HR Committee Dependent Eligibility and Open Enrollment Review HR - - PowerPoint PPT Presentation

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HR Committee Dependent Eligibility and Open Enrollment Review HR - - PowerPoint PPT Presentation

HR Committee Dependent Eligibility and Open Enrollment Review HR Committee Board of Trustees Meeting January 8 th 2020 Sheila Walker Director Total Rewards Dependent Eligibility Verification Audit Update HMS completed a comprehensive


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HR Committee Dependent Eligibility and Open Enrollment Review

HR Committee – Board of Trustees Meeting January 8th 2020

Sheila Walker–Director Total Rewards

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Dependent Eligibility Verification Audit Update

HMS completed a comprehensive Dependent Eligibility Verification Audit

  • n September 27, 2019.

The objective was to ensure that all enrolled dependents meet the eligibility definition by requiring employees to provide documentation to verify eligibility.

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Audit Communication Timeline

Date Communicator Audience What How

23-Apr-19 AHS Unions DEV Announcement HBCCC Meeting 17-Jun-19 AHS Employees DEV Announcement Email and AHS Intranet 23-Jul-19 AHS Unions DEV Timeline HBCCC Meeting 26-Jul-19 HMS Employees Intial DEV Notice - with 9/6 deadline and full details on acceptable documents and submission information Mail 31-Jul-19 AHS CHRO Employees DEV Reminder Email 2-Aug-19 AHS HRBP's and Labor Weekly DEV Status Reports Began Email 7-Aug-19 Labor Unions Weekly DEV Status Reports Began Email 12-Aug-19 HRBP's Managers/Supervisors Weekly DEV Status Reports Began Email 4-Aug-19 AHS Employees DEV Reminder AHS Intranet/ TR Page 5-Aug-19 AHS Employees DEV Reminder Posters 21-Aug-19 HMS Employees Verification Reminder Mail & Email 27-Aug-19 AHS Unions DEV Update HBCCC Meeting 6-Sep-19 HMS Employees Verification Reminder Mail & Email 11-Sep-19 HMS Employees Final Notice Letter - with Audit extension to 9/23 Mail & Email 16-Sep-19 HMS Employees DEV Reminder Telephone Calls 1-Oct-19 HMS Employees Insurance Termination Notice & Insurance Alternative Document Mail & Email

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Dependent Status Results

89.96% 0.30% 9.70% 0.04% Verified Dependents Verified after Close Removed Dependents Client Update

A total of 2377 employees with 5200 dependents enrolled in the AHS medical, dental, and vision plans were audited. 9.67% or 502 of the dependents were recommended for removal because they did not meet the eligibility guidelines, or did not provide appropriate documentation to verify eligibility.

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Dependent Removal Details

Termination by Relationship

Spouses/Partners 211 Children 291

Termination Types

No Response 264 Insufficient Documentation 183 Voluntary 55 Unspecified - 26 Ineligible - 11 Other Coverage - 6 Divorce - 6 Age - 3 Married - 2 Death - 1 Total 502

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Return on Investment

$53,341 $2,525,297

Return on Investment

Investment Total Annualized Savings Less Investment

Savings – broken down by dependent / by coverage type: Annual Medical Savings: $7,200 per Sp/Dp x 211 = $1,519,200 $3,050 per Child x 291 = $887,550 Annual Dental Savings: $432 per Sp/Dp x 236 Sp = $101,952 $372 per Child x 188 = $69,936 Total: $2,578,638

This represents theoretical savings due to cost avoidance of $2,578,638 and a ROI of 4734% for the project. Based on an average tenure of 8.87 years, the total projected total savings is $22,872,519.

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Passive Benefits Open Enrollment

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What’s Changed

➢ First Passive Open Enrollment - Enrollment required only if making changes or enrolling in one of the FSA plans or the Share the Savings Plan. ➢ Greatly reduced Open Enrollment packets size ➢ Reduced Open Enrollment Road Show ➢ HR Service Center provided responses to basic benefits inquiries ➢ Initiation of ticketing system to track employee inquiries, which allowed for greater insight around the types of benefits inquiries and for monitoring responsiveness to tickets.

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2019 and 2020 OE Comparison

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2019 2020 Change Benefits Communications

$ 42,051 $ 11,622

Reduced OE Packet Size - Large Benefits Guide Not Included

Open Enrollment Roadshow Expenses

$ 7,222 $ 995

Reduced Number of OE Meetings, Meeting Duration, Benefits Staff Attendance and elimination of giveaways

$ 49,273 $ 12,617

Savings $ 36,656 2019 Employee Count 2020 Employee Count Change Employee's eligible for enrollment

4241 4109

Employee's enrolled

4241 2173

Passive Open Enrollment

Total Hours Spent Enrolling (Enrolled Employees x .5 hours)

2,120.5 1,086.5

Productivity Hours Saved

1,034

This figure doesn’t include the time saved by employees reading thru OE packets that were greatly reduced.

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Lessons Learned

➢ Importance of ticketing system and the need to monitor the tickets on a regular basis to ensure employees receive a response to their inquires within 2 business days. ➢ We experienced some OE errors related to the beneficiary designation links that were attached to the OE module. We will eliminate this going forward so it is a separate and distinct process. ➢ As a new Director of Total Rewards at AHS, I was also able to evaluate the performance of the Total Rewards Team and our Broker/Consultant. I have obtained solid understanding of our strengths and weaknesses and will plan accordingly.

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