How Preventive Care Benefits Employers

Preventive care isn’t just about individual health—it’s an effective strategy for employers looking to cut healthcare costs and promote a healthy workforce. By investing in early detection and promoting healthy behaviors, employers can see significant savings in healthcare expenses.

Understanding Preventive Care

Preventive care, sometimes referred to as preventative care, includes screenings, vaccinations, and lifestyle counseling aimed at preventing diseases or catching them early. By addressing health concerns before they worsen, employers can avoid costly medical treatments and keep their workforce healthy and productive.

Cost-Saving Benefits:

  1. Early Detection: Routine screenings catch health issues early, preventing costly treatments and reducing absenteeism.
  2. Chronic Disease Prevention: Promoting healthy behaviors among employees can prevent chronic conditions like diabetes and heart disease, reducing the need for expensive medical interventions.
  3. Fewer Hospital Visits: Proactive health management reduces emergency room visits and hospitalizations, which are costly for both employees and employers.
  4. Improved Productivity: Healthy employees are more productive, resulting in fewer missed workdays and increased efficiency.

Role of Employers

Employers play a crucial role in providing access to preventative care through employee benefit programs. Offering comprehensive healthcare coverage that includes preventive services can encourage employees to prioritize their health and well-being. Additionally, employers can implement wellness programs and initiatives to promote healthy lifestyles among their workforces.

Partnering with Pierce Group Benefits

At Pierce Group Benefits, we believe in the importance of investing in preventive care for the benefit of both employees and employers. By prioritizing early detection and healthy living, we can help promote a workplace culture that emphasizes the importance of health and well-being. Our preventive care benefits not only reduce healthcare costs but also help create a more productive workforce. To learn more about how we can help you achieve this, please reach out to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com.

Educating Employees on Voluntary Benefits: A Comprehensive Guide for HR Professionals

Human resources professionals play a critical role in shaping employee experiences and ensuring their well-being. Voluntary benefits are an essential part of the total benefits package, and educating employees about these offerings is crucial for helping them comprehend available choices. In this guide, we’ll explore strategies specifically tailored for HR professionals to effectively communicate voluntary benefits.

Understanding Voluntary Benefits

Before diving into the strategies, let’s recap what voluntary benefits entail. Voluntary benefits, also known as supplemental or fringe benefits, are offerings that employees can choose to participate in. Unlike core benefits (such as health insurance), these auxiliary benefits are elective and typically funded by employees through payroll deductions or direct billing. Here are some common voluntary benefits:

  • Life Insurance: An insurance policy delivers a benefit to beneficiaries when the insured person passes away, in exchange for the premiums paid during the coverage period.
  • Cancer Insurance: Provides financial aid for both medical and non-medical expenses related to cancer treatment.
  • Medical Bridge Insurance: Offers benefits to cover deductible costs, coinsurance, and everyday living expenses.
  • Accident Insurance: A type of supplemental insurance that pays out when the insured is injured in an accident.
  • Disability Insurance: Provides monthly payments to individuals with a disability that stops or limits their ability to work, short- or long-term.
  • Critical Illness Insurance: A type of insurance that provides a lump sum payment to the insured upon diagnosis of a specified critical illness.
  • Flexible Spending Accounts (FSAs): Employer-owned accounts allow employees to set aside pre-tax money for medical expenses, but they cannot be rolled over to the next year unless the employer’s plan permits carryover up to the IRS maximum limit.
  • Dependent Care Accounts (DCAs): Empowers individuals to manage expenses for qualified dependent care, such as childcare and adult daycare facilities, while simultaneously reducing their taxable income.
  • Health Savings Accounts (HSAs): Controlled by individuals, more flexible than FSAs, and allow contributions to be rolled over to the next year plus long-term savings and investment options.
  • Telemedicine: Enables healthcare providers to consult with patients remotely via phone or video.
  • Pet Insurance: Covers medical and certain non-medical expenses if your pet is sick or injured.
  • Identity Theft & Legal Assistance Plans: Services that help protect against identity theft and provide access to legal advice and representation.
  • Employee Assistance Programs (EAPs): Resources that offer support for employees’ well-being, including mental health services, counseling, and work-life balance assistance.
  • Student Loan Assistance Programs: Offers professional advising for student loan relief and strategies to optimize loan savings.
  • Home: Provides financial protection against damage to your home and legal responsibility for injuries and property damage caused by you or your family.
  • Auto: A contract that protects you against financial loss in case of a vehicle accident or theft.

