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2012 HSA & FSA CHANGES TO KNOW ABOUT

By Employment Resources

Health savings accounts and flexible spending accounts are growing in popularity. Many people aren’t aware of the changes that take place in these plans from year to year. It’s important to discuss account details with an agent each year to be fully aware of the current rules or upcoming changes.

Flexible Spending Accounts
These accounts are sometimes called flexible spending arrangements. They are tax-advantaged accounts that let employees automatically deposit a specific amount of each paycheck into them. After funds accumulate, they can be used to pay for qualified medical expenses. These accounts are different from HSAs and HRAs in the respect that they are usually offered with traditional medical plans. They also differ from HSAs in the respect that the unused funds in the account may not be carried over to the next year. Debit cards or forms are used to access funds from the account if money is needed.

Flexible spending accounts allow account holders to contribute to the FSA for any costs that aren’t covered by insurance. Some examples of such expenses include coinsurance, copay amounts and deductibles. If a health insurance won’t cover a treatment or related health expense, FSA funds can be used to pay for it. The specified limits saw some changes from 2011 to 2012.

Contribution Limits
It was decided that 2012 would be the last year for no limits on FSA contributions. While there may not be limits in place, plans must specify a maximum percentage of compensation to be contributed to the FSA or a maximum dollar amount. The changes from 2010 to 2011 included over-the-counter medicines being eliminated from coverage if they weren’t prescribed by a doctor. The year 2013 will likely see one of the biggest changes: FSA contribution limits of $2,500 annually with yearly inflation increases.

Health Savings Accounts
HSAs are medical savings accounts that also have tax advantages. Taxpayers who are enrolled in HSA-qualified health plans with high deductibles are able to obtain them. At the time of deposit, the funds contributed to these accounts are not subject to federal income tax. Any unused funds that remain in the account at the end of the year are carried over to the next year and added to further contribution amounts. Since contribution also change with these plans each year, it’s important to be aware of the changes. The changes from 2011 to 2012 include an increase in out-of-pocket HDHP maximums and HSA contribution limits. However, there are no changes with the HDHP required minimum deductibles.

HSA Contribution Limits
Family: $6,250
Individual: $3,100
Catch-Up Contributions: $1,000

The individual amount of $3,100 reflects an increase of $50 from 2011’s limit. The $6,250 limit for families is an increase of $100 from 2011. Catch-up contribution limits, which are for people over the age of 55, remain the same between 2011 and 2012.

HDHP Minimum Required Deductibles
Self: $1,200
Family: $2,400
HDHP Out-Of-Pocket Maximum – Family: $12,100
HDHP Out-Of-Pocket Maximum – Self: $6,050

The HDHP limit increased by $100 between 2011 and 2012 for singles and by $200 for families. Another change between 2011 and 2012 is eligibility of over-the-counter medicines. Insulin is the only OTC medicine approved for reimbursement in 2012 under a health FSA, HSA or HRA without a prescription. In addition to this, it was decided that the penalty of 10% for ineligible expenses paid for using HSA funds would increase to 20% in 2012.

SICK OF PAYING THE PRICE FOR WORKPLACE BACK INJURIES? TAKE ACTION!

By Risk Management Bulletin

Eight out of 10 people experience back problems at some time during their lives – and back injuries affect millions of American workers every year, costing businesses billions.

Overexertion is a leading cause of lost-time injuries, putting a significant number of workers in most industrial workplaces and construction sites at risk. When a load being lifted, shifted, carried, pushed, or pulled exceeds the body’s limits, the result can be torn or stretched muscles, tendons, and ligaments.

Overtaxing muscles frequently or for extended periods can cause them to become fatigued and prone to injury. Activities that increase muscle fatigue while performing a task include: exertion, repetition, and awkward body posture.

The back – especially the lower back – is the area of the body most often damaged by overexertion. Once workers injure their backs, they’re more likely to suffer re-injury, which leads to more pain and suffering for the worker and more lost work time for the business (it’s estimated that on average workers lose as many as seven workdays per year because of back injuries).

