Michael Bourn
Posted in Uncategorized on 09/09/2006 04:58 am by admin
Risky Business: Self-Insurance, Healthcare Trusts Gain favor
Ford hasn’t always had the best relationship with the United Autoworkers Union (UAW). Back in 2007, the company’s employee healthcare costs were eating up the carmaker’s meager profits. After posting quarter after quarter of disappointing earnings, stockholders were putting the big squeeze on America’s pioneer of the modern automobile. That was before economists noticed (or perhaps, acknowledged) that sub-prime mortgages were a bad thing.
To dig out from under its messy employee obligation to provide ongoing, long-term healthcare to its retirees, Ford reluctantly agreed to begin depositing cash into a trust fund that would be administered and operated by UAW once $6.5 billion piles up. By New Years’ Day, Ford had not only met the monetary benchmark, but exceeded it by another half-mil.
“The transfer of these health care liabilities to the VEBA trust is the culmination of several years of work and will significantly improve our competitiveness in the United States,” Ford CFO Lewis Booth said in a statement. “We also have shown confidence in our liquidity …by pre-paying $500 million of debt.”
At the time the arrangement was made, Ford’s public tone was far less positive when it came to its future outlook. Its cars were considered tired, quality suffered and continuous public spats between Henry Ford’s great grandchildren (who held controlling public interest and managed the company) and the stockholders were routinely covered in national headlines. Now the company has not only rebounded, refusing to accept any part of a public government bailout that its peers would later have to extend payment on, but Ford has become a trend-setter in automotive design. Can industry analysts expect the automaker to extend its leadership into the boardrooms of health insurers as well?
When a company or large organization becomes a self-insured entity, the company is assumed to have amassed enough financial liquidity to assume its own risk and the financial risk associated with its employees’ health insurance. In Ford’s case, the company accepted responsibility for its retiree’s healthcare in a long-term buy-out agreement so management could reduce its workforce quickly and stave off continued losses.
Traditionally, only public / government businesses had the financial pull and employee base to justify funding its own health insurance plan. But as planned federal healthcare reforms become law, self-insurance may be more common among smaller corporations and those not typically self-insured today. That’s because one of the most controversial provisions in the Senate’s health reform plan provides for broad new taxes on commercial insurance companies.
The nation’s biggest insurance companies unabashedly admit that such surcharges, fees and other new costs bourne out of the reform bill will be passed on to their customers. Some analysts say small and mid-sized businesses, already heavily stung by the economic meltdown and slow recovery, may take a look at alternative ways of offering insurance as a way of cutting costs, without eliminating the benefit altogether.
The self-insured movement is already taking hold, especially in sales-driven companies that have seen their profits plummet like Ford’s:
“In the last several years, our health maintenance organization (HMO) costs have increased rapidly even as our sales plateaued and we let some employees go,” writes one Indianapolis manufacturing CFO recently on his personal blog. “We switched to self- insurance with an associated stop-loss policy. We calculate that savings will be around $80,000 to $100,000 yearly. We also added wellness benefits and incentives to keep our 1,600 employees and their spouses healthy.”
With top lawmakers advocating that any healthcare reform that passes must include the ability for individuals and businesses to purchase insurance from across state lines and voluntarily pool together to get preferred rates on insurance plans, your next open enrollment period could very well include the option to keep your health insurance inside the confines of your cubicle walls.
About the Author
To most people, health insurance is a plastic card with numbers that lets you into the doctor’s office and a little booklet of paper that lives in your filing cabinet, closet or some dusty corner of your home. To Michael, affordable health insurance and the historical reforms that go along with the inequality of healthcare in America are topics of healthy discussion, worthy of further study and catalysts for education and action. Michael lives in Miami.
Atlanta Braves acquire Michael Bourn
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