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WHY BACKGROUND CHECKS ARE ESSENTIAL FOR ALL EMPLOYERS

By Business Protection Bulletin

With more jobs becoming available today, there is a major problem presenting itself for employers. Employees who are applying for jobs are lying about important aspects of their lives. In most cases, the truth may be a disqualifying factor. To avoid the hassle of hiring an unfit employee, it’s important to conduct a background check.

Background Check Result Statistics. According to the ADP’s 2009 Hiring Index, 46% of 1.7 million applicants reviewed had discrepancies in their resume’s employment, credentials, education or reference checks sections. In addition to this, 37% of applicants had traffic violations or convictions, and 6% had criminal charges within the past seven years. While not all applicants lie about convictions, others may fabricate details that make them look more appealing. This practice, which is commonly called resume padding, is a method used by people who aren’t qualified for a position to attempt to obtain it. It’s important to be able to identify both omissions and lies.

Understanding What Is in a Background Check. Not all background checks are the same. There are hundreds of online services that advertise cheap and fast background checks. However, these companies provide limited information. They often have limited access to databases that are not regularly updated. In order to get the most accurate and recent records, it’s best to use state resources.

How to Perform a Background Check. Usually the office of the Highway Patrol is the best place to begin a search. Some jobs require a prospective employee to manage a budget and handle money. If this is the case, it’s a good idea to request a credit check also. It’s important to have the applicant’s SSN, date of birth and any last names or aliases they’ve used in the past 10 years. Be sure to have the applicant’s approval before performing a background check. Some employers have found that searching for an applicant on Facebook or other social media sites is beneficial. Keep in mind that people may make fictitious profiles and claims on these sites, so this information shouldn’t replace what is available on a background check. However, sometimes discrepancies between resumes and social profiles is enough to raise a red flag against a potential employee.

Deciding What Information to Verify. There is no need to verify information that doesn’t pertain to the job. For example, if an applicant for an accounting firm has degrees in nursing and accounting, there is no need to verify the nursing degree. To do so would be a waste of time since the applicant won’t be using nursing skills in an accounting job. There is no need to request information that isn’t necessary. In addition to being more costly, it is a waste of time. For example, don’t request a credit check for an employee who won’t be controlling a budget or working with cash. However, if an applicant will be caring for disabled individuals, it’s important to verify that they don’t have any past charges of abuse, assault or neglect. Always use common sense to determine which bits of information need to be verified.

Employer Reference Considerations. Verifying employment and inquiring about an applicant’s work ethic with a previous employer is important. However, it’s also important to make the reference call count. Never rely on the phone number provided by the applicant. Either look up the number through an online phone directory or use a reliable source to verify the number. Although it isn’t common, sometimes applicants provide erroneous phone numbers that may not belong to the previous employer they listed. In some cases, employees may provide a friend’s number instead. That friend will often provide a bogus reference to make the employee look good. Be sure to ask pointed and concise questions to the applicant’s previous employer. The following questions are good examples:

  • What are the applicant’s strengths?
  • How does the applicant deal with stress and conflict?
  • In what ways could the applicant improve?
  • How do the applicant’s skills with other team members rank?

The best time to perform a background check is after extending an offer for employment. However, be sure to tell the applicant that their employment with the company is contingent upon them passing a background check. It’s always a good idea to specify that a background check will be conducted in a wanted ad or online job posting. This is usually effective in discouraging applicants who know they have a checkered past and intend to lie about it. The most important thing to remember is to always obtain an applicant’s written permission before ordering a background or credit check for them.

COST EFFECTIVE LEGAL DEFENSE TO PROTECT YOUR BUSINESS

By Business Protection Bulletin

It’s no secret that insurance companies hire from among the best attorneys available, and those attorneys defend you when you get into a legal incident covered by a liability policy that you have secured. But you might ask these two questions: Is it still cost effective to get such legal defense through an insurance policy and what policies does a business need to secure to get the best legal guns to defend themselves in a given situation?

