | W O R K F O R C E S R E P O R T Latest findings • Confusion remains with health care reform (HCR). • The financial state of the U.S. workforce is  concerning. • Benefits provide a competitive advantage. • Engagement and communications are lacking. • Voluntary insurance is in demand. • Brokers are unsure about the future.
  • 5. 5 A F L A C | W O R K F O R C E S R E P O R T Current realities • Moving to the next phase of reform. • Implications are beginning to be felt. • Confusion remains. • Costs continue to rise. • Employees are vulnerable.
  • 6. 6 A F L A C | W O R K F O R C E S R E P O R T Current realities: Rising insurance costs Average annual  health insurance  premiums and  worker  contributions for  family coverage  from 2004‐2014 Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2004-2014 $2,661 $4,823 $7,289 $12,011 2004 2014 Worker Contribution Employer Contribution $16,834 $9,950 69% Total  Premium  Increase 81% Worker  Contribution  Increase
  • 7. 7 A F L A C | W O R K F O R C E S R E P O R T Current realities: Rising health care costs $13,700 Average annual medical  cost for people  diagnosed with diabetes (American Diabetes Association)  $21,200 Mean hospital cost in  2012 for a surgical stay (Agency for Healthcare Research  and Quality) 
  • 8. 8 A F L A C | W O R K F O R C E S R E P O R T Broker perspectives
  • 9. 9 A F L A C | W O R K F O R C E S R E P O R T FACT: Brokers are unsure about the  future. 75% 75% of brokers have seen  peers EXIT the industry  in the last year. 45% of brokers are  considering EXITING the  industry.
  • 10. 10 A F L A C | W O R K F O R C E S R E P O R T FACT: Brokers have serious concerns.  81% say clients aren’t  prepared for health care  reform. 89% agree rising health care  costs impacted their  clients’ benefits  offerings. 36% said their firm’s  sales/revenue grew in  the last 12 months.
  • 11. 11 A F L A C | W O R K F O R C E S R E P O R T Successful brokers:  • View HCR as an opportunity. • Are expanding their list of target clients. • Are enhancing consulting services. • Are pursuing opportunities via exchanges. • Are increasing sales of voluntary benefits.
  • 12. 12 A F L A C | W O R K F O R C E S R E P O R T Brokers’ views on voluntary benefits:  59% offer voluntary to satisfy  the needs of clients’  employees.40% began selling it in the  past three years. 58% plan to increase  voluntary benefits  revenue in 2015.
  • 13. 13 A F L A C | W O R K F O R C E S R E P O R T Brokers currently offering voluntary:  65% more likely to have  increased sales in 2014.56% more likely to have  increased client base in  2014.
  • 14. 14 A F L A C | W O R K F O R C E S R E P O R T Employer perspectives
  • 15. 15 A F L A C | W O R K F O R C E S R E P O R T Today’s employers:  • Are concerned about rising costs. • Still lack understanding about HCR. • Are moving employees toward consumerism.
  • 16. 16 A F L A C | W O R K F O R C E S R E P O R T Top business objectives for employers 26% Finding the right  talent 40% Remaining  competitive  49% Controlling  health care costs  24% Managing  productivity
  • 17. 17 A F L A C | W O R K F O R C E S R E P O R T Health care reform: Confusion 65% of employees believe  employers will educate  them about HCR. 41% of employers  understand health care  reform very/ extremely  well
  • 18. 18 A F L A C | W O R K F O R C E S R E P O R T Reform is impacting costs and choices 65% increased employees’  copayments and/or  share of premium. 17% cut back on employee  major medical/health  care plan options.
  • 19. 19 A F L A C | W O R K F O R C E S R E P O R T Employee perspectives
  • 20. 20 A F L A C | W O R K F O R C E S R E P O R T Today’s workforce:  • Is financially unprepared and feels unprotected. • Is in denial about health realities. • Isn’t engaged in benefits decisions.
  • 21. 21 A F L A C | W O R K F O R C E S R E P O R T Workers are financially unprepared 34% feel extremely/  very confident in  their financial  future. 40% are NOT  prepared to pay  for out‐of‐pocket  expenses. 45% have NO financial  plans in place. 28% have less than  $500 to pay for  out‐of‐pocket  expenses.
  • 22. 22 A F L A C | W O R K F O R C E S R E P O R T Workers do not feel protected 12% are already  dealing with high  medical bills. 15% feel their  benefits package  meets the needs  of their family  extremely well. 31% are distracted by  personal health  or financial  issues.