Preventing back injuries is far easier than repairing them. Stressing these five fundamentals can help your employees protect themselves and reduce back injuries:

1. Good Posture
Whether a job involves a lot of sitting or hours of standing, maintaining a good neutral posture (the natural “S” shape of the spine) throughout the workday puts less strain on the back and decreases the risk of injury. This means sitting straight, with back resting against the back of the chair, placing feet flat on the floor or on a footrest, and adjusting the chair so that the knees are slightly higher than hips.

To avoid back strain while standing, employees should stand with their feet shoulder width apart and weight balanced and arms, shoulders, and hips aligned. Some people find that putting one foot on a footrest and then alternating feet helps them maintain good posture while standing.

2. Safe Lifting
Improper lifting is probably the most common cause of workplace back injuries. Teach your worker safe body mechanics for lifting. Have them face the load with feet shoulder width apart, keep their heels down and toes pointed slightly out, squat by bending at the hips, use leg and stomach muscles to power the lift, and maintain the back’s natural curves while lifting by keeping the head up.

3. Micro breaks.
Encourage workers to take frequent micro breaks of 10 to 20 seconds to arch their backs and stretch tired, tense muscles. Whether the person is exerting, sitting, or standing for long periods, micro breaks increase blood flow and decrease the risk of back injury.

4. Healthy weight.
Excess weight, especially on the belly, puts lots of extra stress on back muscles. Just by losing a few pounds, overweight workers can reduce their risk of back injuries substantially.

5. Exercise.
Encourage employees to exercise and keep fit. Exercise improves overall wellness, and is particularly important for reducing back injuries. Strong, well-toned back and stomach muscles allow the back to work hard without injury.

SAFETY INCENTIVES: SAVVY STRATEGY OR POOR PLAN?

By Risk Management Bulletin

Ball caps, jackets, logoed merchandise, pizza, points, gift cards, and discounts – the list of incentives for workplace safety goes on. Whatever the reward, the idea is that employers give workers something in exchange for desired behavior or action. However, some critics point out that employees might hide injuries in order to get the reward.

For example, Aubrey Daniels International senior vice president for safety, Janet Agnew sees no role for incentives as businesses usually use them. “The problem with any kind of incentive that has a monetary value (beyond maybe a pizza) is that it can motivate some people to do things, including lying and cheating, that they wouldn’t otherwise do to get the incentive,” says Agnew. She’s also concerned that workers can behave unsafely, and if they don’t get caught, still earn a reward. The thinking goes that as long as there’s no accident, the employee deserves the incentive.

What’s more, adds Agnew, while employees like getting “stuff,” they don’t believe incentives influence their daily safety behavior. She defines an incentive as a reward that’s tied to something that might happen in the future if one doesn’t engage in a particular behavior.

Agnew prefers the concept of reinforcement to incentives. Although, the most typical form of reinforcement is a positive comment, it also makes sense to reinforce an action by making it easier for employees to do. “Often in safety,” says Agnew, “we make it difficult to do the right thing, like requiring people to sit down and file complicated paperwork to report a hazard.” Implementing a hassle-free system, such as a hot line for oral reporting, reinforces the desired action by making it easier.

Companies can engineer reinforcement into the work process, or encourage it by the way they plan work. “If you’ve have money to spend on safety, I would analyze your organizational and management systems and ask what you can do to make it easier and more reinforcing to do the right things,” Agnew suggests.

SOCIAL MEDIA RISK MANAGEMENT LAGS

By Risk Management Bulletin

Although business use of social media marketing will rise significantly this year, most small and midsize businesses aren’t prepared for the significant risks and exposures involved.

More than half (53%) of senior financial executives surveyed last September by Grant Thornton L.L.P. and Financial Executives Research Foundation Inc.(FERF) said they expect social media to become more prevalent in corporate marketing strategies during the next 12 months; and nearly seven in 10 (68%) described social media as a critical or important component of their marketing.