If you get an attorney demand letter or any kind of notice of legal action, who do you call? Well you can always call an attorney who might be a friend, done a trust for you, or might have put together some contracts for you, but would they be the best litigation attorney for you if it came to that? Keep in mind the plaintiff will probably know if you have a qualified attorney or not and that will dictate how they will proceed and how much they are willing to settle for. The less qualified your attorney is, the more leverage the opposition will have against you and the more likely it is that they will drag out a settlement or even take the case to litigation. The worst part of this is when these legal issues take away time and distract you from running your business.

The bottom line: Hiring an attorney yourself can be very costly when compared with the benefits of going through your insurance company. Insurance company claims departments handle these kinds of incidents every day, and they know exactly how to keep costs low without compromising on skill. They specialize in managing attorneys and claims incidents. The bottom line is, they are so efficient that it costs them less to settle than it will ever cost you doing it by yourself. This savings is built into the cost of the premium for liability coverage. The good news is, this cost is capped every year for whatever your insurance policy premium is. By not having a policy, legal expenses can easily run into six figures, even before any settlement or litigation takes place. Also, in many cases those taking action against you, most especially if it is frivolous, would rather not face an insurance company attorney and this puts you in a much better position.

Does a liability policy cover every incident? Of course not, but you can mitigate your legal risks by making sure you have the right policies in place. Here are the most common policies that your business will need to cap your legal exposure:

General Liability (GL). This is the most common type of business liability policy. GL covers injuries caused to others, damage to the property of others, and may cover personal and advertising injury coverage, such as incidents caused by libel or slander. Many of these policies include products liability, which covers defective products that might cause injury or property damage.

Employment Practices Liability (EPLI). EPLI insurance is becoming more and more necessary for employers, both large and small alike. EPLI provides protection against employee lawsuits such as discrimination, sexual harassment, failure to employ, and many others. This coverage generally does not pay for punitive damages, but instead will pay for the company’s legal costs associated with a covered lawsuit.

Errors & Omissions Coverage (E&O). Also known as malpractice insurance, E&O provides coverage to individuals and firms who provide a certain expertise and counseling to their clients. When a professional receives payment in exchange for services, they are held to a high standard by both the client and the legal system. Although incidents are not common, when they do happen they are very costly. Having the right insurance coverage in place helps to allow continuity of a practice, while minimizing possible huge financial burdens and distractions by transferring these burdens to the insurance company.

Directors & Officers Liability (D&O). This type of insurance is taken out to protect legal action against directors and officers of a company. Any firm that has a board of directors, such as privately held companies, non-profit organizations, and homeowners associations, need this coverage. Anyone serving on a board without this coverage is putting their own personal assets at risk. Legal action against Directors and Officers can come from competitors, government agencies, creditors, employees, stockholders, and other third parties.

Pollution Liability. A Contractor’s Pollution Liability insurance policy covers environmental liabilities excluded by standard General Liability insurance. This coverage helps protect contractors against pollution incidents, such as contaminated soil disposal, accidental release of fuel oil, chemicals/toxic gases from broken pipelines, utilities, and stationary and mobile fuel tanks.

Auto Liability. A business should not neglect getting Auto Liability even if they don’t own any vehicles. If an incident happens during working hours and the injured employee was using their personal vehicle for business use, the business may be named as a party to legal action on any injury or property damage that may occur. If the business is using personal vehicles on the job full time, it is probably best to have those insured under the company to make sure the company has coverage against legal action due to an automobile incident.

Each business is different, which is why it’s so important to review all potential exposures with your agent to determine if any of these exposures can be covered by insurance. A business owner truly gets a great bang for their buck when having these liability policies because as mentioned earlier, you are dealing with experts who know how to leverage their expertise most effectively. These types of insurance policies also bring more certainty to your business, the premium is all you pay, you have no worries of losing your business or facing significant setbacks due to spending tens or hundreds of thousands of dollars defending and paying claims that most people have no idea how to handle.

PROTECT YOUR WORK IN PROGRESS WITH AN INSTALLATION FLOATER

By Construction Insurance Bulletin

The materials that a contractor brings to a job site are subject to numerous perils in a variety of locations. The contractor might take delivery of them at his main location and store them for a period of time. At some point, he will transport them to a job site where they may again sit in storage. Finally, he will cut, drill, weld, or otherwise process the materials until they become a finished part of the building. During all of these stages, the materials might suffer damage by fire, theft, flooding, or even damage in a traffic accident during transport to the job site.

