SlideShare a Scribd company logo
Save Paper, Trees, Time and
Money: Using Technology to Build
the Best Benefits Experience
November 15, 2018 | Tweet with us using #PSwebinar
Nancy Sansom
Chief Commercial Officer
#PSwebinar
Benefits: A
Complex and
Changing
Landscape
The Best
Benefits
Experience
Customer
Stories
Unconventional
Questions to
Ask
#PSwebinar
Benefits: A
Complex and
Changing
Landscape
The Best
Benefits
Experience
Customer
Stories
Unconventional
Questions to
Ask
#PSwebinar
Complex benefits require a
deep feature-set
Prevalent benefits models
are rapidly evolving
Benefit integration requires
domain-specific expertise
Evolving regulations require
continuous investment
Why are benefits so complex?
#PSwebinar
Technology
is changing the
way that benefits
are bought, sold
and managed.
#PSwebinar
Brokers are bringing best-in-class benefits solutions to their clients, and
will eventually bring HCM solutions to their clients.
Carriers
Are burdened
with regulatory
compliance and
constrained by
inflexible and
outdated legacy
systems.
#PSwebinar
Brokers are bringing best-in-class benefits solutions to their clients, and
will eventually bring HCM solutions to their clients.
Carriers
Need new ways
to affordably
reach today’s
consumers and
educate them on
the value of their
products.
#PSwebinar
#PSwebinar
are concerned about controlling costs,
increasing efficiency, ensuring legal
compliance and improving workforce
engagement.
Employers
#PSwebinar
Sources: U.S. Bureau of Labor Statistics, The International Foundation of Employee Benefits Plans
Despite the investment, 

30% of employees don’t
perceive value in their
benefits, and 50% don’t
understand them.
A Significant Investment for Employers
Employee Salaries
Benefits Cost
25-40%
#PSwebinar
Employer Contribution
71%
Employee Contribution
29%
A Significant Investment for Families
Source: Kaiser Family Foundation
Cost of medical insurance
$18K per year
#PSwebinar
Top 4 Expenditure for Consumers
Source: Bank of America
Housing Transportation Child care
Health care
#PSwebinar
need to become more educated
buyers as employers ask them to
take on more responsibility for
their health and well-being.
Employees
#PSwebinar
#PSwebinar
Expect an enjoyable retail shopping
experience, and need great decision
support and mobile access.
Employees
#PSwebinar
Benefits: A
Complex and
Changing
Landscape
The Best
Benefits
Experience
Customer
Stories
Open
Enrollment Best
Practices
#PSwebinar
WHY
about the
employee
ALL
care that
people need
TIMELY
we do what
we do
The Benefits
Experience
ACA Form 1095-C
New Hires
Employee Contact Center
ACA Form 1094-C
Dependent Eligibility Audit
Total Compensation Statement
Open Enrollment
Life Event
Billing
Analytics
January
AprilOctober
July
ACA Measurement
#PSwebinar
New Hires
ACA Form 1095-C
Employee Contact Center
ACA Form 1094-C
Dependent Eligibility Audit
Total Compensation Statement
ent
Billing
January
April
July
ACA Measurement
#PSwebinar
New Hires
Employee Contact Center
April
ACA Measurement
Custom 

New Hire

Communications
Automated New Hire
Communications/
Templates
Modern, Intuitive
Benefits Shopping and
Enrollment
Guided Employee
Enrollment Via the
Contact Center
#PSwebinar
Employee Contact Center
New Hires
ACA Form 1094-C
Dependent Eligibility Audit
Total Compensation Statement
April
July
ACA Measurement
#PSwebinar
Employee Contact Center
Benefits Education
and Guidance
Technical Support
(“How do I…”)
Password and Login
Assistance
Phone-Based
Enrollment
#PSwebinar
Employee Contact Center
Urgent Coverage
Resolutions
Claims and Billing
Assistance and Triage
Employee 

