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Autumn marks the time of year when most companies hold open enrollment for their employees. Benefits experts say mployees should take their time in selecting benefits.

Open enrollment for benefit programs can be confusing time for workers
by Eileen Alt Powell
Associated Press

NEW YORK – Autumn can be an anxious time for employees across the country, as companies hold their annual open enrollment periods and invite workers to choose benefits from a complex range of health insurance, disability coverage, and retirement savings alternatives.

Experts say employees and their families will find it easier to make choices if they take the time to study their past health and insurance needs and think about their long‑term goals.

“It has gotten much more confusing, particularly in the health care area,” said Sara Taylor, national annual enrollment leader with Hewitt Associates, a human resources consulting firm based in Lincolnshire, Ill. “Employees are being given more choices than they were even five years ago, and they are more complex.”

One reason for the complexity, she said, is that while companies want to offer benefits that both attract and retain workers, “they need to be able to do it at a cost they can afford,” Taylor said.

 
For many employees, the most difficult decision involves health benefits, said Dr. Charles M. Cutler, an internist who is a national medical director at Aetna Inc., the health insurance company based in Hartford, Conn.

Cutler and Tracey A. Baker, a certified financial planner based in Fairfax, Va., wrote a newly published booklet, “Navigating Your Health Benefits for Dummies,” to provide some step‑by‑step procedures for analyzing company benefit offerings. Free copies can be obtained through the Web site www.planfor‑yourhealth.com.

Cutler said families need to evaluate their own needs when making choices between a health maintenance organization, or HMO, and a preferred provider organization, or PPO.

“An HMO might be a bit less expensive, but you have to see certain doctors in the network,” he said. “A PPO will be more expensive, but you can choose to see doctors outside the network.”

Cutler said families should consider whether chronic medical conditions such as diabetes or asthma will affect their choices. “You will want to know if certain supplies or medications are covered,” he said.

Baker, who is vice president of the Cooper, Jones & McLeland Ltd. financial planning firm, said “the challenge is to bring all of the pieces of the puzzle together” during open enrollment.

She advises: “Step back and look at the things in life that can derail your plans. That’s where health insurance, life insurance, and disability insurance come into play.”

Baker said many workers fail to review their current selections, so they may be paying for coverage they don’t need–for example, for orthodontic coverage although their children are grown.

“You may be able to cut out some of the fat and not even feel it,” she said. “Then you can spend your benefit dollars elsewhere.”

In some cases, workers will find ways to pay for benefits that reap tax advantages.

More companies are offering so‑called consumer‑directed or consumer‑choice health plans, which basically link qualified high‑deductible health programs with employee‑ or employer‑funded savings accounts. Those maintained by employees, called health savings accounts, are funded with pre‑tax dollars.

There are also flexible spending accounts that allow workers to set aside pre‑tax dollars to pay for certain qualified medical expenses, such as co‑payments and deductibles and some pharmaceuticals. Similar FSAs can be funded by workers to cover day care for dependent children and parents.

“These FSAs are a good financing tool that need to be brought in as part of your overall benefit planning,” Baker said.

Peter V. Handal, CEO of Dale Carnegie Training, a global management training company based in Hauppauge, N.Y., said that for some people, “benefits are as important as the cash they’re being paid.”

In most companies, he said, there are human resourcesprofessionals available to answer workers’ questions.

“Don’t assume anything,” Handal said. “If something you want isn’t on the list, ask about it because it may be available.”

He said, for example, a company might be willing to pay for the gym membership for an employee who asks for it.

When it comes to retirement savings, Handal suggested workers take a long‑term view.

“This can be hard for younger people who are being offered 401(k)s for the first time,” he said in a reference to the company‑sponsored retirement plans. Workers allocate pre‑tax money to the plans, and many companies “match” their contributions up to 5 percent or 6 percent.

“You’re sacrificing current income, but it makes so much sense long‑term,” Handal said. “And they won’t be passing up that matching money.

 
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