Open Enrollment Prep: Identify Workers’ Needs, Consider Costs to Plan Benefits

It’s almost time for year-end small group open enrollment and you need to drive engagement so that your employees can make informed decisions about their health insurance options.

We want to help you help your employees understand all of their options so that they can purchase a plan that is appropriate for their situation. So here is our advice for the open enrollment:

Listen to Your Workforce

Before you make any decisions, you should listen to your employees and better understand their needs and preferences.

With answers and feedback in hand you can create a benefits package which is more appealing to them, which in turn gives you a competitive edge when attracting and retaining workers.

Open enrollment meeting with team to prepare early.

Engage employees and solicit feedback through quarterly employee-benefits round table meetings. Invite employees from different age groups and different departments to participate in these meetings to ensure you have a good cross-section of your staff represented.

Give Advance Notice

You can start this month with simple reminders for them to start thinking about open enrollment and evaluate their current health plans. Send out memos and place posters in high-traffic areas.

If you start with this in September or October, they can have time to assess their options, particularly if anything has changed in their lives like marital status, new children or health issues.

Costs are Paramount

You can work with us to settle on plan arrangements that will be within your and your employees’ budgets (in their case, the plans also have to be deemed affordable under the Affordable Care Act).

Employees have a right to understand the costs, so let them know how to access the free transparency tools provided online by most medical carriers. Provide employees with a breakdown of medical and pharmaceutical cost increases to avoid sticker shock.

Get an Early Start

If your plan year starts Jan. 1, you should hold open enrollment meetings and dispense plan materials in October or November.Avoid holding meetings in December. It’s too busy and the ramping up period is too short.

Communicate Effectively

Your task is to get employees out of cruise control and truly assess all of their options.

This is especially true if you are making changes to cost-sharing, introducing new plans, introducing a wellness plan or health savings accounts or flexible spending accounts.

You should use a variety of different media to communicate with your workforce.

open enrollment communication to team.

Use video, virtual and live meetings, e-mail communications and print materials to get through to your employees. While the attentive ones may think it’s overkill, using different forms of communication ensures that you reach the widest number of staff.

Get Spouses Involved

If you also offer insurance to spouses, you should communicate through your employees that they are also invited to join your open enrollment meetings. You can also invite them to view any electronic material you may post online, like the aforementioned videos.

If they cannot make a general meeting, you can invite them to come in to meet with your human resources manager if they have questions.

Remind Them of the Law

You can use open enrollment as a way to remind your staff of their responsibilities to secure coverage under the Affordable Care Act.

Let them know that employees who refuse affordable coverage from their employer and opt to purchase it on a public exchange will usually not be eligible for government premium subsidies.

Ask us about the most frequently asked questions about the ACA and we can help you prepare a list of online resources that they can access to get answers to those questions you may not be able to answer.

Give Your Employees Notice

Send out meeting notices early to give your employees time to prepare and set aside time. Try to make the meeting engaging. You may want to consider video recording the session and also providing remote access to employees who don’t work onsite. Provide enough time for the main presentation as well as questions from your employees.

Recent & Related

More Employers Cover Weight-Loss Drugs: Survey

More Employers Cover Weight-Loss Drugs: Survey

The percentage of employers who are covering new and trendy weight-loss drugs has risen in 2024, continuing a trend of increasing coverage despite the costs, according to a new survey. The study, by Mercer, also found that employers are increasingly offering to cover...

read more
IRS Loosens Preventive Care Coverage Rules

IRS Loosens Preventive Care Coverage Rules

New IRS guidance expands the types of preventive care benefits that high-deductible health plans are required to cover with no out-of-pocket costs for plan enrollees. The changes are aimed at reducing out-of-pocket costs for diabetes-related expenses, certain cancer...

read more
Employee Assistance Programs in Times of Need

Employee Assistance Programs in Times of Need

Natural disasters, such as hurricanes and earthquakes, cause extensive property damage, physical injuries and loss of life. The distress might not end there, however.  Mental health experts say that many victims of disasters experience post-traumatic stress...

read more