Advocacy
Life Event/Lost Card
Assistance
“Lori assisted me with my husband’s attempt to get a
medical necessity exception through our insurance
company….
Once I contacted Lori, I felt the weight of the world lift.
She assured me that she was going to do everything she
could to advocate for my husband and completely took
over the process of coordinating everything with our doctor
and insurance carrier. She kept me informed through the
entire ordeal. She worked tirelessly to help us through the
process and we eventually received notice that the request
had been granted.”
Rachel
#PSwebinar
Open Enrollment
ACA Form 1095-C
D
Total Comp
Life Event
Billing
Analytics
January
O
ctober
#PSwebinar
Open Enrollment
Life Ev
Analytics
O
ctober
HR oversight,
reporting and
reminders
Complex
eligibility
requirements
Custom open
enrollment
communications
Mobile-friendly
shopping and
enrollment
Contact center
guidance and
enrollment
#PSwebinar
Billing
ACA F
New Hires
Employee Contact Center
ACA F
De
To
Open Enrollment
Life Event
Analytics
January
A
pril
O
ctober
July
ACA Me
#PSwebinar
Billing
Life Event
July
Software
Creation of self-bills
Reconciliation of carrier bills
Services
Reconcile carrier bills
Pay multiple carrier bills
+
#PSwebinar
Life Event
ACA
Employee Co
Open Enrollment
Billing
Analytics
January
October
July
#PSwebinar
ACA Form 1095-C
ACA Form 1094-C
ACA Measurement
New Hires
Employee Contact Center
Dependent Eligibility Audit
Total Compensation Statement
January
April
July
#PSwebinar
ACA Form 1095-C
ACA Form 1094-C
New Hires
Employee Contact Center
Dependent Eligibility Audit
Total Compensation Statement
January
April
July
#PSwebinar
ACA Form 1095-C
New Hires
Employee Contact Center
ACA Form 1094-C
Dependent Eligibility Audit
Total Compensation Statement
Open Enrollment
Life Event
Billing
Analytics
January
AprilOctober
July
ACA Measurement
#PSwebinar
Dependent Eligibility Audit
ACA Form 1095-C
New Hires
Employee Contact Center
ACA Form 1094-C
Total Compensation Statement
January
April
ACA Measurement
#PSwebinar
Dependent Eligibility Audit
New Hires
Contact Center
ACA Form 1094-C
Total Compensation Statement
April
ACA Measurement
Reduce medical premiums
and/or claims costs
Eliminate stop-loss exposure and
ERISA and SOX violations
Improve compliance with your
SPDs and HR policies
#PSwebinar
Dependent Eligibility Audit
New Hires
Contact Center
ACA Form 1094-C
Total Compensation Statement
April
ACA Measurement
6% of covered dependents are
typically deemed ineligible.
#PSwebinar
Dependent Eligibility Audit
New Hires
Contact Center
ACA Form 1094-C
Total Compensation Statement
April
ACA Measurement
Employees: 1,000
Employees Audited: 437
Dependents Audited: 975
% Deemed Ineligible: 7.5%
Annual Savings: 

$450,000
#PSwebinar
Dependent Eligibility Audit
New Hires
Contact Center
ACA Form 1094-C
Total Compensation Statement
April
ACA Measurement
Employees: 4,500
Employees Audited: 1,625
% Deemed Ineligible: 15%
Annual Savings: 