Why Educate Employees on Voluntary Benefits?

  • Awareness: Many employees are unaware of the full range of voluntary benefits available to them. Educating them ensures they make informed decisions.
  • Retention and Satisfaction: Offering a robust benefits package contributes toward employee health and satisfaction and reduced turnover.
  • Financial Well-Being: Voluntary benefits provide financial security during unexpected events.
  • Customization: Employees can choose benefits that align with their unique needs and circumstances.

Effective Communication Strategies for HR Professionals

  • Workshops: Host workshops specifically for your HR department. Equip them with in-depth knowledge about each benefit to address employee queries.
  • Benefit Fairs: Organize benefit fairs where employees can interact with providers and learn about available options.
  • Personalized Emails: Send targeted emails based on life events (e.g., marriage, parenthood) to highlight relevant benefits.
  • Intranet Resources: Create a dedicated section on your organization intranet with detailed benefit information.

As HR professionals, your role extends beyond administration. Educating employees about voluntary benefits creates a more informed workforce. Remember, voluntary benefits aren’t just extras—they’re essential components of a comprehensive benefits package.

Partner with Pierce Group Benefits

At Pierce Group Benefits (PGB), we empower human resources professionals to support their organization’s employees, enhance benefit communication, and offer comprehensive resources for individuals to fully understand the range of benefits available to them. Reach out to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com to explore how PGB can support your organization’s human resource’s department.

The No Surprises Act and its Safeguards Against Unexpected Medical Bills

One persistent concern in healthcare has been the risk of unexpected medical bills, which can strain individuals’ finances. However, the No Surprises Act offers a measure of protection for those covered under group or individual health plans.

Understanding the Scope of the No Surprises Act

The No Surprises Act addresses a range of situations to shield individuals from sudden and potentially burdensome medical bills. It covers emergency care and non-emergency services obtained from out-of-network providers at in-network facilities and out-of-network air ambulances. The aim is to establish fair mechanisms for resolving payment disputes between insurance plans and healthcare providers.

Protections Extended to Insured Individuals

The No Surprises Act offers several protections for individuals covered by employer-based insurance, Health Insurance Marketplace plans, or private insurance, including:

  • Prevention of most surprise bills for emergency services.
  • Limitation of out-of-pocket expenses to in-network cost-sharing levels for emergencies and specific non-emergency procedures.
  • Regulation of charges for additional services by out-of-network providers at in-network facilities.
  • Mandated transparency in billing practices, including clear communication and consent before extra charges are applied.

Safeguards for Uninsured Individuals or Self-Payers

The No Surprises Act provides protections even for those without insurance coverage or those choosing to pay for their healthcare expenses out-of-pocket. Individuals in such circumstances typically receive cost estimates before treatment, enabling them to make informed decisions about their healthcare expenditures.

Challenging Excessive Bills

In cases where individuals receive bills exceeding the estimated costs by at least $400, the No Surprises Act allows for dispute resolution within a 120-day timeframe. This provision addresses discrepancies with the goal of ensuring fair billing practices.

Existing Protections and Collaboration with State Laws

Specific segments of the population, including beneficiaries of Medicare, Medicaid, TRICARE, Indian Health Services, and Veterans Health Administration coverage, already have protection from surprise bills under their respective programs. Additionally, the No Surprises Act complements state laws on surprise billing, ensuring individuals benefit from the most favorable protections available, whether at the federal or state level.

Partnering with Pierce Group Benefits

Staying informed about the provisions of the No Surprises Act can empower individuals to make informed decisions about their healthcare coverage and navigate potential billing challenges more confidently. For comprehensive healthcare resources and guidance, speak with your Pierce Group Benefits Account Executive or get in touch with a PGB Representative at partnership@piercegroupbenefits.com.

A Guide to Shopping with Your HSA

If you have a high-deductible health plan, a health savings accounts (HSA) offers a unique way to save for medical expenses with tax-free dollars. Understanding what you can purchase with your HSA funds is key to maximizing its benefits.

Understanding HSA Eligibility

IRS guidelines outline eligible expenses, including prescription medications, medical supplies, doctor’s visits, dental and vision care, mental health services, alternative treatments, and long-term care. It is important to ensure your purchases fall within these categories.

