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Spring 2006 / No. 67

Innovation in consumer-driven health plans

We, at Eastbridge, have watched with interest the movement towards consumer-driven health plans. As regular readers of Outside Input know, we have done two reports on Health Savings Accounts with special emphasis on how voluntary carriers are responding to this product. To date, we’ve found that many carriers have developed or revamped their hospital indemnity plans to make them “HSA-compliant.” One carrier (that offers HSAs) has also recently introduced an innovative product approach to a common concern about HSAs: what to do in the early years when the account balances are low.

Many employees are reluctant to take advantage of high deductible health plans (HDHP) with HSAs because they’re concerned about not having the cash available to pay their deductibles in the event of a catastrophic event in the early years. To help remedy this, the one carrier developed a hospital indemnity rider that is available with HSA plans at the initial application. What makes this plan unique is the benefit structure and the one-time premium payment. The benefit is based on the covered employee’s deductible amount, and the amount paid decreases over a period of up to two years. So, if the employee has a serious illness or accident within months of implementing an HSA plan with this rider, the rider pays a benefit that covers a significant portion of the deductible on their HDHP.

We don’t know how the plan is fairing, but we like the innovation and hope that other companies will be challenged to come up with creative solutions for helping employers and employees address health care concerns and costs.

For information on the latest HSA spotlight report, go to our website or give us a call.