~$800,000
#PSwebinar
Dependent Eligibility Audit
ACA Form 1095-C
New Hires
Employee Contact Center
ACA Form 1094-C
Total Compensation Statement
Open Enrollment
nt
ling
Analytics
January
April
October
July
ACA Measurement
#PSwebinar
#KRONOSWORKS © KRONOS INCORPORATED │ NOVEMBER 6, 2018 │ "40
Dependent Eligibility Audit
ACA Form 1095-C
New Hires
Employee Contact Center
ACA Form 1094-C
Total Compensation Statement
Open Enrollment
t
ing
nalytics
January
April
tober
July
ACA Measurement
#PSwebinar
How Much Should the HR Team Do?
Rise of Benefits Outsourcing
The cost and complexity of modern human capital management and benefits
administration have sharply increased the demand for outsourcing services.
#PSwebinar
Over 80% of organizations outsource at least one benefits
administration activity, a 41% increase in the last 3 years*
Access to industry expertise Risk ReductionCost control
Top Three Reasons to Outsource (SHRM)
*Source: Employee Benefits News | Guardian Workplace Benefits Study, 5th Edition
Benefits: A
Complex and
Changing
Landscape
The Best
Benefits
Experience
Customer
Stories
Unconventional
Questions to
Ask
#PSwebinar
#PSwebinar
20,000+ employees
900+ schools with capacity 

to serve 130,000 children
Operating in 36 states 

and internationally
Headquartered in Novi, Michigan
PlanSource customer since 2010
#PSwebinar
Lean HR team for a
company with
20,000+ employees
Learning Care Group Workforce
Workforce
distributed across
900+ locations
1,000 new hires per
month (50%+
employee turnover)
Most staff don’t have
work email addresses
or computers
Workforce is 98% female
and 70% are Millennials
(average age of 35)
#PSwebinar
Learning Care Group Challenges
The ERP system
didn’t handle
benefits well
Taking calls in-
house and using
paper forms
With high growth and
acquisitions, they
needed scalability
Needed a
streamlined, more
efficient process
#PSwebinar
Learning Care Group
decided to outsource their
entire benefits program, so they
could spend less time on
administration, and more time
on strategic initiatives.
#PSwebinar
What Did They Outsource?
All ben admin tasks
and approvals
Dependent
verification
Employee
contact center
COBRA 

administration services
Custom employee
communications
#PSwebinar
What Were the Benefits of Outsourcing?
Focused on helping
employees become
health care consumers!
HR is more strategic;
less focused on
administrative work
Enhanced communications
strategy, with more options
for employees
#PSwebinar
Employee Communications
Objective: Provide information to
employees however they want to receive it
Benefits website Educational videos Call center
Text messaging Print and other custom materials Facebook group
#PSwebinar
Employee focus group
revealed that Facebook
would be a great option
for benefits Q&A
New for OE this year,
we’ve launched a closed
Facebook group for their
employees
Facebook Group
#PSwebinar
3,000 employees
50 locations
Headquartered in Illinois
Growth through
acquisition
#PSwebinar
Tecta America Workforce
Multi-cultural,
decentralized
workforce
Most employees
don’t have
computers or email
They have
high
turnover
#PSwebinar
Where They Started
Snail mail
Payroll stuffers
Posters
In-person meetings
Foreman as communicators
#PSwebinar
Introducing Technology + Call Center Option
#PSwebinar
So, what next for Tecta?
Dependent
eligibility audit
(19% not eligible)
Promote self-service
benefits shopping
and enrollment
Start using text
messaging
communications
#PSwebinar
Benefits: A
Complex and
Changing
Landscape
The Best
Benefits
Experience
Customer
Stories
Unconventional
Questions to
Ask
#PSwebinar
Playing well with others has
never been more important.
#PSwebinar
m
How many years of experience do you have integrating with carrier
and HCM systems? Do you have an API for real-time integration?
Can HR teams see the status of files and other integrations?
#PSwebinar
m
It’s more important than ever to ensure that your partner is
SSAE 18 SOC 2 Type 2 audited. Ask to see the roadmap for
security and infrastructure.
#PSwebinar
What was your system uptime %
and performance 

during Q4 of last year?
#PSwebinar
How much – and how often – is the
company investing in its
technology?
#PSwebinar
What types of
partnerships do you
have with insurance
carriers?
How do you measure
Customer Satisfaction
Customer Love?
#PSwebinar
How often do you
measure it? What do
you do with the
information?
#PSwebinar
Customer Love
requires engaged
employees
#PSwebinar
How engaged

are your employees?
What is the tenure of
your staff and voluntary
turnover rate?
#PSwebinar
Tip: Check the Glassdoor Reviews
#PSwebinar
Happy, engaged employees are a must-have for creating the
best benefits experience for HR teams and their employees.
#PSwebinar
Q&A
HRCI: 369258
SHRM: Activity 18-5Z5Q9

