The
Department of Labor (DOL) has issued additional frequently asked questions
(FAQs) regarding implementation of the Patient Protection and Affordable Care
Act (ACA).
The
agency explains that Public Health Service (PHS) Act section 2707(b), as added
by the ACA, provides that a non-grandfathered group health plan shall ensure
that any annual cost sharing imposed under the plan does not exceed the
limitations provided for under section 1302(c)(1) of the ACA. Under section
1302(c)(1), an enrollee’s out-of-pocket costs for essential health benefits are
limited.
In
the final Department of Health and Human Services (HHS) Notice of Benefit and
Payment Parameters for 2016, HHS clarified that under section 1302(c)(1) of the
ACA, the self-only maximum annual limitation on cost sharing applies to each
individual, regardless of whether the individual is enrolled in self-only
coverage or in coverage other than self-only.
In response to this clarification, the DOL, HHS and the Treasury received
questions regarding its application to self-funded and
large-group health plans. The FAQs address
these questions.
Coinciding
with the FAQs, the DOL announced an ACA compliance webcast to be held June 10
at 2 p.m. Eastern time. The topics will include coverage of certain
preventive services with no co-pay, new rules for wellness programs and filing
claims for benefits, the prohibition on pre-existing condition exclusions and
lifetime and annual limits, and required easy-to-understand summaries of a
health plan’s benefits and coverage.
“The
survey demonstrates the benefits of habitual saving and highlights the need for
making it a global trend,” Mike Mansfield, manager of retirement research at
the newly founded Aegon Center for Longevity and Retirement, told
attendees of a media event announcing the findings of the Aegon Retirement
Readiness Survey 2015.
Catherine
Collinson, executive director of the Aegon Center for Longevity and Retirement,
and president of the Transamerica Institute, shared that the 2015 findings
reveal a slight continuing improvement in people’s sense of retirement readiness as
measured by the Aegon Retirement Readiness Index (ARRI), created in 2012. The
overall score was 5.9 out of 10, with India scoring highest at 7.0, Japan scoring
lowest at 4.8, and the U.S. scoring 6.5.
“We
believe the slight increase is due to optimism in the improving economy rather
than changes in behaviors,” Collinson said.
According
to the survey report, as many as four out of 10 people are not saving anything for
their retirement, but half of these non-savers have aspirations to save for
retirement. Financial considerations such as receiving a pay raise (45%) or
more generous tax breaks (33%) would help to unlock the savings potential of
many non-savers. Simplifying investment products could encourage a further
one-fifth of non-savers to start saving.
Three-quarters
of people who are habitual savers achieved a medium or high ARRI score compared
with fewer than half (46%) of those who save on an occasional basis. “Habitual
savers are role models for others to follow,” said Collinson.
She noted that many
people still fail to properly plan for retirement—39% of survey respondents have
no written strategy for retirement at all, and 43% have a strategy, but it is
not written down. Nearly six-in-10 (59%) reported they do not have a backup
plan if forced into retirement, 31% said they would rely on their savings
(61%), and 30% would rely on their spouse’s income.
NEXT: How to
encourage habitual saving.
Making
habitual savings a trend is a shared responsibility between individuals,
employers and governments, Mansfield contended. The survey report recommends governments
can help by reducing the cost and regulatory burdens for employers to implement
workplace savings plans, and by implementing reforms to enable employees to
work longer and phase into retirement.
Employers
can design plans to promote habitual savings by using automatic enrollment and automatic
deferral escalation. They can adopt age-friendly workplace policies to
encourage working longer and phasing into retirement, and offer financial
wellness programs and engage advisers to help employees with financial
planning.
Workers
should save early and use financial planning tolls to establish a retirement
strategy. Parents should teach their children to save early and habitually.
According
to Collinson, the survey reveals a key opportunity for employees to encourage aspiring
savers to become habitual savers—59% of aspiring savers find auto-enrollment at
a 6% deferral rate appealing, and 53% find it appealing at an 8% deferral rate.
She noted that aspiring savers tend to be younger and women— the median age is
35 years and 58% are female.
Collinson
added that the survey shows employers make a major contribution toward
improving the financial wellbeing of employees in retirement, but some offer
benefits employees don’t know about. Employers need to promote more the available
benefits and provide employees with financial planning and advice support, she
suggested.
Providing
employees the opportunity to stay in paid work is essential, Collinson said. Employees
can boost their savings or bridge savings shortfalls by working longer.
However, only 24% of survey respondents indicated their employers allow them to
shift from full-time to part-time work, and only 19% said they are offered
flexible retirement.
Finally,
Collinson noted that health is a key determinant of a prosperous retirement—42%
of respondents in excellent health indicated they are confident they will live
comfortably in retirement, compared to 7% in poor health.
NEXT: Findings among U.S. respondents.
Among
U.S. respondents, the survey found:
Thirty-one
percent do not have a plan for retirement, 21% have a written plan, 44% have a
plan that is not written;
Forty-two
percent of retirement income is expected to come from the government, 29% from
workplace retirement plans and 29% from savings and investments;
Forty
percent have a backup plan if they are forced to retire early, 53% do not;
Of
those who do have a backup plan, 59% say it is their own savings, 29% say it is
their spouse’s income, and 26% say it is early withdrawals from retirement
accounts;
Fifty-two
percent are habitual savers, 20% are occasional savers, and 11% are aspiring
savers;
Nineteen
percent say they are saving enough for retirement, 15% are hardly saving at
all;
Forty-four
percent say a pay raise would encourage them to save for retirement, 30% say
tax breaks will, and 27% each cite a retirement plan match from their employers
and more certain economic conditions;
Seventy
percent find automatic enrollment in a workplace retirement plan at a 6%
deferral rate appealing; and
Thirty-four
percent are very or extremely confident they will have a comfortable lifestyle
in retirement, while 11% are not at all confident.
The Aegon Retirement
Readiness Survey 2015 was conducted in 15 countries between February 6 and 23, among
16,000 survey respondents. There were 1,000 respondents per country—900
non-retired and 100 retired—except in China, where there were 2,000 respondents.
The survey report is here.