At the same time, the survey found that risk management and compliance efforts lag far behind implementation of social media as a corporate tool. More than three quarters (76%) of executives surveyed admitted their company doesn’t have a formal policy on employee use of social media; while 61% haven’t developed an incident management plan to address fraud, privacy breaches, and other potentially devastating liability exposures.

According to the survey authors, “Aside from publishing-related risks such as defamation, libel, and copyright infringement, and anti-competitive behaviors such as false advertising and disparagement of a competitor’s product, companies using social media as a marketing tool can find themselves exposed to fraud, theft of sensitive data, and other cyber security risks.”

Yet, 22% of executives surveyed don’t believe corporate use of social media carries risky – and only 27% said their company reviews its social media content regularly. Among companies surveyed, only (21%) said train employees to recognize and report fraudulent activity. Companies that have a formal fraud/privacy breach management plan, split oversight of those responsibilities among general counsel (24%), corporate security (19%), human resources (14%) and IT departments (14%).

“Social media cuts across many areas of a company (such as HR, marketing, communications and legal, among others),” said FERF Senior Research Associate Thomas Thompson Jr. “This means that any social media policy should use a multidisciplinary approach.”

Our risk management professionals would be glad to help you review your company’s exposure to risk management liability – just give us a call.

‘BAD HAIRCUT’ AND UNEQUAL POLICY ENFORCEMENT LEAD TO TROUBLE FOR EMPLOYER

By Your Employee Matters

In NLRB v. White Oak Manor, the Fourth Circuit Court of Appeals enforced a decision by the National Labor Relations Board finding that an employer violated the National Labor Relations Act when it discharged an employee for allegedly photographing employees at work without permission. The Court agreed with the Board’s findings that the employee was actually discharged because of protected concerted activity and that the employer had not enforced its photography and dress code policies consistently.

Nichole Wright-Gore worked as a supply clerk for White Oak Manor. White Oak’s policies prohibited employees from wearing hats and taking photographs inside the long-term care facility. Wright-Gore was embarrassed about a bad haircut and started to wear a hat to work, without comment from any supervisor. After a week, however, when supervisors told her to remove the hat, she refused and was sent home. The next day, White Oak employees dressed up in costumes for Halloween. Wright-Gore’s costume included a hat, but her supervisor made her remove the hat pursuant to company policy. Wright-Gore complained that White Oak was enforcing the hat policy unequally, but her supervisor told her to worry only about herself and gave her a written warning for insubordination because she had refused to remove her hat the day before.

During the next few weeks, Wright-Gore photographed several employees wearing hats to work and violating other White Oak dress policies, such as failing to cover up their tattoos. She photographed some employees with their consent, but also took photographs of employees without their consent. She also shared the photographs with other employees and discussed the unequal treatment with them in an attempt to build support for her argument. White Oak eventually discharged Wright-Gore for violating the photography policy.

She then filed an unfair labor practice charge alleging that White Oak interfered with her right to engage in protective concerted activity. The Administrative Law Judge (ALJ) found that Wright-Gore’s complaints became protected concerted activity when they evolved into an effort to have White Oak enforce its dress code policies fairly. Another important issue was whether she lost protection of the Act by taking pictures of other employees without permission, in violation of White Oak policy. The ALJ held that she did not, in part, because there was evidence that other employees took pictures of each other without permission, and even displayed the pictures around the facility, without repercussion. The Board affirmed the ALJ findings.

On appeal, White Oak argued that Wright-Gore could not have engaged in protected concerted activity because she initially acted out of pure self- interest, and did not intend to act on behalf of a broader group. The Fourth Circuit rejected this argument and enforced the Board’s decision. As the court noted, “[t]hat an employee’s self-interest catalyzed her decision to complain about working conditions does not inexorably bar a determination that her actions were protected and concerted.” Thus, the fact that Wright initially acted out of her own self- interest did not remove her actions from the protections of the Act. Moreover, the court’s decision emphasized the fact that White Oak had not enforced its photography or dress code policies consistently.

This case reinforces the importance of employers enforcing workplace policies consistently and the reality that seemingly individualized complaints can lead to employer decisions which conflict with the National Labor Relations Act.

