Employee Benefits: How To Handle Them

Comprehensive guide to understanding, designing, and implementing employee benefit programs for small businesses.

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Many companies offer a variety of employee benefits to their staff in order to keep them satisfied. The types of benefits include, but are not limited to, health insurance, retirement plans, vacation, and sick leave. This Financial Guide provides an overview of the types of benefits that businesses provide for employees and what's involved in offering them.

Employee benefits play an increasingly important role in the lives of employees and their families and have a significant financial and administrative impact on a business. Most companies operate in an environment in which an educated workforce has come to expect a comprehensive benefits program. Indeed, the absence of a program or an inadequate program can seriously hinder a company's ability to attract and keep good personnel. Employers must be aware of these issues and be ready to make informed decisions when they select employee benefits.

Designing the right benefit plan for your employees is a complex task. There are many issues to consider, including tax and legal aspects, funding, and finding the right vendors or administrators.

You may want to contact your insurance carrier, broker, or benefits consultant for assistance in designing and implementing your benefit plan.

What Is An Employee Benefit Plan?

An employee benefit plan protects employees and their families from economic hardship brought about by sickness, disability, death or unemployment. It also provides retirement income to employees and their families, and establishes a system under which leave or time off from work can occur should the employee need it.

Mandated Benefits

The employer must pay in whole or in part for certain legally mandated benefits and insurance coverage:

  • Social Security
  • Unemployment insurance
  • Workers' compensation

Optional Benefits

A comprehensive benefit plan can include:

  • Health insurance
  • Disability insurance
  • Life insurance
  • A retirement plan
  • Flexible compensation (cafeteria plans)
  • Leave

Funding for the Social Security program comes from payments by employers, employees, and self-employed persons that are deposited into an insurance fund that provides income during retirement years. Full retirement benefits normally become available at age 65. For younger individuals, the date for maximum benefits is being adjusted to age 67.

Unemployment insurance benefits are payable under the laws of individual states from the Federal-State Unemployment Compensation Program. Employers contribute to the program based on total payroll.

Workers' compensation provides benefits to workers disabled by occupational illness or injury. Each state mandates coverage and provides benefits. In most states, private insurance or an employer self-insurance arrangement provides the coverage. Some states mandate short-term disability benefits as well.

Why Offer Your Employees Benefits?

Here are some of the reasons employers offer benefits:

  • To attract and hold capable people
  • To keep up with competition
  • To foster good morale
  • To keep employment channels open by providing opportunities for advancement and promotion as older workers retire

A combination of benefits programs are the most effective and efficient means of meeting economic security needs. For many employers, a benefit plan is an integral part of total compensation, because employers either pay the entire cost of a benefit plan or have employees contribute a small portion of premium costs for their coverage.

Health, Disability, and Life Insurance Plans

Employers might offer medical and dental plans, disability benefits, and life insurance.

Medical and Dental Plans

A serious illness or injury can be devastating to an employee and his or her family. It can threaten their emotional and economic well-being. Thus, adequate health insurance is important to employees and is part of a solid group plan.

Group health plans help attract and keep employees who can make your business a success. They relieve your employees of the anxiety of health care costs by providing the care they need before an illness becomes disabling, thus helping you avoid costly employee sick days.

Group health plans usually cost less than purchasing several individual policies with comparable coverage. Moreover, there are tax advantages to offering health care benefits: your contribution as an employer may be deductible and the insurance is not taxable income to your employees.

Traditional Indemnity Plans

An indemnity plan allows the employee to choose his or her own physician. The employee typically pays for medical care and then files a claim form with the insurance company for reimbursement. These plans use deductibles and coinsurance as well.

Health Maintenance Organizations (HMOs)

Health maintenance organizations (HMOs) provide health care for their members through a network of hospitals and physicians. Comprehensive benefits typically include preventive care, such as physical examinations, well-baby care, and immunizations.

Preferred Provider Organizations (PPOs)

Preferred provider organizations (PPOs) fall between the conventional insurance and health maintenance organizations and are offered by conventional insurance underwriters. A PPO is a network of physicians and/or hospitals that contract with a health insurer or employer to provide health care to employees at predetermined discounted rates.