Navigating the HSA Shopping Experience:

To make the most of your HSA funds:

  • Confirm that items or services are eligible for HSA reimbursement before purchasing.
  • If you pay for any products or services that are approved by your HSA, you can reimburse yourself by using your HSA debit card to withdraw money from an ATM, write HSA checks, or transfer HSA funds through the online members portal. It is important to keep your HSA receipts in case of an audit.
  • Shop for the best deals to stretch your HSA dollars further.
  • If applicable, use a limited purpose flexible spending account or dependent care reimbursement account to cover items not eligible under your HSA.

Common HSA Eligible Products and Services:

  • Both over the counter and prescription drugs are eligible expenses.
  • Bandages, first aid kits, and diagnostic devices are among the covered medical supplies.
  • Co-pays, deductibles, and other out-of-pocket expenses for medical services qualify.
  • Routine vision check-ups, glasses, contacts, and dental procedures are eligible.
  • Therapy sessions and psychiatric care are covered.
  • Acupuncture and chiropractic care may be reimbursed.

Shopping with your HSA enables you to manage healthcare expenses effectively. By understanding eligibility and leveraging everyday eligible items and services, you can make the most of your HSA and maintain your health and financial well-being. Remember to keep records and seek advice to optimize your HSA benefits.

Partnering with Pierce Group Benefits

Pierce Group Benefits partners with the HSA Store® to provide savings to health savings account (HSA) holders through PGB’s discount code. Our goal is to help our client’s employees manage and use their funds, save on health and wellness products, maximize long-term health savings, and help ease the financial burden of medical expense. Through our partnership, we’re also here to help answer the many questions that come along with having a health savings account. For more information on HSAs and to foster a culture of wellness within your organization, speak with your Pierce Group Benefits Account Manager or get in touch with a PGB Representative at partnership@piercegroupbenefits.com.

What is Accident Insurance?

Accidents are unpredictable and can happen to anyone, at any time. Whether it’s a slip and fall, a car crash, or a sports-related injury, the aftermath of an accident can be physically and financially impactful. Medical bills, loss of income due to temporary or permanent disability, and other unforeseen expenses can quickly add up. This is where accident insurance comes into play.

Accident Insurance

Accident insurance is a type of insurance coverage that provides financial protection in the event of an accident resulting in injury, disability, or death. Unlike health insurance, which typically covers medical expenses related to illness and injury, accident insurance specifically focuses on accidents and their consequences.

How Does Accident Insurance Work?

Accident insurance works by providing a lump-sum benefit in the event of covered accidents. The benefit amount is predetermined and paid out to the insured or their designated beneficiary, depending on the circumstances of the accident. This lump sum can be used to cover medical expenses, replace lost income, or address other financial needs resulting from the accident.

Who Should Consider Accident Insurance?

Accident insurance can be beneficial for individuals and families in various situations:

  • Active Individuals: Athletes, outdoor enthusiasts, and individuals who engage in high-risk activities may face an increased likelihood of accidents. Accident Insurance can provide peace of mind knowing that they are financially protected in case of injury.
  • Parents: People who are parents with young children may consider accident insurance to help cover medical expenses resulting from accidents common among children, such as falls, burns, and sports-related injuries.
  • Seniors: Individuals who are seniors may be at a high risk of accidents due to age or health-related factors and can benefit from accident insurance to help cover medical expenses and provide financial support.

Accidents are an unfortunate reality of life, and their financial consequences can be significant. Accident insurance offers a valuable safety net by providing financial protection in the event of covered accidents. By understanding how accident insurance works and considering their individual needs and circumstances, individuals and families can make informed decisions to safeguard their financial future against the unexpected.

Partner with Pierce Group Benefits

Enhance the safety and security of your workforce by incorporating accident insurance in your employee benefits package. To learn more about accident insurance, speak to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com.

Maximizing Employee Assistance Programs (EAPs)

In today’s workplaces, Employee Assistance Programs (EAPs) are vital resources designed to support employees facing a variety of personal challenges. From mental health concerns to legal queries, these initiatives offer a spectrum of services tailored to meet diverse employee needs.

However, despite the invaluable assistance they provide, EAPs often remain underutilized. A variety of factors contribute to this, including the stigma attached to mental health issues, limited awareness about the range of services offered by EAPs, and confidentiality concerns.

To bridge the gap and maximize the benefits of EAPs, employers can adopt proactive strategies:

Understanding the Importance of Employee Assistance Programs

Employers should prioritize transparent and regular communication regarding the availability and advantages of EAPs. This can be achieved through diverse channels such as onboarding sessions, email updates, and wellness fairs.

