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Sigma                           Free
                                      Presents…
Employee Benefits
Creating the Right Package

Sponsored by:



      Provided by Sigma College of Small Business, Inc.
Sponsored by:

                                Agenda
               Introductions

                      Keynote Topic
                   Employee Benefits
                 Creating the Right Package

                     Our Sponsor:
                 Freeman & Sherburne

             Break – Refreshments and Networking
  Ask 
Questions 
Any Time                                    Keynote Conclusion
                                             Employee Benefits
                                        Creating the Right Package

                   Employee Benefits ‐ Creating the Right Package                    2
                   Copyright 2010, Sigma College of Small Business, Inc.
Sponsored by:


Value of a Benefits Package
• Tax advantages
  – Use pre‐tax dollars to pay
  – Example
• Find and keep a better 
  work force
  – Competing for talent
  – Cost of turnover
  – Cost of an “unhealthy” 
    work force                                             What would you do if a valued, 
                                                          uninsured employee had a major 
• The “Right Thing”                                               medical issue?

                  Employee Benefits ‐ Creating the Right Package
                  Copyright 2010, Sigma College of Small Business, Inc.
                                                                                             3
Sponsored by:


    Health Insurance Confusion
Coverages                                                                       Amount of Coverage
• Preventative Care                                                             • Mix of employer to 
• Hospitalization                                                                 employee
• Prescriptions                                                                 • Vision, Dental
                           Types of Plan
                           •     Group or Individual
                           •     Managed or Fee for 
                                 Service
Costs                      •     HMO, PPO, POS                                  Networks
•   Premium                                                                     • In network
•   Co‐Pay                                                                      • Out of network
•   Deductible                                                                  • Available physicians
•   Max Out of Pocket


                        Employee Benefits ‐ Creating the Right Package
                        Copyright 2010, Sigma College of Small Business, Inc.
                                                                                                         4
Sponsored by:


 Comparison of Types of Coverage
                     Fee‐for‐Service
                                                              Group Plan
                      (Indemnity)                             • “Risk” averaged across company
                                                              • Requires minimum enrollment
                                                              Individual Plan
                                                              • “Risk” is for individual and family
                                                              • Typically less expensive
          POS
Monthly
Premium
                                                                               HMO
                          PPO



                                          High Deductible



                                Plan “Out of Pocket”
                        (Copays, Deductibles, Out of Network)

                Employee Benefits ‐ Creating the Right Package                                 5
                Copyright 2010, Sigma College of Small Business, Inc.
Sponsored by:


Costs
• Premium
   – Monthly payment
   – Typically shared between employer and                                   Consider all 
     employee
                                                                             costs when 
• Co‐pay                                                                     determining 
   – Standard “per‐visit” amount paid
                                                                              the right 
• Deductible
                                                                             package for 
   – Amount paid before insurance “kicks in”
   – Deductibles are for individual family members
                                                                               you and 
• Maximum Out‐of‐Pocket                                                      employees.
   – Maximum amount that will be paid by individual
   – Typically less than combined deductibles


                     Employee Benefits ‐ Creating the Right Package
                     Copyright 2010, Sigma College of Small Business, Inc.
                                                                                          6
Sponsored by:




Total Cost Example
Business owners need to look at and have their employees 
consider the “total cost” of the plan.




                   Employee Benefits ‐ Creating the Right Package                     7
                    Copyright 2010, Sigma College of Small Business, Inc.
Sponsored by:


Paying the Out‐of‐Pocket
• Flexible Savings Account – FSA
   – Pre‐tax dollars for out‐of‐pocket medical
   – Determine amount to be withheld from pay
   – Use it or lose it
• Health Savings Account – HSA
   – Employee and Employer contribute pre‐tax
   – Contribute at will – can change amount
   – Owned and moves with employee
• Health Reimbursement Arrangement – HRA
   – System for employer to reimburse out‐of‐pocket
   – Pre‐paid cards used by employees then paid by employer

                   Employee Benefits ‐ Creating the Right Package
                   Copyright 2010, Sigma College of Small Business, Inc.
                                                                                     8
Sponsored by:


  Designing the Plan
• What type of plan
    – Managed currently offers best pricing
    – High deductible with HSA becoming popular
• How much to pay
    – Remain competitive in line with other 
      objectives
    – Consider tax benefits
• Add ons
    – Dental, Vision
• Changing plans
    – How to approach rising costs
• Health Care Reform – what will it mean?