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Using Technology to Build the Best Employee Benefits Experience

  • 1. Save Paper, Trees, Time and Money: Using Technology to Build the Best Benefits Experience November 15, 2018 | Tweet with us using #PSwebinar
  • 3. Benefits: A Complex and Changing Landscape The Best Benefits Experience Customer Stories Unconventional Questions to Ask #PSwebinar
  • 4. Benefits: A Complex and Changing Landscape The Best Benefits Experience Customer Stories Unconventional Questions to Ask #PSwebinar
  • 5. Complex benefits require a deep feature-set Prevalent benefits models are rapidly evolving Benefit integration requires domain-specific expertise Evolving regulations require continuous investment Why are benefits so complex? #PSwebinar
  • 6. Technology is changing the way that benefits are bought, sold and managed. #PSwebinar
  • 7. Brokers are bringing best-in-class benefits solutions to their clients, and will eventually bring HCM solutions to their clients. Carriers Are burdened with regulatory compliance and constrained by inflexible and outdated legacy systems. #PSwebinar
  • 8. Brokers are bringing best-in-class benefits solutions to their clients, and will eventually bring HCM solutions to their clients. Carriers Need new ways to affordably reach today’s consumers and educate them on the value of their products. #PSwebinar
  • 10. are concerned about controlling costs, increasing efficiency, ensuring legal compliance and improving workforce engagement. Employers #PSwebinar
  • 11. Sources: U.S. Bureau of Labor Statistics, The International Foundation of Employee Benefits Plans Despite the investment, 
 30% of employees don’t perceive value in their benefits, and 50% don’t understand them. A Significant Investment for Employers Employee Salaries Benefits Cost 25-40% #PSwebinar
  • 12. Employer Contribution 71% Employee Contribution 29% A Significant Investment for Families Source: Kaiser Family Foundation Cost of medical insurance $18K per year #PSwebinar
  • 13. Top 4 Expenditure for Consumers Source: Bank of America Housing Transportation Child care Health care #PSwebinar
  • 14. need to become more educated buyers as employers ask them to take on more responsibility for their health and well-being. Employees #PSwebinar
  • 16. Expect an enjoyable retail shopping experience, and need great decision support and mobile access. Employees #PSwebinar
  • 17. Benefits: A Complex and Changing Landscape The Best Benefits Experience Customer Stories Open Enrollment Best Practices #PSwebinar
  • 18. WHY about the employee ALL care that people need TIMELY we do what we do
  • 19. The Benefits Experience ACA Form 1095-C New Hires Employee Contact Center ACA Form 1094-C Dependent Eligibility Audit Total Compensation Statement Open Enrollment Life Event Billing Analytics January AprilOctober July ACA Measurement #PSwebinar
  • 20. New Hires ACA Form 1095-C Employee Contact Center ACA Form 1094-C Dependent Eligibility Audit Total Compensation Statement ent Billing January April July ACA Measurement #PSwebinar
  • 21. New Hires Employee Contact Center April ACA Measurement Custom 
 New Hire
 Communications Automated New Hire Communications/ Templates Modern, Intuitive Benefits Shopping and Enrollment Guided Employee Enrollment Via the Contact Center #PSwebinar
  • 22. Employee Contact Center New Hires ACA Form 1094-C Dependent Eligibility Audit Total Compensation Statement April July ACA Measurement #PSwebinar
  • 23. Employee Contact Center Benefits Education and Guidance Technical Support (“How do I…”) Password and Login Assistance Phone-Based Enrollment #PSwebinar
  • 24. Employee Contact Center Urgent Coverage Resolutions Claims and Billing Assistance and Triage Employee 
 Advocacy Life Event/Lost Card Assistance