Overcoming Barriers to EAP Utilization

Educating employees on the confidentiality of EAP usage is paramount in building trust. Employers must highlight the legal protections in place and establish clear guidelines on data privacy.

Strategies for Employers to promote EAP Awareness and Utilization

Creating a workplace culture that actively challenges mental health stigma fosters an environment where employees feel comfortable utilizing EAP services. Employers can achieve this by promoting mental health awareness and offering resources for stress management.

Fostering a Supportive Workplace Culture for EAP Success

Continuously assessing the performance of EAPs enables employers to refine and enhance their offerings. Gathering employee feedback through surveys and individual discussions aids in tailoring EAP services to meet their evolving needs.
By implementing these strategies, employers can play a pivotal role in maximizing EAP utilization within their organizations. Employers can create a resilient and empowered workforce by fostering a supportive culture that values employee well-being and actively promoting the benefits of EAPs.

Partnering with Pierce Group Benefits

Incorporating EAPs into your benefits package can lead to a more productive and content workforce. For more information on EAPs and to foster a culture of wellness within your organization, speak with your Pierce Group Benefits Account Executive or get in touch with a PGB Representative at partnership@piercegroupbenefits.com.

Evolving Student Loan Governance and Workplace Initiatives

The burden of student loan debt can have a profound impact on the well-being of employees, both mentally and financially, resulting in initiatives at the governmental and employer levels.

Legislation Impacting Student Loans

Recent legislative changes have expanded the landscape of student loan benefits employers can offer, providing new opportunities for support.

Cares Act

This legislation enables employers to contribute up to $5,250 annually towards their employees’ student loan payments as part of an educational assistance program. Originally scheduled to expire on December 31, 2025, there is a possibility of extensions or permanent adoption, creating a long-term avenue for employers to help their workforce with debt repayment.

Secure 2.0 Act

Effective January 1, 2024, this act enables employers to match employee contributions for qualified student loan repayments under retirement plans such as 401(K), 403(B), or SIMPLE (Savings Incentive Match Plan for Employees) IRA. This unique approach will link retirement savings with student debt relief, providing employees with extra financial support while planning for their future.

By utilizing these options, employers can not only alleviate financial burdens on their employees but also foster a culture of support and investment in their workforce’s long-term financial stability.

Employer Response and Benefits

As the spotlight shines brighter on student loan assistance, employers are incorporating relief programs in their benefits packages to retain highly educated workers and younger generations who tend to have higher levels of student debt. Organizations are meeting employee expectations by expanding benefits, including repayment assistance, financial literacy services, retirement savings, and tuition assistance, to reduce loan-related stress and improve engagement. Providing student loan support demonstrates care for employees’ well-being, fostering retention, productivity, and gives organizations a competitive edge in attracting and retaining highly educated talent.

Partnering with Pierce Group Benefits

Integrating student loan assistance into your benefits package can significantly contribute to nurturing a more content workforce. To explore the advantages of student loan assistance and cultivate a culture of financial well-being within your organization, we invite you to connect with your dedicated Pierce Group Benefits Account Executive. Alternatively, you can reach out to a PGB Representative at partnership@piercegroupbenefits.com for further information.

How Health Plans Can Support Aging Generations

The increasingly aging generations bring unique healthcare needs and preferences. Chronic conditions, cognitive impairments, and functional limitations become more prevalent with age, necessitating comprehensive and integrated care solutions. Moreover, older adults often require assistance with care coordination, medication management, and access to specialized services tailored to their specific health concerns.

Key Considerations for Health Plans:

  • Tailored Care Management Programs: Develop specialized care management programs designed to address the complex needs of aging patients. These programs should encompass proactive health assessments, personalized care plans, and ongoing monitoring to ensure timely interventions and prevent exacerbation of chronic conditions.
  • Integration of Technology: Embrace technology-enabled solutions to enhance care delivery and improve patient outcomes. Telehealth platforms, remote monitoring devices, and mobile patient applications can facilitate convenient access to healthcare services, promote medication adherence, and enable remote patient monitoring, particularly beneficial for patients with mobility issues and those in rural communities.
  • Multidisciplinary Care Teams: Establish multidisciplinary care teams comprising of physicians, nurses, social workers, pharmacists, and other healthcare professionals. Collaborative care models enable holistic assessments, comprehensive care coordination, and continuity of care across various healthcare settings, ensuring seamless transactions and optimal patient experiences.
  • Health Literacy Initiatives: Prioritize health literacy initiatives aimed at empowering aging patients to make informed decisions about their health and navigate complex healthcare systems effectively. Educational resources, including written materials, workshops, and digital platforms, can enhance health literacy and promote active patient engagement in self-care management.
  • Community Partnerships: Forge partnerships with community organizations, senior centers, and advocacy groups to expand access to supportive services and resources for aging patients. Collaborative efforts can promote social connectedness, address social determinants of health, and mitigate barriers to healthcare access, ultimately improving health outcomes and quality of
  • Financial Planning and Support: Offer comprehensive financial planning resources and assistance to help aging patients navigate healthcare costs, insurance coverage, and available benefits. Clear guidance on Medicare options, supplemental insurance plans, and prescription drug coverage can alleviate financial stressors and facilitate timely access to necessary healthcare services.