Disability Benefits

Short-Term Disability

Short-term disability is usually defined as an employee's inability to perform the duties of his or her normal occupation. Benefits may begin on the first or the eighth day of disability and are usually paid for a maximum of 26 weeks. The employee's salary determines the benefit level, ranging from 60 to 80 percent of pay.

Long-Term Disability

Long-term disability (LTD) benefits usually begin after short-term benefits conclude. LTD benefits continue for the length of the disability or until normal retirement. Again, benefit levels are a percentage of the employee's pay, usually between 60 and 80 percent.

Life Insurance

Traditionally, life insurance pays death benefits to beneficiaries of employees who die during their working years. There are two main types of life insurance:

  • Survivor income plans, which make regular payments to survivors
  • Group life insurance plans, which normally make lump-sum payments to specified beneficiaries

The Affordable Care Act

The Patient Protection and Affordable Care Act of 2010, in concert with the enactment of the Health Care and Education Tax Credits Reconciliation Act of 2010, resulted in a number of changes that affect smaller business owners.

Key Highlights:

  • • If you have 50 or fewer full-time equivalent (FTE) employees you are considered a small business under the health care law
  • • As a small business, you may get insurance through the SHOP (Small Business Health Options Programs) Marketplace
  • • If you have fewer than 25 employees, you may qualify for the Small Business Tax Credit
  • • Starting in 2014, the tax credit is worth up to 50 percent of your contribution toward employees' premium costs

Balancing Cost, Quality and Accessibility

In summary, when deciding on a health, disability, or life insurance plan, consider what you and your workers want in a plan. Determine all costs associated with the plan and investigate the quality of potential insurance carriers, and examine the quality of each plan, including the benefits and restrictions.

Questions To Ask Before Signing a Benefits Contract

  • • Who is the insurance company?
  • • Is it committed to small business?
  • • How solvent is it? What is its rating?
  • • What is the carrier's reputation for customer service?
  • • What is the choice of doctors and hospitals?
  • • How does the company manage health care costs?
  • • Who administers the plan?
  • • What information must the employer provide?
  • • How are the employees enrolled?

Retirement Benefit Plans

A financially secure retirement is a goal of all Americans. Since many of us will spend one-fourth to one-fifth of our lives in retirement, it is more essential than ever to begin preparations at an early age. Many financial planners report that an individual requires about 75 percent of his or her preretirement income to maintain the same standard of living enjoyed during one's working years.

Social Security, employer-sponsored retirement programs, and personal savings are the three sources of post-retirement income.

Social Security Benefits

Social Security provides retirement benefits for most persons employed or self-employed for a set period of time (currently 40 quarters; about 10 years). Benefits paid at retirement, traditionally at age 65, are based on a person's earnings history. The age at which you can retire at full benefits increases depending upon your current age. For younger individuals, full benefits begin at about age 67.

Employer-Sponsored Retirement Plans

A retirement plan makes good sense and can attract and reward employees. The benefits and tax advantages of supplementing Social Security with a qualified retirement plan are significant.

Defined Benefit Plans

With this plan, the benefits an employee will receive are predetermined by a specific formula - typically tied to the employee's earnings and length of service - and indexed for inflation. The employer is responsible for making sure that the funds are available when needed.

Defined Contribution Plans

Also known as individual account plans, defined contribution plans specify the amount of funds placed in a participant's account (for example, 10 percent of salary). The amount of funds accumulated, and the investment gains or losses solely determine the benefit received at retirement.

