Commercial Liability and Worker’s Compensation Common Mistakes
 

1. Not having adequate coverage. For small businesses, the insurance companies cannot afford to send expensive inspection teams to study locations and operations. Coverage is heavily dependent on the information provided to the agent who writes your coverage. Especially if you underestimate the amount of coverage required, this can cause a problem in the event of a claim.

 

2. A similar problem can occur if the coverage is not up to date. Don't simply "renew as is" your coverage each year. Think carefully about how your operations and/or locations have changed during the year and make sure your agent understands the changes.

 

3. Buying too much coverage is a waste of money. Insurance only pays what is lost (and frequently, not even all of that). Having more coverage than you need will not get a larger claim payment in the event of a loss.

 

4. Not understanding your coverage. Employers can save themselves, employees, and their customers some time and energy by learning the basics of insurance. For example, "indemnity," a term that we hear often in insurance, is not well understood by many people outside the insurance industry. It means to be "made whole" financially after a covered loss. Stated simply this means that, whatever happened to your business, be it a fire or someone slipped and fell on your premises -- the insurance company will offer money to fix it. As we all know, money doesn't always fix things very well or put things back the way they were before a loss. It is important that everyone understand that insurance is an imperfect tool for correcting problems that happen in the real world.

 

5. Inadequate or no Safety Programs.  Understanding your coverage is important especially for worker's compensation. The absolute first line of defense against job-related injury is workplace safety programs. Don't operate on the idea that, if someone is hurt, we can fix it with worker's comp. First of all, the amount of money that workers get is frequently not equivalent to lost wages. Second, if you injure your back at your job, worker's comp and other insurance may get you medical treatments, but there is no guarantee that your back will be as healthy as it was before the injury. The best protection for workplace injuries is prevention.

 

Tips for small Businesses

 

1. Work with your agent to set appropriate liability deductibles. This rule also applies to personal insurance such as automobile coverage. If you set your deductible quite low, your premium will go up disproportionately to the decreased size of the deductible, because the insurance company will be responding to practically everything that happens with your property or liability losses. If you set the deductible higher, you avoid a lot of those costs and therefore the premiums are lower.

 

2.  One rule of thumb is to set deductibles at an amount that the company can afford as a "stretch." In other words, you can afford the deductible out of regular operating funds or short-term savings, even if it hurts a little. But you should never risk a threat to your operations by making a deductible high enough that paying it will disrupt scheduled payments to suppliers or to employees. One note of caution, though: Work with your agent to find out how premiums change with different levels of deductibles before making any decisions.

 

3. Firms need to develop a "safety culture," meaning that managers "walk the talk" in terms of being safe in how operations are conducted. In leading by example, managers and owners can be very clear and direct with employees that safety is a primary concern and that all employees are expected to incorporate safety into every aspect of their work. Sometimes employees (and sometimes even owners and managers) will claim that unsafe practices are necessary "to get the job done." That is not true. Careful thinking and planning can develop methods to work quickly and efficiently without compromising safety.

 

4. Be a pack rat when it comes to keeping documents that could be useful in the event of a loss -- keep every policy, every bill, and all communications about insurance in a place where you can easily access it in the event of a loss. And OF COURSE, keep a copy of all these documents in a location where they will be safe in the event of a loss. It can be a real pain to reconstruct lists of values of equipment and inventory that were burned in the same fire that burned the equipment and inventory itself.

 

5. Insurance is really designed for very serious losses -- the kind that can ruin a business. It's not fun, but you should think through a worst-case scenario of the kinds of losses that your firm could incur. This is especially true in cases where large-scale harm could occur, such as with company vehicles on public roadways, in the product liability area, or with coverage for a premises that is used by the public. Once you have done your best to think "the worst that could happen," work with your agent to select appropriate coverage limits. These limits may not be set to cover your worst-case scenario, but they will help you and your agent to think through the correct limits for your policies.

 

Common Mistakes- Group Benefits

 

1. Making company decisions on employee benefits based solely on bottom line cost.

 

Companies have to take bottom line costs into consideration as benefits edge up towards 15-18% of human capital operating costs. At the same time the intent of the employee benefit package needs to be evaluated.  The wrong benefit program may end up alienating key employees, who may leave to get better benefits elsewhere.  It can also make the hiring of good future employees more difficult.

 

2. Failure to budget for benefit plan increases.

 

The way that many small employers are dealing with double digit increases in health insurance costs is by passing on the increases in costs on to employees.  This means increased monthly employee costs, or decreased benefits, sometimes both.  The problem that many workers face is that their pay increases don’t keep up with the increases in medical plan costs.

 

3. Delaying the new plan decision or renewal until the very last minute.

 

Mistakes are common and employee satisfaction low if the group health plan is put into place at the last minute.  A lot of decision making and data processing has to occur at all levels, and if a plan is put in late- inevitably members get penalized by having inaccurate data at the system level, or worse, they aren’t loaded in the system, This can result in a member arriving at a doctor’s office or hospital with no health coverage information loaded in their system, and the member has to pay charges out of pocket.