The aging patient population presents both challenges and opportunities for health plans to redefine and optimize healthcare delivery. By embracing innovation, collaboration, and patient-centered approaches, health plans can effectively prepare for the evolving needs of older adults and ensure they receive high-quality, coordinated care that promotes optimal health and well-being. As we navigate the complexities of aging generations, proactive adaptation and strategic planning will be paramount in the goal of delivering equitable, accessible, and person-centered care for senior patients.

Partnering with Pierce Group Benefits

Reach out to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com to explore how your organization can leverage these innovative solutions to benefit your employees. Our team is dedicated to helping you create a workplace that attracts and retains top talent while fostering a culture of well-being and success for all ages of your workforce.

2024 Federal Poverty Level and ACA Compliance for Employers with Non-Calendar Year Plans

In January of 2024, the federal poverty level (FPL) for the year was announced to be $15,060, which is an increase from the previous year’s $14,580. This update has significant implications for employers offering non-calendar year plans, specifically for Affordable Care Act (ACA) affordability calculations.

ACA Affordability Assessment

Under the ACA, applicable large employers (ALEs) with 50 or more full-time employees are required to provide affordable health coverage to their full-time employees or potentially face penalties. For the 2024 plan year, affordability is defined as the cost of coverage being less than 8.39% of an employee’s household income. Employers can rely on one of three safe harbors to determine affordability: Federal Poverty Level (FPL), W-2, and Rate of Pay.

The FPL Safe Harbor

The FPL safe harbor deems coverage affordable if the cost to employees for self-only coverage on the most economical plan offered is less than 8.39% of the FPL. For the 2024 non-calendar-year plans, the FPL figure is set at $105.29, calculated by taking 8.39% of the 2024 FPL ($15,060), dividing it by 12, and rounding it to the nearest penny. This is a decrease from the previous year, which was $110.81 in 2023. Employers with non-calendar year plans can use the FPL amount from six months before the start of the plan year, which provides more flexibility when determining affordability.

Considerations for Non-Calendar Year Plans

Employers who have non-calendar year plans need to pay close attention to the start date of their plan year when assessing affordability under the Federal Poverty Level (FPL) safe harbor. Employers may also need to adjust their contribution strategies to ensure compliance with the Affordable Care Act’s (ACA) affordability requirements.

These updates highlight the importance of staying informed about regulatory changes that could affect healthcare plans and contributions, for both employers and individuals. As the healthcare system continues to evolve, it becomes increasingly important to be proactive and adaptable to these changes to navigate the system effectively.

Partnering with Pierce Group Benefits

It is critical for employers to stay up to date with the adjustments related to the Affordable Care Act (ACA) compliance. If you have questions about navigating the 2024 affordability safe harbor adjustments, please reach out to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com.

Overview of ACA Reporting Deadlines and Penalties

Employers who must comply with the Affordable Care Act (ACA) reporting under IRS Revenue Code Sections 6055 or 6056 should begin preparing to meet the reporting deadlines in the first few months of the new year. Two distinct categories of employers must adhere to ACA requirements:

  1. Employers who have self-insured health plans are required to conduct Section 6055 reporting.
  2. Additionally, applicable large employers (ALEs) who have health plans, whether fully insured or self-insured, are obligated to perform section 6056 reporting. ALEs are defined as employers who had 50 or more full-time employees (or the equivalent of part-time employees) in the year before the reporting period.

