PSNC 2015: The Intersection of Health Care and Retirement

How do you split your dollars, and how do participants split theirs?

American’s health care costs in retirement average $43,000 per year, according to Robert Massa, director of retirement at Ascende Wealth Advisers Inc.

Speaking at the PLANSPONSOR National Conference, he suggested for a healthy 65-year-old man, the cost of care adds up to roughly $369,000 over a lifetime; for women, that number is $417,000. While overall living expenses typically level out between age 45 and 54, then fall over the following decades, health care costs rise consistently until death, he added. 

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Early Boomers are most at risk of not being able to fund their health care needs, Massa said, but all participants could benefit from a retirement health savings plan.

For many years, the different aspects of a company’s benefits package were viewed as distinct, even disjointed, said Brian Coleman, director of benefits, compensation, payroll and HRIS at Dawn Foods. He urged employers to look at health and wealth together, to protect their employees and themselves.

Workers have to consider how their well-being, and their spouse’s, will affect their lifestyle and costs in retirement. Will they have to adjust their budget to cover an unexpected diagnosis? Have they planned for assisted living later in life? Do they have supplemental insurance in place for an accident or long-term condition? Health concerns should inform savings behavior, Coleman said, adding that Dawn Foods has seen a 5% reduction in loans since adding support products to the benefits package—especially telemedicine and discounts for hearing, vision and pharmacy expenses.

To instill this type of thinking into benefits decisionmaking, the conversation has to start in the boardroom, said John Carnevale, president and CEO of Sentinel Benefit and Financial Group. Plan ahead to prevent workers from “retiring on the job,” staying with the company not out of a desire to work but out of a desire to keep their paycheck and medical coverage. On the whole, the work force will be more dynamic and more engaged if older employees can afford to retire, making room for new talent to cycle in.

NEXT: “Our whole formula is backwards.”

“To me, there’s no difference between health wellness and financial wellness,” Massa said. The idea of complete wellness should drive both benefit plans. Getting unhealthy participants back on track—whether through a debt reduction or smoking cessation program, for example—will save the company money over the long term and make them better employees.

Carnevale suggested one possible path forward is to start spending less on health care and more on retirement. If participants were responsible for more of these costs, he argued, they would be more inclined to shop around for affordable solutions. They need to be more conscientious health care consumers, he said, adding that he has known workers who did not even know what health centers were in their area. Employers can provide information and guidance, and diverting funding to the savings plan would better prepare participants for retirement, as well.

Health savings accounts (HSAs) are also a wonderful opportunity, Carnevale said. Massa agreed, citing their triple tax benefit—contributions reduce taxable income, earnings on the account build up tax-free, and distributions for qualified expenses are not subject to taxation. Contributions will count toward the so-called “Cadillac” tax, he said, but that is about the only downside. Making consumers pay for their health care option makes them more informed about their health care spending. Providing more information about their options, including Medicare, is important for participants who do not understand the system, Coleman added. Workers need to know about the exchange, how portable their plan is and how to transition, at retirement, into new coverage.

Healthier people should also save more for retirement, Carnevale concluded, to prepare to pay for their longevity. Employers have been conditioned to pay for their benefits plans in a certain way, but that system does not serve participants efficiently. He challenged sponsors to ask themselves, how did your plan come to the decision about what you pay for health care? Is this still the best approach?

PSNC 2015: The Evolution of Education

Education is moving from away from discussing retirement plan basics and asset allocation to the value of saving, the importance of starting early and financial wellness.

The evolution of retirement plan participant education is happening because providers have better tools to engage participants, and technology makes it easier to get information about participant behaviors and outcomes, Joe Connell, director of Retirement Plan Services at Sikich Retirement Plan Services (Formerly Retirement Plan Partners), told attendees of the 2015 PLANSPONSOR National Conference in Chicago.

Sean M. Ciemiewicz, a principal at Retirement Benefits Group, added that more plan sponsors are offering tools to get participants to take immediate action at meetings, rather than go back to their desk and think about it.