  Employee Benefits ‐ Creating the Right Package
  Copyright 2010, Sigma College of Small Business, Inc.
                                                                    9
Sigma                           Free
                                      Presents…
Employee Benefits
Creating the Right Package

Sponsored by:



      Provided by Sigma College of Small Business, Inc.
Sponsored by:

Retirement Plans
Types and Terms
• Qualified v. Non‐qualified
   – Qualified is pre‐tax and tax‐deferred 
     earnings
• Time and Cost to Administer
   – Forms and third parties required to start 
     and administer the plan
• Contribution Limits
   – Limits on the amount that employees and 
     employers can and/or must contribute
• Highly Paid Employee
   – Qualified plans have rules to prevent 
     discriminatory practices and 
     disproportionate contributions
   – Safe Harbor


                        Employee Benefits ‐ Creating the Right Package
                        Copyright 2010, Sigma College of Small Business, Inc.
                                                                                         11
Sponsored by:


   Retirement Plans
                              IRA Based Plans                                      401(k) Based Plans            Other
                 Payroll        SEP IRA           SIMPLE IRA                       401(k)     Safe Harbor         Profit 
               Deduct  IRA                                                                       401(k)          Sharing

Key            Employee        Employer        Employee                     Higher limits     Contribution     Discretionary 
Difference     only            only            contributes,                                   requirements,    annually, 
               contribution    contributio     Employer matches                               no test for      must offer to 
                               n                                                              discrimination   all
Contributors   Employee        Employer        Both                         Both              Both             Employer

Max Annual  $5,000             25% NTE         Ee ‐ $10,500                 Ee ‐ $15,000      Ee ‐ $15,000     Set annually
Contribution                   $45,000         Er – Match to 3%,            Co – 100% of      Co – 100% of 
                                               or 2%                        comp NTE          comp NTE 
                                                                            $45,000           $45,000
Contributor    Ee can decide  Er can           Ee can contribute,           Ee and Er can     Ee can           Er according
Options        at any time    decide           Er must match                contribute        contribute, Er   to plan terms
                              year to                                                         must match
                              year
Vesting        Immediate       Immediate       Immediate 100%               Ee – Immediate    Ee and most Er   According to 
               100%            100%                                         100%              ‐Immediate       plan terms
                                                                            Er ‐ optional     100%
                                     Employee Benefits ‐ Creating the Right Package
                                     Copyright 2010, Sigma College of Small Business, Inc.
                                                                                                                      12
Sponsored by:


Disability
                  • Pays when a medical condition 
                    prevents working
                           – Most working adults are more likely to 
                             become disabled than to die
                  • Short Term Disability
                           – Effective for several months (typically 
                             180 days)
                           – Percent of salary
                  • Long Term Disability
                           – Becomes effective after a specified 
                             waiting period
                           – Amount and waiting period affect 
                             premium


             Employee Benefits ‐ Creating the Right Package
             Copyright 2010, Sigma College of Small Business, Inc.
                                                                              13
Sponsored by:


Additional Benefits
•   Life Insurance
•   Vacation
•   Sick Days
•   Holidays
•   Education
•   Voluntary Programs


                Employee Benefits ‐ Creating the Right Package
                Copyright 2010, Sigma College of Small Business, Inc.
                                                                                 14
Sponsored by:


Sigma College of Small Business
• Focus Workshops                                                           Critical Business 
  – YouTube: Grow Your Business with Online                                       Areas
    Video                                                                   Strategy and Planning
     • Tuesday, May 18, 2010                                                Marketing and Sales
     • 9am – 12pm, $99                                                        Accounting and 
• Upcoming SigmaFree Classes                                                     Finance

  – 5/18 – No Class                                                            Operations and 
                                                                                  Quality
  – 5/25 – Business Networking for the Non‐
                                                                               Leadership and 
    Networker
                                                                               Administration
  – 6/8 – What’s the Best Entity? Solve the 
                                                                              Technology and 
    Mystery of Legal Organization                                               Innovation

                   Dedicated to the Learning Needs of Small Business!
                    Copyright 2010, Sigma College of Small Business, Inc.
                                                                                                 15
Sigma                           Free
                                      Presents…
Employee Benefits
Creating the Right Package

Sponsored by:



      Provided by Sigma College of Small Business, Inc.

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Employee Benefits - Creating the Right Package