ACA Reporting Deadlines

Here are the ACA reporting due dates for the 2023 calendar year:

Reporting Forms
Fully Insured ALEs
Due Dates
Self-insured ALEs
Due Dates
Self-insured Non-ALE
Due Dates
Issue Forms 1095-C to Full-time Employees
March 1, 2024
March 1, 2024
N/A
Issue Forms 1095-B to Responsible Individuals
N/A
March 1, 2024 - ALEs offering self-insured coverage can use Form 1095-B or Form 1095-C for non-employees and their covered family members. If reporting entities opt for the alternative method, the entity must explicitly mention on its website that the responsible individuals can request a copy of their statement. If reporting entities choose not to use the alternative method, they’re required to provide responsible individuals with a copy of the statement by March 1, 2024.
File Forms 1094-C and 1095-C with the IRS (Electronically)*
April 1, 2024
April 1, 2024
N/A
File Forms 1095-B with the IRS (Electronically)*
N/A
April 1, 2024 - ALEs may use either B series or C series forms to report self-insured coverage for non-employees and their covered family members.
April 1, 2024
  • Note that non-ALEs without a plan or non-ALEs with fully insured plans have no reporting obligations. Non-ALEs are not subject to Section 6056 reporting and the carrier handles Section 6055 reporting.
  • *Starting in 2024, entities who file 10 or more returns in a calendar year must file electronically. These entities will need to combine most information returns, including form W-2 and 1099, to calculate whether they meet the mandatory e-filing threshold of 10 returns.

ACA Reporting Penalties

In 2024, if there is a failure to comply with ACA reporting requirements, the following penalties may apply for returns and individual statements:

  1. General reporting penalties for not filing accurate information returns (under Code Section 6721).
  2. General reporting penalties for not providing accurate payee statements (under Code Section 6722).
Type of Penalty
Per Violation
Annual Maximum
Annual Maximum for Small Employers*
General
$310
$3,783,000
$1,261,000
Corrected Within 30 Days
$60
$630,500
$220,500
Corrected After 30 Days and Before Aug. 1
$120
$1,891,500
$630,500
Intentional Disregard
$630
No limit
No limit
  • Penalties may be waived if failure is due to a reasonable cause, not neglect. Moreover, penalties may be reduced if the reporting entity corrects the issue within a specified period.
  • *Small and large employers are subjected to different maximums and penalty amounts. A small employer is defined as having an annual gross receipt of up to $5 million for the last three taxable years. In case of intentional disregard, there is no limit to the penalty.

Understanding reporting timelines and the nuances of penalties for non-compliance is imperative for both small and large employers, emphasizing the importance of accurate and timely ACA Reporting.

Guidance for Employers

Staying informed and taking the necessary actions will ensure compliance with ACA reporting for IRS regulations. If you need assistance with reporting deadlines, contact your Pierce Group Benefits Account Executive or email partnership@piercegroupbenefits.com for further guidance.

Employee Benefits Trends in 2024

Employers face persistent challenges in the ongoing quest to attract and retain talent amid the post-COVID-19 era. Despite a slight cooling in the labor market for 2024, competition for skilled individuals remains intense. To thrive in this dynamic environment, employers must stay agile and adapt to emerging labor and market trends shaping the year ahead.

Facing Increased Healthcare Costs

The pressing need to balance rising healthcare costs and inflation while providing valuable benefits to employees is a critical challenge. Projections for 2024 indicate a significant surge in healthcare costs, estimated between 6% and 8.5%, marking the highest increase in over a decade. Employers are exploring diverse strategies to mitigate these escalating medical costs like analyzing and redesigning health plan options and allowing the maximum limits for health flexible savings accounts (health FSAs).

Prioritizing Employee Mental Health

Recognizing the widespread impact of mental health issues on employees, employers are making mental health a central theme in 2024. The combination of stress, lack of motivation, and reduced focus has become pervasive, affecting workplace productivity, retention, and morale. Employers are adopting measures such as finding specialized mental health treatment, providing meditation and mindfulness resources, and expanding employee assistance programs.

Promoting Preventative Care Services

Preventative care services take center stage in 2024 as employers recognize their role in maintaining employee health to mitigate long-term costs and enhance overall well-being. Challenges from 2023, such as record-high inflation and soaring medical care costs hindering employees from seeking preventative care, prompt employers to focus on educating employees about the importance of routine care, benefits maximization, and becoming informed healthcare consumers through workshops, newsletters, and other forms of communication.

Understanding and adapting to these key employee benefits trends are critical for employers aiming to attract and retain talent in the evolving labor market. A comprehensive benefits plan contributes to a healthy and engaged workforce and plays a pivotal role in organizational productivity.