  • 23. 23 A F L A C | W O R K F O R C E S R E P O R T Workers are not facing health/accident  realities: 10% say they/family  will become  disabled. 8% say they/family  will likely be in a  car accident. 17% think they/family  will be diagnosed  with a chronic  illness. 11% say they/family  will require a  long‐term  hospital stay.
  • 24. 24 A F L A C | W O R K F O R C E S R E P O R T Workers are distracted 11-20% is the range  employers most  often selected  when estimating  how much  productivity is  lost due to  personal or  health issues. 20% named “personal  financial issues”  as the top non‐ work‐related  issue that  distracts them  during work.
  • 25. 25 A F L A C | W O R K F O R C E S R E P O R T Productivity: Benefits solution 44% of HR decision‐ makers think an  overall benefits  package is  extremely/very  influential on  work  productivity. 55% of workers say  adequate  insurance would  strongly/  significantly  impact their  ability to cope  with personal  issues.
  • 26. 26 A F L A C | W O R K F O R C E S R E P O R T Benefits matter: The importance of a benefits package on… Job satisfaction 96% 59% of employees are likely to accept a job with lower pay but better benefits. Loyalty to employer 91% Decision to leave 85% Referring a friend 82%
  • 27. 27 A F L A C | W O R K F O R C E S R E P O R T Benefits alone may help alleviate projected turnover: 45% of these workers  agreed:  “Improving my  benefits package  is one thing my  employer could  do to keep me in  my current job.”  49% of workers are  likely to look for a  new job in the  next year. 26% of those are  extremely/very  likely.
  • 28. 28 A F L A C | W O R K F O R C E S R E P O R T Despite the importance, employees  aren’t engaged in benefits decisions * Figures are from Aflac’s 2014 open enrollment survey, conducted by Research Now.  17% understand their total annual health care costs extremely well. 62% say they “some- times” or “rarely” understand changes in coverage.* 90% choose the same benefits each year.* 43% spent less than 30 minutes researching benefit options during their last open enrollment.
  • 29. 29 A F L A C | W O R K F O R C E S R E P O R T Choosing high‐deductible health plans  (HDHPs) * Figures are from Aflac’s 2014 open enrollment survey, conducted by Research Now.  47% agree an HDHP  was financially  detrimental to  their families.* 34% chose an HDHP in  2013.* 
  • 30. 30 A F L A C | W O R K F O R C E S R E P O R T The voluntary advantage
  • 31. 31 A F L A C | W O R K F O R C E S R E P O R T More employers are offering  voluntary benefits 64% 55% 47% 32% 36% 57% 52% 48% 39% 34% 71% 62% 55% 45% 41% 67% 56% 52% 47% 40% 70% 61% 56% 49% 43% Supplemental life insurance Long-term disability insurance Short-term disability insurance Accident insurance Long-term care insurance ERQ2: Which of the following voluntary insurance benefits does your company offer to employees? Select all that apply. Among those that offer voluntary benefits. Note: Voluntary hospital insurance labeled Hospitalization for sickness and injury in 2014. Hospital intensive care insurance dropped from 2015 survey. In order to answer this question, respondents must indicate that they offer voluntary benefits in Q1. Due to changes in response options year over year, caution is advised when making comparisons to trend data. 38% 39% 31% 25% 24% 38% 40% 31% 31% 29% 44% 41% 31% 30% 30% 40% 39% 34% 31% 31% 40% 39% 37% 26% 36% Voluntary vision insurance Voluntary dental Cancer or other specified disease insurance Voluntary hospital insurance Critical illness insurance 2011 2012 2013 2014 2015
  • 32. 32 A F L A C | W O R K F O R C E S R E P O R T Desire for voluntary benefits 88% say voluntary benefits are part of a comprehensive benefits program.  64% see a growing need for voluntary insurance versus previous years. 55% say because of changes due to HCR. 64% say because of rising medical insurance costs. 68% say because of increasing medical costs.
  • 33. 33 A F L A C | W O R K F O R C E S R E P O R T 48% of employees are enrolled in voluntary benefits programs. Among those enrolled through their current employer: 15% less likely to look for a new job. 31% more likely to be satisfied with the benefits offered. 19% more likely to be extremely/very satisfied with their jobs. Impact of voluntary benefits
  • 34. 34 A F L A C | W O R K F O R C E S R E P O R T Importance of brand in health insurance decisions 49% say it is  extremely/very  important. 87% of workers say  brand is  important when  selecting a health  insurance option.
  • 35. 35 A F L A C | W O R K F O R C E S R E P O R T Learn more… Aflac.com/Resources – Executive summary – Articles – Fact sheets – Presentations – Infographics – Calculators – Co-branding