  • 1. Sigma Free Presents… Employee Benefits Creating the Right Package Sponsored by: Provided by Sigma College of Small Business, Inc.
  • 2. Sponsored by: Agenda Introductions Keynote Topic Employee Benefits Creating the Right Package Our Sponsor: Freeman & Sherburne Break – Refreshments and Networking Ask  Questions  Any Time Keynote Conclusion Employee Benefits Creating the Right Package Employee Benefits ‐ Creating the Right Package 2 Copyright 2010, Sigma College of Small Business, Inc.
  • 3. Sponsored by: Value of a Benefits Package • Tax advantages – Use pre‐tax dollars to pay – Example • Find and keep a better  work force – Competing for talent – Cost of turnover – Cost of an “unhealthy”  work force What would you do if a valued,  uninsured employee had a major  • The “Right Thing” medical issue? Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 3
  • 4. Sponsored by: Health Insurance Confusion Coverages Amount of Coverage • Preventative Care • Mix of employer to  • Hospitalization employee • Prescriptions • Vision, Dental Types of Plan • Group or Individual • Managed or Fee for  Service Costs • HMO, PPO, POS Networks • Premium • In network • Co‐Pay • Out of network • Deductible • Available physicians • Max Out of Pocket Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 4
  • 5. Sponsored by: Comparison of Types of Coverage Fee‐for‐Service Group Plan (Indemnity) • “Risk” averaged across company • Requires minimum enrollment Individual Plan • “Risk” is for individual and family • Typically less expensive POS Monthly Premium HMO PPO High Deductible Plan “Out of Pocket” (Copays, Deductibles, Out of Network) Employee Benefits ‐ Creating the Right Package 5 Copyright 2010, Sigma College of Small Business, Inc.
  • 6. Sponsored by: Costs • Premium – Monthly payment – Typically shared between employer and  Consider all  employee costs when  • Co‐pay determining  – Standard “per‐visit” amount paid the right  • Deductible package for  – Amount paid before insurance “kicks in” – Deductibles are for individual family members you and  • Maximum Out‐of‐Pocket employees. – Maximum amount that will be paid by individual – Typically less than combined deductibles Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 6
  • 7. Sponsored by: Total Cost Example Business owners need to look at and have their employees  consider the “total cost” of the plan. Employee Benefits ‐ Creating the Right Package 7 Copyright 2010, Sigma College of Small Business, Inc.
  • 8. Sponsored by: Paying the Out‐of‐Pocket • Flexible Savings Account – FSA – Pre‐tax dollars for out‐of‐pocket medical – Determine amount to be withheld from pay – Use it or lose it • Health Savings Account – HSA – Employee and Employer contribute pre‐tax – Contribute at will – can change amount – Owned and moves with employee • Health Reimbursement Arrangement – HRA – System for employer to reimburse out‐of‐pocket – Pre‐paid cards used by employees then paid by employer Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 8
  • 9. Sponsored by: Designing the Plan • What type of plan – Managed currently offers best pricing – High deductible with HSA becoming popular • How much to pay – Remain competitive in line with other  objectives – Consider tax benefits • Add ons – Dental, Vision • Changing plans – How to approach rising costs • Health Care Reform – what will it mean? Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 9
  • 10. Sigma Free Presents… Employee Benefits Creating the Right Package Sponsored by: Provided by Sigma College of Small Business, Inc.
  • 11. Sponsored by: Retirement Plans Types and Terms • Qualified v. Non‐qualified – Qualified is pre‐tax and tax‐deferred  earnings • Time and Cost to Administer – Forms and third parties required to start  and administer the plan • Contribution Limits – Limits on the amount that employees and  employers can and/or must contribute • Highly Paid Employee – Qualified plans have rules to prevent  discriminatory practices and  disproportionate contributions – Safe Harbor Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 11
  • 12. Sponsored by: Retirement Plans IRA Based Plans 401(k) Based Plans Other Payroll SEP IRA SIMPLE IRA 401(k) Safe Harbor Profit  Deduct  IRA 401(k) Sharing Key  Employee  Employer  Employee  Higher limits Contribution  Discretionary  Difference only  only  contributes,  requirements,  annually,  contribution contributio Employer matches no test for  must offer to  n discrimination all Contributors Employee Employer Both Both Both Employer Max Annual  $5,000 25% NTE Ee ‐ $10,500 Ee ‐ $15,000 Ee ‐ $15,000 Set annually Contribution $45,000 Er – Match to 3%,  Co – 100% of  Co – 100% of  or 2% comp NTE  comp NTE  $45,000 $45,000 Contributor Ee can decide  Er can  Ee can contribute, Ee and Er can  Ee can  Er according Options at any time decide  Er must match contribute contribute, Er to plan terms year to  must match year Vesting Immediate Immediate  Immediate 100% Ee – Immediate  Ee and most Er According to  100% 100% 100% ‐Immediate  plan terms Er ‐ optional 100% Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 12
  • 13. Sponsored by: Disability • Pays when a medical condition  prevents working – Most working adults are more likely to  become disabled than to die • Short Term Disability – Effective for several months (typically  180 days) – Percent of salary • Long Term Disability – Becomes effective after a specified  waiting period – Amount and waiting period affect  premium Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 13
  • 14. Sponsored by: Additional Benefits • Life Insurance • Vacation • Sick Days • Holidays • Education • Voluntary Programs Employee Benefits ‐ Creating the Right Package Copyright 2010, Sigma College of Small Business, Inc. 14
  • 15. Sponsored by: Sigma College of Small Business • Focus Workshops Critical Business  – YouTube: Grow Your Business with Online  Areas Video Strategy and Planning • Tuesday, May 18, 2010 Marketing and Sales • 9am – 12pm, $99 Accounting and  • Upcoming SigmaFree Classes Finance – 5/18 – No Class Operations and  Quality – 5/25 – Business Networking for the Non‐ Leadership and  Networker Administration – 6/8 – What’s the Best Entity? Solve the  Technology and  Mystery of Legal Organization Innovation Dedicated to the Learning Needs of Small Business! Copyright 2010, Sigma College of Small Business, Inc. 15
  • 16. Sigma Free Presents… Employee Benefits Creating the Right Package Sponsored by: Provided by Sigma College of Small Business, Inc.