Courtesy Franczek Radelet

LEAVE AS A REASONABLE ACCOMMODATION

By Your Employee Matters

One of the more vexing issues facing both employers and employees involves leave time related to a medical condition, especially when the period of leave exceeds an employer’s permitted leave allowance or otherwise violates an established attendance policy. Although such situations might be challenging and confusing, employers must confront them directly because using leave necessitated by an employee’s disability constitutes a “reasonable accommodation” under the ADA.

The U.S. Equal Employment Opportunity Commission’s (EEOC) Reasonable Accommodation Guidance provides examples of some of the reasons an employee with a disability might require leave:

  • Obtaining medical treatment or rehabilitation services related to the disability.
  • Recuperating from an illness or an episodic manifestation of the disability.
  • Obtaining repairs on prosthetic device or other equipment such as a wheelchair.
  • Avoiding temporary adverse conditions in the work environment (for example, an air-conditioning breakdown causing unusually warm temperatures that could seriously harm an employee with multiple sclerosis).
  • Training in the use of a service animal or assistive device.
  • Training in the use of Braille or sign language.

Here’s a discussion of some frequent and confusing leave-related issues that employers and employee have presented to JAN.

How Much Leave Is Reasonable? The ADA does not set a specific amount of time relative to the use of leave as a reasonable accommodation. As with any accommodation situation, you should consider a period of leave for an employee with a disability on a case-by-case analysis. If an employee needs a leave of absence that exceeds his or her accrued paid leave, the employer should permit the employee to exhaust the paid leave and then allow the use of unpaid leave absent undue hardship.

Although there’s no limit on the amount of leave used as a reasonable accommodation under the ADA, the EEOC has held that employers need not grant indefinite leave as a reasonable accommodation (see the EEOC Guidance on Applying Performance and Conduct Standards, Question 21). However, the employee need not provide a specific, fixed date of return. A request for leave is acceptable with an approximate date of return (e.g., around the end of August) or a range of dates for a return to work (e.g., sometime between August 24 and September 23).

ADA and the Family and Medical Leave Act (FMLA). An employee’s rights under the ADA and the FMLA are separate and distinct. The EEOC has ruled that when an employee is entitled to leave under both laws, the employer should allow leave under the law providing the employee with the greater rights (see the EEOC Fact Sheet on the FMLA, ADA, and Title VII). Additionally, employers should note that the ADA might require them to grant leave beyond the 12 weeks allowed under the FMLA as a reasonable accommodation. In this case, an employer can consider the FMLA leave taken in determining whether the requested leave time poses an undue hardship.

Erratic or Unreliable Attendance. The ADA can require employers to modify attendance policies as a reasonable accommodation in the absence of undue hardship. This does not mean that employers must exempt an employee from time and attendance requirements completely or accept irregular and unreliable attendance unquestionably. Frequent occurrences of tardiness or absenteeism, particularly during an extended period and without adequate notice, could certainly impose an undue hardship in many situations. See the Commission’s Guidance on Applying Performance and Conduct Standards for a detailed discussion with examples of specific scenarios.

Alternative Accommodations. Although it makes sense for employers to give an employee’s choice of accommodation primary consideration when more than one reasonable accommodation is possible, they can ultimately choose the accommodation to be implemented, assuming that it’s equally effective. Accordingly, under the ADA an employer can offer a reasonable accommodation that requires an employee to remain on the job, as long as it’s effective and doesn’t interfere with the employee’s medical needs.

Holding the Employee’s Position. The ADA requires an employer to consider returning the employee to his or her same position in the absence of undue hardship. If undue hardship applies, the employer must consider reassignment to a vacant, equivalent position for which the employee is qualified.