Types of Retirement Plans Available

  • • Simplified Employee Pension (SEP) plans
  • • Profit-sharing plans
  • • Money purchase plans
  • • 401(k) plans
  • • Stock bonus plans
  • • Employee Stock Ownership Plans (ESOP)
  • • SIMPLE IRA plans
  • • Individual Retirement Accounts (IRAs)

Leave

The old concept of "two weeks with pay" has given way to a wide variety of paid and unpaid leave plans for all businesses. Typically, these include:

  • • Annual leave
  • • Holidays (national and state)
  • • Sick leave
  • • Personal leave
  • • Emergency leave
  • • Compassionate leave
  • • Religious observance
  • • Community service
  • • Education/training
  • • Leave without pay
  • • Leave of absence
  • • Parental (formerly maternity) leave
  • • Jury duty
  • • Military leave
  • • Bereavement leave

In a strict sense, paying people for not working is a costly, unprofitable concept. However, time off from the grind is a tradition of the American workplace, and rightly so. Benefits can far outweigh costs. Among the many benefits for the employee are rest, relaxation, a new perspective, travel, pursuit of hobbies and release from daily tensions.

Perquisites

While all employees are usually eligible for benefits such as health and other insurance, retirement plans and leave, key employees have come to expect certain additional benefits related to their increased levels of responsibility.

For Key Business Development Employees

  • • Company automobiles
  • • Personal expense accounts
  • • Professional memberships
  • • Club memberships
  • • Spouse travel on company business
  • • Credit cards
  • • Home entertainment allowances
  • • End-of-year bonuses
  • • Sabbaticals

For All Employees

  • • Employee assistance programs (EAPs)
  • • Physical exercise facilities
  • • Parking privileges
  • • Tuition programs
  • • Dependent daycare
  • • Holiday gifts
  • • Service awards
  • • Credit unions
  • • Merchandise discounts

Flexible Compensation or "Cafeteria" Plans

To accommodate today's many variations in family relationships, lifestyles, and values, flexible compensation or "cafeteria" benefit plans have emerged. In addition to helping meet employee needs, cafeteria plans also help employers control overall benefit costs.

The idea behind cafeteria plans is that amounts which would otherwise be taken as taxable salary are applied, usually tax-free, for needed services like health or childcare.

Example:

Employee John earning $60,000 allocates $4,000 of salary to cover health care costs through a cafeteria plan. John is taxed on $56,000; the $4,000 is tax-free. Had John taken the full $60,000 and paid $4,000 of health care costs directly, he would have paid tax on the full $60,000, probably with no offsetting medical expense deduction.

Besides saving employee income and social security taxes, salary diverted to cafeteria plan benefits isn't subject to social security tax on the employer. With a cafeteria plan, employees can choose from several levels of supplemental coverage or different benefits packages. These can be selected to help employees achieve personal goals or meet differing needs, such as health coverage (family, dental, vision), retirement income (401(k) plans) or specialized services (dependent care, adoption assistance, legal services).

Careful planning and communication are the keys to the success of flexible compensation. Employees must fully understand their options to make the choices of greatest benefit to them and their families. Both employers and employees must fully understand the tax consequences of the various options.

Planning Pointers

Before you implement any benefit plan, you should ask yourself some questions:

  • • How much are you willing to pay for this coverage?
  • • What kinds of benefits interest your employees? Do you want employee input?
  • • What do you think a benefits plan should accomplish?
  • • Do you think it is more important to protect your employees from economic hardship now or in the future?
  • • Is a good medical plan more important than a retirement plan?
  • • Do you want to administer the benefits plan, or do you want the administration done by an insurance carrier?
  • • What is your employee group like today? Can you project what it might look like in the future?

You now have some basic benefits information as well as the basic questions that need answers before you go benefit shopping for your employees.

If you are serious about offering your employees a satisfactory benefit plan, the next step may be to contact an insurance broker or carrier, the local chamber of commerce or trade associations. There may be off the shelf products that will suit your needs. A benefit consultant or actuary can help you design a specialized benefit program.

An adequate benefit program has become essential to today's successful business, large or small. With careful planning, you and your employees can enjoy good health and retirement protection at a cost your business can afford.

Disclaimer: This Content is for informational purposes only. Nothing contained herein constitutes accounting, tax, financial, investment, legal or other professional advice, and, accordingly, the author and the distributor assume no liability whatsoever in connection with its use. This Content is not an exhaustive explanation of any topic, practice or process. You should seek the advice of a licensed professional before making any accounting, tax, financial, investment or legal decision.