  • 25. “Lori assisted me with my husband’s attempt to get a medical necessity exception through our insurance company…. Once I contacted Lori, I felt the weight of the world lift. She assured me that she was going to do everything she could to advocate for my husband and completely took over the process of coordinating everything with our doctor and insurance carrier. She kept me informed through the entire ordeal. She worked tirelessly to help us through the process and we eventually received notice that the request had been granted.” Rachel #PSwebinar
  • 26. Open Enrollment ACA Form 1095-C D Total Comp Life Event Billing Analytics January O ctober #PSwebinar
  • 27. Open Enrollment Life Ev Analytics O ctober HR oversight, reporting and reminders Complex eligibility requirements Custom open enrollment communications Mobile-friendly shopping and enrollment Contact center guidance and enrollment #PSwebinar
  • 28. Billing ACA F New Hires Employee Contact Center ACA F De To Open Enrollment Life Event Analytics January A pril O ctober July ACA Me #PSwebinar
  • 29. Billing Life Event July Software Creation of self-bills Reconciliation of carrier bills Services Reconcile carrier bills Pay multiple carrier bills + #PSwebinar
  • 30. Life Event ACA Employee Co Open Enrollment Billing Analytics January October July #PSwebinar
  • 31. ACA Form 1095-C ACA Form 1094-C ACA Measurement New Hires Employee Contact Center Dependent Eligibility Audit Total Compensation Statement January April July #PSwebinar
  • 32. ACA Form 1095-C ACA Form 1094-C New Hires Employee Contact Center Dependent Eligibility Audit Total Compensation Statement January April July #PSwebinar
  • 33. ACA Form 1095-C New Hires Employee Contact Center ACA Form 1094-C Dependent Eligibility Audit Total Compensation Statement Open Enrollment Life Event Billing Analytics January AprilOctober July ACA Measurement #PSwebinar
  • 34. Dependent Eligibility Audit ACA Form 1095-C New Hires Employee Contact Center ACA Form 1094-C Total Compensation Statement January April ACA Measurement #PSwebinar
  • 35. Dependent Eligibility Audit New Hires Contact Center ACA Form 1094-C Total Compensation Statement April ACA Measurement Reduce medical premiums and/or claims costs Eliminate stop-loss exposure and ERISA and SOX violations Improve compliance with your SPDs and HR policies #PSwebinar
  • 36. Dependent Eligibility Audit New Hires Contact Center ACA Form 1094-C Total Compensation Statement April ACA Measurement 6% of covered dependents are typically deemed ineligible. #PSwebinar
  • 37. Dependent Eligibility Audit New Hires Contact Center ACA Form 1094-C Total Compensation Statement April ACA Measurement Employees: 1,000 Employees Audited: 437 Dependents Audited: 975 % Deemed Ineligible: 7.5% Annual Savings: 
 $450,000 #PSwebinar
  • 38. Dependent Eligibility Audit New Hires Contact Center ACA Form 1094-C Total Compensation Statement April ACA Measurement Employees: 4,500 Employees Audited: 1,625 % Deemed Ineligible: 15% Annual Savings: 
 ~$800,000 #PSwebinar
  • 39. Dependent Eligibility Audit ACA Form 1095-C New Hires Employee Contact Center ACA Form 1094-C Total Compensation Statement Open Enrollment nt ling Analytics January April October July ACA Measurement #PSwebinar
  • 40. #KRONOSWORKS © KRONOS INCORPORATED │ NOVEMBER 6, 2018 │ "40 Dependent Eligibility Audit ACA Form 1095-C New Hires Employee Contact Center ACA Form 1094-C Total Compensation Statement Open Enrollment t ing nalytics January April tober July ACA Measurement
  • 41. #PSwebinar How Much Should the HR Team Do?
  • 42. Rise of Benefits Outsourcing The cost and complexity of modern human capital management and benefits administration have sharply increased the demand for outsourcing services. #PSwebinar Over 80% of organizations outsource at least one benefits administration activity, a 41% increase in the last 3 years* Access to industry expertise Risk ReductionCost control Top Three Reasons to Outsource (SHRM) *Source: Employee Benefits News | Guardian Workplace Benefits Study, 5th Edition
