April 1 1 30 - esther leal 2

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April 1 1 30 - esther leal 2

  1. 1. Non-Profit Organizations Opportunities and Challenges: Benefits 2014 Presented by April, 2014
  2. 2.  Deciding whether to reduce staff or modify employer contribution to maintain costs  Single rates: HMO = $800, PPO = $925  20% of group is over 60 years old  Oldest employee in group is 85 years old NPO Client #1 Social Services Agency focusing on at-risk youth advocacy 60 Employees 75+ Years in Business
  3. 3.  Considering the following options: • Reduce staff to under 50 FTE’s (those working 30 hours) and eliminate group insurance plan • Move those who are Medicare eligible into Medical Supplement plans and all others in marketplace exchange • Review SHOP rates • Maintain Group Plan with HDHP option only NPO Client #1 Social Services Agency focusing on at-risk youth advocacy 60 Employees 75+ Years in Business
  4. 4.  Looking at the following options: • Terminate Group Sponsored Plan and move to Ind. Exchange • Review SHOP rates • Join Multi-Employer Benefit Cooperative • Maintain Group Sponsored Plan NPO Client #2 Job Search Engine <20 Employees 25+ Years in Business
  5. 5.  Considering the following options: • Convert Fully insured plan to Self-funded • Eliminate Benefits for those working less than 30 hours • Change Employer contribution to Staggered based on income • Move from HMO to HDHP NPO Client #3 Medical Center 300+ Employees 50+ Years in Business
  6. 6.  Looking at the following options: • Eliminate Group Sponsored plan and move to Ind. Exchange • Review SHOP rates • Make revisions on Current medical plan NPO Client #4 Religious Organization <10 Employees 10+ Years in Business
  7. 7. NPO Client #5  Considering the following options: • Change their eligibility waiting period to 30 hours per week from 40 hours per week • Change Employer contribution (currently 100% of single coverage to 90% for lower cost plan) • Change Plan design of Disability program from 60% to 40% to save money • Convert Group Sponsored dental and vision plans to Voluntary Child Welfare/Foster Care Agency 90 Employees 50+ Years in Business
  8. 8. Questions & Contact Info Feel free to ask any questions at this time. Contact Information Esther Leal President & CEO Leal Associates, Inc. 200 S. Wacker Drive, Suite 3100 Chicago, IL 60606 (312) 674-4661 eleal@lealassociates.com

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