Partnering with Pierce Group Benefits

Reach out to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com to explore how your organization can leverage these trending benefits and other innovative solutions to maximize employee satisfaction. Our team is dedicated to helping you create a workplace that attracts and retains top talent while fostering a culture of well-being and success.

IRS Announces 2024 Affordability Safe Harbor Adjustments

The Internal Revenue Service (IRS) has recently disclosed the 2024 indexing adjustment for the percentage utilized in the Affordability Safe Harbors under the Affordable Care Act (ACA). This adjustment holds significance for employers striving to ensure that the coverage they offer to employees remains affordable. The newly announced percentage for the 2024 plan years is set at 8.39%, marking a decrease from the 9.12% recorded in 2023.

Understanding the Safe Harbors

The ACA provides three essential “safe harbors” for determining the affordability of employer-provided coverage. These are the Federal Poverty Level Safe Harbor, the Rate of Pay Safe Harbor, and the W-2 Wages Safe Harbor. Employers must satisfy one of these safe harbors to demonstrate the affordability of the coverage provided.

Federal Poverty Level Safe Harbor

Calendar Year Plan

The Federal Poverty Level Safe Harbor allows employers to charge a maximum amount for self-only coverage on a calendar year plan to be considered affordable. The maximum allowable charge for employees working in the contiguous U.S. has been adjusted to $101.93 per month, which is a slight decrease from the previous amount of $103.28. The figures for employees working in Alaska and Hawaii have also been adjusted accordingly.

Maximum Charges for Self-Only Coverage on a Calendar Year Plan
Location
2024
2023
Contiguous U.S.
$101.93
$103.28
Alaska
$127.31
$129.12
Hawaii
$117.25
$118.78

Non-Calendar Year Plan

For non-calendar year plans, the specific maximum amount an employer can charge for self-only coverage and still be deemed affordable is yet to be announced. While these plans can utilize the calendar-year figures, it’s crucial to be aware that the 2024 Federal Poverty Guidelines are expected to be published around the third week of January. Plans renewing on or after this date may have a slightly higher threshold, pending inflation and other factors.

Rate of Pay Safe Harbor

The Rate of Pay Safe Harbor determines affordability based on an employee’s lowest hourly rate of pay or salary. The cost of coverage is considered affordable if it does not exceed 8.39% of 1/12 of the annual salary for non-hourly employees.

For hourly employees, the calculation involves multiplying 130 hours with their lowest hourly rate of pay and then again with 8.39%. Let’s say an employee’s lowest hourly rate of pay is $10.00, then after multiplying the rate by 130 hours and then by 8.39%, the safe harbor threshold would be $109.07.

Rate of Pay Safe Harbor Calculation (Hourly Employees)
Lowest Hourly Rate of Pay
x 130 Hours
x Percentage
= Safe Harbor Threshold
$10.00
130
8.39%
$109.07

Employers should note that any raise given to an hourly employee after the plan year’s first day won’t impact the threshold until the following plan year.

W-2 Wages Safe Harbor

The W-2 Wages Safe Harbor is a method used to determine the affordability of the health coverage offered to employees. The affordability is assessed based on the employee’s Box 1 income from their 2024 IRS Form W-2. If the annual cost of coverage in 2024 does not exceed 8.39% of their annual Box 1 income, then the offer of coverage is considered affordable.

For employees who were not eligible or employed for the full 12 months of 2024, similar prorated calculations are applied to determine the affordability of the coverage offered.

It is advisable to keep a close eye on updates from the IRS throughout the year. The recently announced indexing adjustments for the year 2024 emphasizes the significance of carefully evaluating and adjusting the affordability of the healthcare coverage provided by the employer, to ensure compliance with ACA regulations and avoid any potential penalties.

Partnering with Pierce Group Benefits

It is critical for employers to stay up-to-date with the adjustments related to the Affordable Care Act (ACA) compliance. If you have questions about navigating the 2024 affordability safe harbor adjustments, please reach out to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com.

IRS Announces 2024 Limits for Health FSA Contributions and Carryovers

The Internal Revenue Service (IRS) released Revenue Procedure 2023-34 (Rev. Proc. 23-34), outlining key updates to health flexible spending account (FSA) contributions and carryovers for 2024.

Type of Limit
2023
2024
Change
Health FSA Contribution Limit
$3,050
$3,200
Up $150
Health FSA Carryover Limit
$610
$640
Up $30

Per Employee Limitation

For the 2024 plan year, employees can contribute a maximum of $3,200 in salary reductions. Family members benefiting from the FSA have individual limits, allowing a married couple with separate FSAs to each contribute up to $3,200, subject to employer-imposed limits.