Commercial Property insurance policies do not cover materials once they have been moved off of the business’s premises, and they provide little coverage for materials while in transit. To insure property that moves around, the contractor needs an Inland Marine policy, which is a policy that covers property that can easily move from one location to another. The Inland Marine policy that covers materials a contractor will install in a building is called an installation floater.

Contractors might be familiar with a similar policy known as a Builders’ Risk policy. A Builders’ Risk policy insures an entire structure during the process of its construction. The structure’s owner or the general contractor in charge of the job might purchase this policy. An Installation Floater, while similar in coverage, insures only a specific type of property during the construction, such as the plumbing or electrical systems. Subcontractors, who ordinarily have a limited scope of work on the job, purchase Installation Floaters.

An Installation Floater policy insures property used in a construction project. Although the actual policy form will vary from one insurance company to another, it will typically cover materials, equipment, machinery and supplies owned by the contractor or for which he has responsibility. The property must be used in or incidental to the fabrication, erection or construction project described in the policy. One single amount of insurance applies to the property; the limit should be the highest value for that type of property during the job. When insurance companies establish the premium for these policies, they take into account that the value of the property will start out small and increase as the job progresses. For example, if a boiler installation contractor buys an Installation Floater with a $500,000 insurance limit, the company will adjust the premium to recognize that, for most of the project, $500,000 worth of boilers and related equipment and supplies will not be there.

Installation Floaters cover all causes of loss other than those specifically listed in the policy. They cover losses caused by fire, lightning, theft, explosion, and several other perils. Typical policies do not cover losses caused by extreme events like earthquakes and floods, but some companies will consider adding these coverages for an additional premium. Most policies will also exclude damage that occurs during testing of a building component or system (for example, testing of compressors). Some companies might consider adding this coverage as well, depending on the type of property and the nature of the testing.

Beside the policy’s expiration, several other events might cause coverage to cease. Coverage ceases when the purchaser accepts the work, when the contractor’s ownership interest in the property ends, if he abandons the project, or within a stated number of days after he finishes work.

Because every Installation Floater policy is different, contractors should carefully review their policies. They should discuss any deficiencies or confusing provisions with their insurance agents. Construction contracts often require this coverage, so it is vital for a contractor to make sure he has the proper coverage.

SHOULD I REPAIR THAT DAMAGED PROPERTY OR REPLACE IT?

By Construction Insurance Bulletin

When an individual or business buys property insurance, the primary concern is normally the replacement of the building if a fire completely destroys it. However, in many losses, a portion of the building escapes damage or machinery and equipment might be salvageable. In these situations, the policyholder and the insurance company must decide whether to repair the property or replace it altogether. The policy ordinarily states that the company will do whichever costs less. However, the answer to which costs less can become a gray area, complicated by several factors.

In some situations, the policyholder might want the property replaced, rather than repaired. For example, the business may want to replace equipment because repairing it would void the warranty. It may want to replace damaged products because buyers will be reluctant to purchase refurbished ones. The business may also fear an increased likelihood of product liability claims from these goods.

In some instances, there might be doubt as to whether repair will be less expensive than replacement. Old buildings, especially dwellings that have been converted to commercial use, might have been constructed with materials no longer in common use, such as plaster and lathe. Also, some types of machinery and equipment might be less expensive to replace because the price of a new unit has decreased, but the new unit may lack some features that the business needs.

Local laws or building codes may also affect the decision. Municipal governments often require a building to be torn down if more than a specified percentage of it needs repair, forcing the owner to replace it.

The age of the property or its components is also a factor. In the case of computer equipment, which tends to decline in price over time, replacement might well be the less expensive option. The answer may not be as clear for other types of property, such as construction equipment (assuming the policy covers such equipment for replacement cost.) A 15-year-old bulldozer that suffered damage in a rollover may be repairable, but it may also be near the end of its useful life. The same may be true of the electrical system in a 30 year-old building; perhaps only 20% of the wiring suffered damage, but it might be less expensive (and better loss prevention) to update the entire system.