Undue Hardship. As with any other reasonable accommodations, whether an employer should allow the use of leave as an accommodation will sometimes come down to an undue hardship analysis. In the case of leave, undue hardship will generally relate to a possible disruption in operations of the entity. For instance, the absence of an employee who performs highly specialized duties might create legitimate undue hardship issues, as might leave that occurs in a frequent and unpredictable manner. Generalized assessments are not adequate, because undue hardship must be determined based on individual and specific circumstances. Additionally, the EEOC has ruled that an employer cannot base an undue hardship claim on the argument that a reasonable accommodation might affect the morale of other employees negatively or that other employees might have to cover for the employee who is on leave.

What to Remember. Ultimately, much of the confusion involving leave as an accommodation occurs when there are no clear and open lines of communication. Lack of communication is usually the major obstacle to executing an effective accommodation solution. All parties need to be aware of any relevant updates or concerns, and everyone should make an effort to keep the information flowing. If you need ideas on how to encourage ongoing communication during the accommodation process, contact JAN.

Bill McCollum, MPA, Consultant

MEDICAL DOCUMENTATION: THINK ABOUT WHAT’S NEEDED AND STOP THERE

By Your Employee Matters

In our experience at JAN, there seems to be a great deal of confusion about medical documentation under the ADA. Employers aren’t sure what they can ask for, when they can ask for it, or whether the ADA Amendments Act has changed the rules for medical documentation. Employees aren’t sure what medical information they have to provide or how much to disclose. Medical professionals aren’t sure what documentation will be most helpful in getting their patients the workplace accommodations they need. Most of these questions come up when an employee requests an accommodation.

The good news: The medical inquiry rules that apply when an employee requests an accommodation are less complicated when they might seem. The general rule is that when the disability or need for accommodation is not obvious, an employer may require an employee to provide documentation that can substantiate that s/he has an ADA disability and needs the reasonable accommodation requested, but can’t ask for unrelated documentation. So when thinking about what medical information to request or to provide, think about what is needed and stop there!

Let’s start with the documentation needed to substantiate that the employee has a disability. The definition of disability for accommodation purposes is “a physical or mental impairment that substantially limits a major life activity or a record of such an impairment.” To determine whether an employee has a disability, the employer can ask whether the employee has (or had) an impairment. If yes, you can ask whether the impairment affects (or affected) a major life activity. You can also ask whether the impairment substantially limits (or limited) the major life activity.

This is where the ADA Amendments Act has made some changes. Although the definition of “disability” remained unchanged, the threshold for showing substantial limitation is much lower than before. This means that the documentation needed to show that an employee has a disability should be far less extensive.

What about the documentation needed to substantiate the need for an accommodation? The ADA Amendments Act did not change the reasonable accommodation provisions of the ADA, so the rules for medical documentation likewise remained unchanged. An employer may verify that the accommodation is needed, ask questions about the employee’s limitations that are causing the problem, and get other relevant information about the request to help determine effective accommodations.

For more information, see recently updated JAN publications related to medical documentation, including:

– Linda Carter Batiste, J.D., Principal Consultant

DISABILITY EMPLOYMENT STATISTICS

By Your Employee Matters

The Institute on Disability at the University of New Hampshire has just issued its Annual Disability Statistics Compendium. Here are some of the stats related to employment in 2010. Click here to see the entire report.

Among the 19,048,426 individuals with disabilities ages 18 to 64 years living in the community, 6,368,644 were employed — an employment rate of 33.4%. In contrast, among the 172,089,634 individuals without disabilities ages 18 to 64 years living in the community, 125,358,735 were employed — an employment rate of 72.8%. The employment rate for people with disabilities was highest in North Dakota (54%) and lowest in Kentucky (25.7%).

The employment rate for individuals with disabilities ages 18 to 64 years living in the community was 33.4% while the rate for individuals without disabilities ages 18 to 64 years living in the community was 72.8% — an “employment gap” of 39.4%. The employment gap was greatest in Maine (48.9%) and smallest in Wyoming (27.7%).

The employment gap between individuals with and without disabilities ages 18 to 64 years living in the community was 39.4%, compared with 39.1% in 2009.

