Life and health insurance companies want you to live a long healthy life. But are their motives altogether altruistic? Insurance companies are in the business of maximizing profits, and it stands to reason that the healthier you are and the longer you live, the more money they make. The same goes for the company or corporation you work for. They want you healthy and productive, not sick at home.
Hence, the explosion of interest in health and wellness programs, and the third parties that provide them. If your company is in the ma rket for a wellness program, your choices are wider than ever before. If your priority is to save on insurance costs, read on for more information on how one company did it.
Health experts point out there are many measurable benefits to living a healthy life, for the individual, the family, and society at large. Reduced insurance rates are definitely one of the financial rewards those in good health can reap. Corporations are shopping for wellness programs that help their employees become more proactive in looking after their health; in turn, corporation are seeing significant decreases in costs associated with unhealthy employees. But insurance people can tell the full story on the cost of poor health.
Ask a Pro
Russ Smart, MBA, is the owner of one of Canad's first online insurance brokers. He's been in the insurance business for 12 years and took the company "virtual" five years ago. These can be cheaper, customized to meet employee needs, and readily available for corporate clients at the click of a mouse.
Russ said there are three guaranteed ways to reduce life and health insurance rates. "The first," Russ says with a teasing tone in his voice, is to choose your grandparents and parents well. The second way to reduce the cost of insurance is, don't smoke." And the third way? "Make the numbers work for you."
What's he saying here? Win the lottery? Clean up at the blackjack table?
"...the numbers in what are called 'measurable indicators,' like blood pressure, cholesterol, and blood sugar levels," says Russ. "Think about it. Anyone can claim they're taking nutritional supplements and exercising. Some people will fib about smoking. Even honest people who really are doing all those healthy things may change their habits for the worse. So insurance companies can't base their rates on that kind of information. They have to have proof of a healthy lifestyle based on the numbers - the test results." Russ explains how insurance rates are calculated in more detail.
Be Healthy, Pay Less
Nearly all Canadian health and life insurance companies offer substantial savings to people without serious pre-existing health conditions whose measurable indicators are within the healthy range and whose parents did not die of an illness before the age of 60.
Using a kind of point system, insurance companies also factor in the applicant's age, detailed personal health history and lifestyle, and family health history when calculating insurance premiums. Obviously, there is nothing we can do to change our family's health history, but there is much we can do to shape our own future health profile by improving our "measurable indicators."
Underwriting Factors
Bringing and keeping cholesterol, blood pressure, and weight into healthy ranges and being a non-smoker are four major ways everyone can qualify for better rates. Other common considerations, called "underwriting factors" in the world of insurance, include asthma, alcohol consumption, and involvement in extreme sports.
Insurance companies assess an applicant's combined underwriting factors to determine rates.
For instance, normal adult blood pressure is generally identified as 130 over 85. Blood pressure levels at or slightly above 140 over 90 are regarded as low-grade hypertension.
This factor alone will usually not raise your insurance costs but can if combined with other underwriting factors, such as high cholesterol or obesity. If your blood pressure is dangerously high, however, this factor alone may raise your rates. On the other hand, if you have successfully lowered your levels, your past higher numbers should not affect your most recent insurance costs.
Online Prevention Invention
Here's how one employer - an insurance company - has taken steps to assess and improve the health and fitness of employees while improving the company's fiscal health.
Employees voluntarily complete a confidential online Health Risk Assessment (HRA) questionnaire. After assessing the individual employee's health risks, lifestyle changes that can significantly improve health are identified. Participating employees can meet with a health professional to interpret results and outline health-promoting goals. The employer receives a combined summary of their employees' (anonymous) health risks and an overall assessment of employee willingness to change. Targeted wellness programs are designed for use within the organization.
Healthy Pay-Off
Progressive employers know that healthy employees make healthy companies. Here are a few of the results of this wellness program. Four key employee health concerns were identified: stress, eating, exercise, and weight.
-A lunch-hour walking team began to improve fitness levels and reduce stress.
-Weekly yoga classes were offered to help reduce stress.
-Diabetes and weight loss support groups began meeting regularly.
-Fitness club membership discounts for employees and their families were offered.
-Follow-up clinical examinations to monitor progress and further reduce health risks were scheduled.
-A company calendar of health and wellness activities was posted.
-A corporate health team was established to promote organizational health, provide feedback on the effectiveness of wellness programs, and motivate employees to make a commitment to their health.
Wellness programs like these are a comprehensive approach to disease prevention, health maintenance and performance monitoring, because insuring our health is good business for everyone.
Health And Wellness Programs
A recent Hewitt Associates survey of over 500 US companies indicated a significant paradigm shift in how companies view health benefits for their employees. Of those surveyed this year, 88% are committed to instituting long-term health care assistance programs (over the next 3-5 years) for their employees, with the goal of boosting the health and productivity of their workforce. This represents a 25% increase in interest in work site wellness programs over 2007.
A strong offering of health and wellness programs to meet the demand has resulted. Health assistance providers have broadened their programs with tools that address general lifestyle factors, physical, social and psychological health factors. Programs look to predict chronic disease in their employees and give them the tools and the information to prevent it. Companies also demand a way to measure the effectiveness of their health-care spending.
"Self-care is our motive," says Vic Lebouthillier, president of progressive health and wellness provider Exan Wellness."We really believe giving employees tools to help them manage their own health, and promoting the benefits, while giving people resources to reach out for help is the key to successful lifestyle change. Corporations are also telling us they need a cost-effective way to deliver work site wellness programs. The type of program we have developed over years delivers the highest health care return on investment."
Combining work site wellness promotions, online assessments and health trackers, online health information, telephone conferences and self-help groups, and access to a wide variety of health professionals, is behind the success of the Exan program. "Having online statistics about employees' health also makes it easier to track the bottom line - ROI" says Vic Lebouthillier.
"Companies are moving beyond their traditional role as a provider of health-care benefits to develop holistic programs that pinpoint the specific health needs of their employee populations, drive employee behavior change and eliminate barriers to health-care," says Jim Winkler, leader of Hewitt's health management consulting practice.
However, in a separate survey of 30,000 employees, 74% said that, although they felt their company had an obligation to help them understand how to use their health benefits program, only 12% felt the company had any right to tell them how to be healthy. Based on these results, employers need to drive home the fact that improved health is better for their employees as well as the company. It's a win-win situation.
Employers and employees did find common ground when it came to future health-care. Both surveys indicate that 95% of employees understand that their taking care of their health today will impact future health-care payments. A similar percentage also understand the importance of early detection and prevention when it comes to saving on health-care costs.
Cost is important for most companies as well. Over 80% of those surveyed made cost mitigation a priority for 2008, but those cuts did not involve shifting responsibility for health-care onto employees. Although 64% of companies have shifted costs to their employees, only 17% plan to do so in the next 3-5 years. Similarly with health reimbursement accounts, 20% now offer these, but only about 5% plan to use them in 2008.
These survey results indicate companies are getting more proactive in helping their employees to change behaviors and take ownership of their own health futures. This is obviously good for the well-being of employees, but also for the well-being of the companies they work for.
Almost half the companies surveyed were convinced that changing health behaviors was key to increased productivity and lower absentee rates. Over 60% plan to institute programs that help employees change and/or sustain a healthier lifestyle. Almost of these companies will also use data and measurements to ensure their health-care strategies meet their health-care objectives.
Dave Turo-shields has sinced written about articles on various topics from Health. Exan Wellness, Inc. is a provider of corporate wellness programs that maximize the efficiency of internet tools with personal health coaching and worksite programs.