Finally, buildings constructed decades ago may have architectural features, such as gables, atriums, or balconies, which are not important to the owners. Replacing the building with one lacking these features may cost less than repair.

If the policy provides Business Income or Extra Expense coverage, the company must weigh the impact of the repair/replace decision on them. For example, assume that fire has destroyed 60% of a building, forcing the business to shut down. Replacing the building with a similar one in a location ten miles away will cost 50% more than repairs would, but the business could resume operations there in three months, as opposed to a six-month shutdown if the building is repaired. When the company considers all of the applicable coverages, it may well find that replacement is the less expensive option.

Ultimately, the policyholder must negotiate the repair/replace issue with the insurance company. A business owner who is unhappy with the company’s proposed settlement should follow the steps listed in the policy for contesting it. The firm’s insurance agent can be a valuable ally at claim time, as she is familiar with the process and may be able to intervene on the firm’s behalf. Working together, all parties should be able to decide on an approach that quickly gets the business back to normal.

HOW TO LEGALLY KEEP A VIGILANT EYE ON YOUR EMPLOYEES

By Construction Insurance Bulletin

Employees being supervised in their work activities is an inherent element in most all employer-employee relationships. Effective supervision is a vital component in ensuring employees is completing the right work, the right way, and at the right time to make a business’s operations as efficient and profitable as possible.

Employee supervision is also necessary to discourage employees from saying things that could harm the reputation of a business, result in legal liability for a business, or reveal a business’s trade secrets. Of course, such threats are more present and concerning than ever in today’s world of advanced communication technology. It’s no longer just a question of whether or not an employee will say something inappropriate over the office phone, but rather how they use an array of work-related communication technologies such as cell phones, email accounts, and Internet browsers. As a result, many employers have turned to technology as a new means to monitor the activities of their employees.

Many employers have started to monitor the phone conversations conducted by their employees, which is usually allowed by state and federal laws for the purpose of quality control in regards to conversations between an employee and a client. Keep in mind that some states require businesses to give advanced notice to all parties involved in a call that’s being monitored. Federal law, on the other hand, allows business calls to be monitored without such advanced notice, but does require an employer to quit listening if and when they realize it’s a personal call. If a phone is designated and labeled specifically for business use only, then an employer can generally monitor calls of any nature. Additionally, employers can legally obtain a listing of every phone number dialed from a particular phone/extension and the length of the calls. Even when advanced notification isn’t required legally, employers might find doing so helpful in thwarting inappropriate communications proactively.

According to the Electronic Communications Privacy Act of 1986, employers are allowed to monitor employee e-mails when an employee provides consent, the e-mail is related to the normal course of business, and/or the e-mails are stored within an in-house network computer. The keystrokes made on an employee’s computer can even be monitored to determine how much and what type of text an employee produces.

The courts routinely have upheld an employer’s right to monitor their computer systems. For example, the court ruled against a CIA employee who downloaded pornographic material and violated the CIA’s Internet use policy. Another court ruled that there wasn’t a reasonable expectation of e-mail message privacy in a case where an employee described his management using derogatory and profane language in an e-mail.

Legal experts recommend that employers planning to monitor e-mail and Internet activity create a comprehensive, clear employee Internet and email use policy with the assistance of their legal counsel. Be sure to take the following steps:

  • The policy should clearly state Internet use rules, such as the types of files that can/can’t be downloaded and the types of Internet sites that should/shouldn’t be visited, and the disciplinary actions for offenses.
  • The policy should clearly state that employee communications on the employer’s computer system aren’t private and are subject to being monitored.
  • Use the policy to inform employees how long computer files will be stored and deleted.
  • Require employees to sign a copy of the policy before providing them with access to the system.
  • Post the key points of the policy on each computer’s login screen.

Employers should keep in mind that, despite the above precautions and legal monitoring rights, an invasion of privacy lawsuit by an employee is still a possibility. Many employers purchase employment practices liability insurance to protect their financial well-being and cover the costs of litigation and unfavorable judgments.