Among the 19,048,426 individuals with disabilities ages 16 to 64 years living in the community, 3,834,727 were employed fulltime, year-round — a full-time, year-round employment rate of 20.1%. In contrast, of the 172,089,634 individuals without disabilities ages 16 to 64 years living in the community, 88,683,091 were employed full-time, year-round — a full-time, year-round employment rate of 51.5%. The full-time, year-round employment rate for people with disabilities was highest in North Dakota (32.1%) and lowest in Maine (15.2%).

Finally, the full-time, year-round employment rate for individuals with disabilities ages 18 to 64 years living in the community was 20.1%, while the full-time, year-round employment rate for individuals without disabilities ages 18 to 64 years living in the community was 51.5% — a full-time, year-round employment gap of 31.4. The full-time, year-round employment gap was greatest in Maine (38.8%) and smallest in Utah (24.1%).

What can an employer take away from this?

  • Obtaining gainful employment can be a real struggle for people with disabilities.
  • Some communities are more “open” to employing the disabled. Some of this difference has to do with the types of jobs available, employment programs, and incentives.
  • As “good people” we can rise above any perceived limitations and employ those with disabilities based on the results they are capable of producing.

To help with accommodation ideas go to http://askjan.org/.

CAN YOU CUT BENEFITS COSTS BY MOVING EMPLOYEES TO MEDICARE?

By Your Employee Matters

Many employers are doing everything they can to reduce benefit costs. One of our HR That Works Members posed this question to Alan Levy, a benefits law expert in our network.

“Q: If an employee is eligible for Medicare, can we state/insist that they must leave our company plan and accept Medicare?

“A: We had this question for a client recently. There are serious penalties for forcing an active employee to give up the employer’s plan and go to Medicare, and offering a personal incentive might pose a problem. However, an employee can change to Medicare voluntarily, without restrictions or charges for pre-existing conditions, etc. This also applies to Medicare supplements and advantage problems. Some employees make the change voluntarily to use the current rule’s automatic unqualified acceptance, as well as to assure any “grandfathered” rights if Congress reduces or alters the program in the future. (Every “reform” proposal seems to exempt anyone already on Medicare.) A bigger problem is what happens to an employee’s spouse who isn’t old enough for Medicare if the employee leaves the company plan and goes to Medicare. Although COBRA works for a while, extension of this period is problematic.

“Finally, an employer offering a Medicare supplement or advantage plan to all who could qualify is not considered an improper incentive; the danger comes when the employer offers an individual some extra amount. The only exception I know of in this regard is the Third Circuit rule (applicable only in PA, NJ, and DE), Erie County, which treats certain variations of this scenario as age discrimination under the ADEA. EEOC says it will not apply the Third Circuit rule anywhere else in the nation, which seems to support the idea that employers offering the supplement, etc. is permissible.”

This advice is limited to the facts of the situation. As Alan points out, the EEOC has not drawn a black and white line on permissible supplements. The Social Security Administration provides an excellent publication on the interplay between private insurance and Medicare payments. See pages 13-14

QUANTUM HR

By Your Employee Matters

Our understanding of the physical world grows ever deeper. Quantum physicists have taught us that simply observing matter can affect its activity. We know that bits of matter once bonded together remain “entangled” even when separated by great distances. We should remember from Physics 101 that matter likes to settle into its least active state (entropy).

What do these facts have to do with HR? It’s simple: How people think about doing their jobs has implications that might be far broader than realized. If we accept the teachings of quantum physics at face value, then:

  • Due to entanglement, how you go through your day will have an invisible, but perceptible impact on how the people you bond with feel every day. If you’re having a bad day, at some point, many of your co-workers and loved ones will feel this fact.
  • Much of our existence depends on what we choose it to be. The very concept of “making your day” has scientific backing. As the proverb says, “As you believe, so shall you achieve.”
  • Finally, unless you’re excited, it’s natural to use the least amount of energy possible to do a job. If you want to move yourself to a higher frequency, you have to get excited. Although some of us do this naturally, most people need a little motivation to get going. Don’t underestimate the power of this motivation in your business and personal life.

Because any organization is a collection of individuals, these concepts apply to the group as a whole. A positive company culture means that there’s a positive vibration among the workforce.