Health FSA Rollover

Revenue Procedure 23-34 raises the maximum carryover amount to $640 for 2024. Employers can choose to set lower carryover limits. Unused funds exceeding the maximum are subject to the IRS’ use-or-lose rule and will be forfeited.

Partnering with Pierce Group Benefits

The IRS’s release of Revenue Procedure 2023-34 brings critical updates to health FSA contribution limits and carryovers for the 2024 plan year. Employers should take proactive steps to ensure compliance with the revised limits, communicate changes effectively, and provide employees with the necessary information to make informed decisions about their health FSA contributions. As the healthcare landscape continues to evolve, staying up to date of regulatory changes remains paramount for both. If you have questions about how these updates impact your health FSA plan, please reach out to your Pierce Group Benefits Account Executive or contact a PGB Representative at partnership@piercegroupbenefits.com.

Pierce Group Benefits’ Toy and Book Drive for WakeMed Children’s Hospital

Pierce Group Benefits (PGB) showcased our commitment to community well-being by organizing a toy and book drive for WakeMed Children’s Hospital. The team at PGB aimed to bring joy and comfort to children receiving care at WakeMed through this thoughtful event. With the collective efforts of our employees, the drive successfully gathered a collection of toys and books for young patients. This charitable initiative exemplified Pierce Group Benefits’ dedication to making a positive impact on the lives of others, demonstrating our team’s unwavering support for the local community and genuine concern for the well-being of those in need.

Reviewing the Updated HSA and HDHP Limits for 2024

The Internal Revenue Service (IRS) released its annual adjustments to health savings accounts (HSAs) and high deductible health plans (HDHPs) in Revenue Procedure 2023-23. These modifications, effective January 1, 2024, bring significant changes to healthcare expenses and benefits.

The chart shows the changes in contribution and out-of-pocket limits for HSAs and HDHPs for 2024:

Contribution & Out-of-Pocket Limits for HSAs and HDHPs
20242023Change
HSA Contribution Limit
(Employer + Employee)
Self-Only: $4,150
Family: $8,300
Self-Only: $3,850
Family: $7,750
Self-Only: +$300
Family: +$550
HSA Catch-Up Contributions
(Age 55+)
$1,000$1,000No Change
HDHP Minimum DeductiblesSelf-Only: $1,600
Family: $3,200
Self-Only: $1,500
Family: $3,000
Self-Only: +$100
Family: +$200
HDHP Maximum Out-of-Pocket Amounts
(Deductibles, Co-payments and other amounts, but not Premiums)
Self-Only: $8,050
Family: $16,100
Self-Only: $7,500
Family: $15,000
Self-Only: +$550
Family: +$1,100

Below are answers to some of the most common questions about the updated HSA and HDHP Limits:

Q: What is a high deductible health plan (HDHP), and how does it relate to Health Savings Accounts (HSAs)?

A: An HDHP is a health insurance plan with higher deductibles than traditional plans. Individuals with HDHPs often use HSAs to save for medical expenses. HSAs offer tax advantages, allowing contributors to set aside pre-tax dollars for qualified healthcare expenses.

Q: Do HSA funds expire, and what happens to unused balances over time?

A: One common question surrounding HSAs pertains to the longevity of funds and whether they expire. Fortunately, unlike some other types of accounts, HSA funds do not have an expiration date. They roll over from year to year, allowing individuals to accumulate savings for future healthcare needs.

Q: What are the key changes announced by the IRS for 2024 regarding HSAs and HDHPs?

A: The IRS has introduced several noteworthy changes, including an increase in the maximum HSA contribution limits, adjustments to minimum deductible amounts for HDHPs, and changes in the maximum out-of-pocket expense limits.

Q: How do the changes impact HSA contributions for individuals and families?

A: In 2024, the maximum HSA contribution limit rises to $4,150 for individuals and $8,300 for families. This allows contributors to allocate more funds to their HSAs, providing a larger savings for medical expenses.

Partnering with Pierce Group Benefits

As we navigate these changes, it’s important for employers to stay informed and adapt their offerings accordingly. If you have questions on how these adjustments may affect your HDHP and HSA offerings in 2024, we recommend reaching out to your Pierce Group Benefits Account Executive or email partnership@piercegroupbenefits.com. By staying proactive, employers can ensure that their employees benefit from these changes, promoting a healthier and more financially secure workforce.