Employers need to keep a vigilant eye on their employees, but that doesn’t mean violating an employee’s rights during the process. Avoid a lot of undue risk by using technology to your advantage, having a clear Internet and e-mail use policy, and an employment practices liability policy.

MINIMIZE DRIVER RISK WITH MVR MONITORING

By Workplace Safety

Risk management is a critical part of every business. Every employer knows that it’s cheaper to prevent risks than deal with the consequences of ignoring them. This means it’s important for all employers to screen applicants and monitor current employees. Some of the most costly mistakes made by employees take place when an employee must drive a company vehicle. Whether the nature of the company’s business is driving or delivering, accidents and their consequences can be costly for employers.

Companies who hire drivers must protect themselves and their driving employees. In order to protect themselves, employers should use motor vehicle reports, which are commonly referred to as MVRs. These reports aren’t difficult to obtain. In most states, interested parties can request this information online for a small fee. Some employers may also perform a background check to obtain a more extensive report. Any company regulated by the DOT is required to perform annual MVR scans on their drivers. Employers should always request the MVR of a new applicant for a job. In most cases, an applicant’s driving history is a good prediction of whether or not they’ll be a safety risk to the company.

It’s important to provide driving safety training to any employees who will be behind the wheel. Although new and current employees may have impeccable driving records, it’s important to take steps to prevent their records from changing. Regular training will refresh employees’ memories of important driving rules. Be sure to educate employees about all company driving rules and regulations. If there are any changes to a company policy, be sure employees are aware of the changes.

Companies of all sizes should utilize MVRs for screening. Many smaller companies think that MVRs are only necessary for larger companies. However, this isn’t true. Smaller companies often pay more for insurance that may not cover careless driving acts by an employee. Since smaller companies usually have less revenue than larger ones, a costly mistake by an employee could be a larger setback for a small company. Performing one MVR before employment isn’t enough. Since these reports change each time a new conviction or record is added, it’s important to request them periodically. Employees who begin showing patterns of reckless driving may need more training. In severe cases, they may need to be suspended from driving duties.

There are driver monitoring services available in some states. These provide employers with monthly or weekly updates. If drivers have license status changes or new violations, they’ll appear in the report. Companies with a large volume of drivers usually benefit from this service. Smaller companies should consider requesting an MVR every few months. It’s important for any company using MVRs to be aware of the regulations and statutes governing their use. State statutes, FCRA rules and DPPA regulations must all be considered. Employers must always disclose their reasons to employees and applicants for requesting such information. In addition to this, they must obtain written permission from these individuals before collecting regular MVRs.

Employers face several important considerations with MVRs. Companies need to develop a legal and fair structure for implementing driving restrictions. Decisions to restrict, suspend or terminate employees based on MVR information should comply with all applicable regulations. It’s also important to consider outside factors. Insurance is a major influencing factor for driving restrictions. Be sure to understand the company insurance policy and its provisions. Drivers who don’t meet the standards should not be permitted to drive company vehicles. If there are any questions or concerns regarding drivers and the company insurance policy, be sure to speak with an agent promptly.

CONTROLLING WORKPLACE SAFETY PLAN COSTS

By Workplace Safety

Some people may wonder if management professionals are trying hard enough to find ways to reduce company costs and risks associated with workplace injuries. Research shows that most managers are not taking proper measures in either area. If they could learn to make workplace safety and health as important as quality or production priorities, differences may start to appear. However, some companies place more focus on safety than what is necessary.

Although the idea of safety being first might sound like the best policy, it is not as effective when it is set extremely far above other priorities. Companies’ priorities change quickly in today’s advancing world. Many companies set safety so high above other priorities that employees often feel safety is the only goal they should try to achieve. In such a competitive world, speed should also be a priority. Since there are companies successfully producing at higher volumes while maintaining good speed and safety ratings, it is clearly possible to achieve both. However, this does not mean that either priority should be significantly higher than the other should.