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The first hurdle is getting participants’ attention, said Michelle Barrett, manager of University Retirement Programs at the University of Rochester, a 2015 PLANSPONSOR Plan Sponsor of the Year finalist in the 403(b) category. She shared how the university uses gaming to get participants involved in learning. The “What’s Your Financial IQ?” game sends participants a block of questions each day, and they can measure how their answers compare to their peers’. For the “Square Up Your Savings Challenge,” participants were given tasks to complete, such as watching a financial education video, and for each task completed, they received a square on a map of the university. Ten winners were chosen from the squares on the map to receive a prize.

Connell noted he likes the idea of using incentives to get people to engage, much like incentives are used with health care wellness programs.

Richard Hartman, corporate benefits manager – Retirement Plans at American Woodmark Corporation, a 2014 PLANSPONSOR Plan Sponsor of the Year finalist in the Corporate 401(k) – $50MM to $1B category, said data can also get participants’ attention. American Woodmark’s third-party administrator (TPA) uses participant data it has in its system for a modeling tool called My Forecast. It shows participant their target savings and where they are in reaching that target. “Sometimes showing them this gap encourages them to engage more,” he said.

NEXT: Developing your message.

Connell pointed out to attendees that nearly everyone had no financial education in school, so plan sponsors have to start at the beginning with their message to participants. And, he suggested, plan sponsors can provide education in little snippets so participants do not get overwhelmed.

Hartman said his firm used to do typical messaging about enrolling in the plan and asset allocation, but when they moved to automatic enrollment, automatic deferral escalation and automatic investment allocation vehicles, that provided the opportunity to broaden the message to financial wellness. Some of his employees do not even have a checking account, and most do not have a savings account other than the retirement plan, so they need basic messaging about establishing a “rainy day” fund. “We talk about things that are current for them,” he said.

Ciemiewicz added that plan sponsors need to make the message fun. “If you just have someone stand before participants and talk about budgeting, people will tune out,” he said. “Plan sponsors need to make messages visual as well as auditory.” He suggested attendees check out the YouTube video “Blind and Outnumbered” and share it with employees.

Connell noted that participants do not get a lot of positive messages, and seeing recommended savings rates or targets can overwhelm them. Rather than using industry data or stats from the media, he suggested that plan sponsors use the numbers from their own plan to encourage participants. For example, a 5% average contribution rate is not outstanding, but telling participants that the average contribution rate in the plan is 5% of pay will encourage those saving below that level to bump up their rate or begin to save.

NEXT: Targeted messaging and measuring results.

According to Barrett, the University of Rochester has developed different messages for different groups of employees. Each year, the university holds a half-day seminar for employees age 50 and older, and a guest, with someone from the Social Security Administration (SSA), insurance providers and retirement plan providers to help employees with retirement planning. The university also has a Women-to-Women education series presented by women for women.

Connell added that Generation X (ages 35 to 50) is another good audience to target because they have many financial responsibilities tugging at them during this time in their lives. Ciemiewicz said brand new employees are also underserved. “They are focused on learning the job and making a good impression, and are often handed a packet of information with paperwork to sign,” he noted. He said plan sponsors should get employees engaged with financial education from Day One.

“Don’t be afraid to try new things,” Connell encouraged attendees. “If no one shows up, that’s OK, you can adjust your strategy.”

How do plan sponsors know if all of their education efforts are working? Hartman said his firm used the 90-10-90 metric from the book “Save More Tomorrow,” by Shlomo Benartzi— a goal of 90% of eligible employees contributing to the plan, a 10% average deferral rate by participants and 90% of participants using some type of advice for their investment decisions. He said American Woodmark is working on measuring participants’ retirement readiness.

Ciemiewicz noted that retirement readiness is not the same for every employee. For example, someone who lives in Tennessee may not need as much income in retirement as someone who lives in New York. Using the same retirement readiness goal could discourage some participants. He suggested plan sponsors keep other factors in mind to get employees to reasonable goals.

Providers are very important to measuring success of education efforts, Connell said. “They have the data, but make sure they give it to you in meaningful ways,” he said. He added that traditional metrics such as participation rate and deferral rate are still good measures of success.

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