 

3. Employer does not understand the benefits offered.

 

Particularly with smaller firms who do not have a full time HR resource, the final benefit decision is often made by a officer of the company without full benefit understanding. The health plans being offered now have a large number of variables from plan to plan, carrier to carrier. A good agent will interpret the plan and carrier information, so that the decision maker has a comprehensive understanding of what they have purchased for their employees.

 

4. Employees do not know what benefits they have.

 

All the polls on health insurance employee status, state that good employee communication is the key to employee satisfaction with their benefit plan.  Additionally most employees do not realize how much the insurance really costs, and the value that their employer is providing them by subsidizing some of the costs.

 

5. Employers don’t contribute enough towards the cost of their employee’s health plan.

 

Most group insurance carriers only require that employers contribute 50% of the employee monthly cost.  However these same carriers also require a 70-75% employee participation level to keep the plan viable.  If an employer contributes the minimum amount, over time his group health  plan may become compromised.  Lower wage employees will not be able to afford their portion of the cost, and drop out.  Typically the lower wage employees are the younger ones.  The unwanted effect is to drive the average age or bad medical experience of the group up, which in turn drives up the average premium per employee.  As the cost of the plan increases, healthy employees drop off, being unable to justify the increased monthly cost.  Eventually, if participation by employees drops too low, the carrier will drop the coverage.  This is known as adverse selection.

 

Tips for Small Employers

 

1.  Have your agent evaluate and fully explain the new cost cutting health plan options available.

 

Florida, particularly Polk County, does not have a lot of companies writing health insurance at this time.  The available companies however, have a multitude of plans to choose from.  The plan designs are hard to comprehend, and it takes an expert to explain the differences between them all.  The HSA (Health Savings Account) compatible plans are the cutting edge product- coupling a high deductible health plan with the HSA.  There are a lot of properties to these plans , that employers and employees need to be aware of prior to implementation.

 

2.  Offer employees options in their coverage choices.

 

Most carriers allow employers of around 8-10 employees to offer more than one health plan.  This allows the employer to fund a lower cost plan (with lower benefits), while allowing employees, who so desire, to buy up to a more expensive plan with richer benefits.  Additionally employers can offer optional benefits- such as dental, life insurance, medial gap insurance to employees at no cost to the employer.  The employee pays the full cost, but benefits from favorable underwriting and rates through payroll deductions.

 

3.  Adjust your new Employee Waiting period.

 

Employee waiting period is the length of time a new employee must be employed before they become eligible for benefits.  Employers may not know they have the option of setting that timeframe. A company that has a lot of turnover in employees would ideally choose a longer waiting period, such as three months, to avoid the excessive paperwork and potential COBRA liability of employees unlikely to stay.  Employers who only hire employees with a long term contract might decide to offer employees benefits the day they are hired.

 

4. Educate and communicate with Employees through out the year.

 

Most health carriers now have wonderful web based services available at both the employer and employee levels.  Educated employees can handle and monitor much of their claims activity themselves, freeing up the employer benefits manager.  A good agent, and or company representative will be able to provide communication pieces and educational meetings for you.

 

5. Start the new or renewal process as early as possible.

 

Florida law requires health insurance carriers to provide renewal rates 45 days in advance of your plan effective date.  Prior to that, employers should be meeting with their agent to decide what information is needed to obtain competitive quotes.  Many carriers would like to have all their new group applications in a full 30 days in advance- plan changes within a carrier should be completed by the 15th of the prior month.  Problems can arise if employees are in the middle of treatment when a carrier change is made.  Some providers can be with one carrier and not another.  Accommodations can be made if arranged in advance.

 

What’s new:

AHPs- Association Health Plan legislation is still being addressed in Congress.  These plans would allow small employers of a particular associated industry or some commonality to offer an association plan regardless of state lines.  The concept is that economies of scale would occur, allowing small employers the costs savings of larger employers.

 

HSAs- (Health Savings Accounts)  A Health Savings Account is an account that can be set with a qualified high deductible health plan.  The HSA account belongs to the employee- and operates similar to a bank account.  Employers can contribute to the account on behalf of their employees, or have the employees fully contribute.  Contributions are made tax free, and deductions from the account if used for medical costs, are tax free.  The account balance carries from one year to the next.  The balance accumulates interest- some carriers have a guaranteed level.  Contributions are based on the employee’s annual deduction associated with a high deductible health plan.

Final Note

Just remember that, while insurance can be both boring and expensive, it is an absolute necessity. Most commerce would stop without it, because most businesses (especially small ones) cannot handle the very large risks involved on their own. Only with pooling of risk are we able to truly engage in free enterprise!!

 
 

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