  • 43. Benefits: A Complex and Changing Landscape The Best Benefits Experience Customer Stories Unconventional Questions to Ask #PSwebinar
  • 45. 20,000+ employees 900+ schools with capacity 
 to serve 130,000 children Operating in 36 states 
 and internationally Headquartered in Novi, Michigan PlanSource customer since 2010 #PSwebinar
  • 46. Lean HR team for a company with 20,000+ employees Learning Care Group Workforce Workforce distributed across 900+ locations 1,000 new hires per month (50%+ employee turnover) Most staff don’t have work email addresses or computers Workforce is 98% female and 70% are Millennials (average age of 35) #PSwebinar
  • 47. Learning Care Group Challenges The ERP system didn’t handle benefits well Taking calls in- house and using paper forms With high growth and acquisitions, they needed scalability Needed a streamlined, more efficient process #PSwebinar
  • 48. Learning Care Group decided to outsource their entire benefits program, so they could spend less time on administration, and more time on strategic initiatives. #PSwebinar
  • 49. What Did They Outsource? All ben admin tasks and approvals Dependent verification Employee contact center COBRA 
 administration services Custom employee communications #PSwebinar
  • 50. What Were the Benefits of Outsourcing? Focused on helping employees become health care consumers! HR is more strategic; less focused on administrative work Enhanced communications strategy, with more options for employees #PSwebinar
  • 51. Employee Communications Objective: Provide information to employees however they want to receive it Benefits website Educational videos Call center Text messaging Print and other custom materials Facebook group #PSwebinar
  • 52. Employee focus group revealed that Facebook would be a great option for benefits Q&A New for OE this year, we’ve launched a closed Facebook group for their employees Facebook Group #PSwebinar
  • 53. 3,000 employees 50 locations Headquartered in Illinois Growth through acquisition #PSwebinar
  • 54. Tecta America Workforce Multi-cultural, decentralized workforce Most employees don’t have computers or email They have high turnover #PSwebinar
  • 55. Where They Started Snail mail Payroll stuffers Posters In-person meetings Foreman as communicators #PSwebinar
  • 56. Introducing Technology + Call Center Option #PSwebinar
  • 57. So, what next for Tecta? Dependent eligibility audit (19% not eligible) Promote self-service benefits shopping and enrollment Start using text messaging communications #PSwebinar
  • 58. Benefits: A Complex and Changing Landscape The Best Benefits Experience Customer Stories Unconventional Questions to Ask #PSwebinar
  • 59. Playing well with others has never been more important. #PSwebinar
  • 60. m How many years of experience do you have integrating with carrier and HCM systems? Do you have an API for real-time integration? Can HR teams see the status of files and other integrations? #PSwebinar
  • 61. m It’s more important than ever to ensure that your partner is SSAE 18 SOC 2 Type 2 audited. Ask to see the roadmap for security and infrastructure. #PSwebinar
  • 62. What was your system uptime % and performance 
 during Q4 of last year? #PSwebinar
  • 63. How much – and how often – is the company investing in its technology? #PSwebinar
  • 64. What types of partnerships do you have with insurance carriers?
  • 65. How do you measure Customer Satisfaction Customer Love? #PSwebinar
  • 66. How often do you measure it? What do you do with the information? #PSwebinar
  • 68. How engaged
 are your employees? What is the tenure of your staff and voluntary turnover rate? #PSwebinar
  • 69. Tip: Check the Glassdoor Reviews #PSwebinar
  • 70. Happy, engaged employees are a must-have for creating the best benefits experience for HR teams and their employees. #PSwebinar