If safety is set far above all other priorities, a considerable amount of money is required to fund an elaborate safety plan. This may be counterproductive to business. Every business owner knows the importance of striving to increase profits. However, not every business owner knows how to strive harder for profits while maintaining safety in the workplace. Instead of adopting the policy that safety should be first, it is better to implement a policy reflecting that while striving for higher productivity, proper safety is required to accomplish tasks. Such an idea implies that employees can work fast and hard toward better profits while staying safe.

This idea does not require employers to pour significant amounts of money into an elaborate safety plan. The key idea employers need to remember is that employees also want to see themselves go home unharmed and in one piece at the end of the day. Since this is the desire of both parties, the only task is implementing a way to weave safety measures into each task while not making them so extensive that they inhibit productivity.

The best way to approach such a task is to analyze each safety procedure, policy and program to evaluate its effectiveness. Many employers are surprised to find the source of their workplace injuries are a result of ineffective planning instead of employee faults. Update outdated plans, take note of weaknesses in policies and figure out what the cost of changes will be. One of the key ideas to remember is to focus more on educating managers. Many employers place their focus on only educating employees. It is important to increase manager education without decreasing employee education. Employees need to see that their managers are setting good examples of maintaining productivity and safety harmoniously. Both parties must understand the rewards of higher safety and productivity numbers and the consequences of lower safety and productivity numbers.

The overall idea to remember is that it is more expensive to react to situations than it is to prevent them. In addition to this, safety plans should not be too sparse or elaborate. Companies must perform their own analyses to determine what changes must be made. Managers and employees need to be educated to learn about how profits and productivity work and how to tie safety into their tasks. Making positive changes is an excellent way to save money, increase safety ratings and enjoy higher productivity.

OSHA FIRST AID REQUIREMENTS IN THE WORKPLACE – ARE YOU IN COMPLIANCE?

By Workplace Safety

Just as workers have a responsibility to conduct themselves safely in the workplace, employers have a moral and legal responsibility to mitigate the effects of any reasonably anticipated accidents or injuries. Specifically, employers must comply with OSHA Standard 1910.151, which states that “adequate first aid supplies shall be readily available.”

This makes good fiscal sense for employers – too: A well-resourced injury prevention, first aid and emergency response program can pay off in terms of lower insurance premiums, less disruption to the work flow, and reduced absenteeism.

The Occupational Safety and Health Administration (OSHA) has released federal guidelines for workplace first-aid programs. Specifics depend on your industry. Construction sites should have a more extensive first aid program than general industry workplaces, for example.

First Aid Kits. Consider directing a responsible worker to inventory your first aid kits, and ensure they are complete, supplies have not been used up, and components are not expired. For most workplaces, the minimum standard for a generic workplace first aid kit is outlined in American National Standard (ANSI) Z308.1-1978.

You can include over-the-counter medicines in a first aid kit – such as Tylenol or aspirin. But make sure you do not include anything in the kit that may cause drowsiness. A sleepy worker who has just taken some cold medicine could cause a workplace accident much worse than a cold could ever cause.

If you reasonably expect workers treating other injured employees could come into contact with blood or other pathogens, you should also consider including personal protective equipment, such as latex gloves, masks, gowns and face shields.

Training. Depending on your industry and the specific workplace hazards, it may not be enough to just have a first-aid kit on hand. You may need to invest in training employees in how to provide First Aid, and CPR, and possibly the use of cardiopulmonary defibrillators. In some cases, your license or contract requires you to have trained and certified staff on hand.

Implementation. Occupational health and safety compliance is a full-time job in itself in some companies. If you have a lot of staff or have staff routinely exposed to hazardous conditions on site, you may want to appoint a health and safety manager for your workplace. This individual can be responsible for tracking current first aid and CPR certifications, scheduling training, inventorying first aid kits and supplies, and making recommendations for improvements to management.

This employee should not only be familiar with OSHA regulations on first aid and occupational safety and health, but also with regulations at the state level, as well – which may be more onerous than federal regulation.

For more information, visit the Occupational Safety and Health Administration’s website at www.osha.gov.

ADVANTAGES OF TELEMEDICINE

By Employment Resources

Telemedicine, which is already being used by many, is expected to become more popular in the future. Every employer should consider the advantages of this option for their employees. Although there are many vendors available, it’s best to choose one of the top three. To use telemedicine, patients call a phone number to speak to a trained representative. The representative completes a health profile for the patient. By doing this, the representative is able to determine what type of medical issue the patient may be facing. If the nature of the call isn’t an emergency, the representative ensures that a physician will call the patient back within a few hours. However, if the patient indicates a situation that is considered an emergency, the representative will urge that individual to seek emergency care or dial 911.

After speaking with the patient, the physician makes a diagnosis. If the physician feels that the patient needs further tests, the patient must schedule an appointment at a medical facility. However, most patients who use telemedicine programs have a cold, mild infection or a virus that can be cured with medication. If the patient needs medication, the physician calls a nearby pharmacy to order the prescription. Most physicians advise patients to schedule a visit with their regular physician after completing the recommended treatment.

Although telemedicine isn’t able to solve every problem a patient has, those who are fairly healthy can benefit from this program. Emergency room visits can cost thousands of dollars. Even a simple office visit costs more than what most people have in their pockets. In many cases, a visit to the doctor or emergency room isn’t necessary. Patients may simply be worried and need assurance. In some cases, they may only need a medication to solve their problem. For example, a patient who has chronic infections may have to spend a considerable amount of money to visit the doctor each time symptoms appear. However, if telemedicine is used, the patient is able to get the required antibiotics quickly. There is no need to risk contracting another virus to by going to a clinic. Patients may not have to take time away from work to wait for a doctor. The cost of telemedicine is much less than paying upfront for a doctor visit. However, patients who have extremely low copay amounts may pay slightly more for telemedicine. It’s definitely an affordable price to avoid the hassle of going to the doctor for a simple issue. This is also beneficial for people who live in rural areas.

Employers who wish to save money should consider telemedicine as an addition to their health plan. Employees who use telemedicine won’t need to take time away from work as often to see the doctor for simple or routine things. In addition to saving time, this plan also saves money. Healthier employees with more time to devote to work are a financial asset to the company. Employers considering this coverage should speak to an agent about the various options available.

THE NEW AMENDMENT FOR WOMEN’S PREVENTATIVE CARE

By Employment Resources

The Department of Health and Human Services, commonly called HHS, recently added an update to the Interim Final Regulations for Women’s Preventative Care on August 1, 2011. This preventative program is regulated under the Patient Protection and Affordable Care Act, which is commonly called PPACA. Recent changes were developed by the Institute of Medicine to make the plan more beneficial. The institute’s orders to review which services are necessary for women’s health came from HHS. This new amendment outlines additional guidelines for Preventative Services and the needed alterations of policy provisions in health plans in the near future. The change applies to all plans that are classified as Non-Grandfathered. This includes health policies, insured plans and self-insured group health policies. With this change, health plans must cover Preventative Services. The outline includes a provision for birth control without deductibles or copay amounts.

This change applies to Non-Grandfathered plan year starting on or following August 1, 2012. After this time, they will be required to provide coverage without cost sharing for the following women’s Preventative Services:

  • Annual well-woman visits to a healthcare provider
  • Breastfeeding support, supplies, and counseling
  • Gestational diabetes screenings
  • Counseling for STIs
  • HPV DNA testing for women over 30 years of age
  • FDA-approved contraception methods and counseling for contraceptive users
  • HIV screenings and counseling
  • Domestic violence counseling and risk screening

There are some exemptions to these plans. Group health plans that are sponsored by some religious employers are exempt from the contraceptive coverage requirement. In addition to this, group health insurance coverage that has connections to such plans is also exempt from covering birth control for women. In definition, a religious employer is one that has the inculcation of religious values and its purpose, primarily serves people sharing religious tenets, is a non-profit organization under the IRC and is one who has a majority of employees sharing religious tenets.

Although these changes are nearly a year into the future, it is important to analyze the additional services’ impact on pricing. While these changes will benefit thousands of women across the country, the changes will certainly come with a price. Benefits Account Managers should keep abreast of of any additional changes and amendments affecting the Patient Protection and Affordable Care Act.