| It's been on my mind because of
comments made during our roundtable on the role of employers in Canada's
evolving healthcare system (see "Bad medicine,"). I asked our group to describe
what they imagine health benefits plans will look like in 10 years.
The word used most often was "choice." Young plan members
want to choose the benefits that best suit their needs. Plan sponsors want to
empower individuals to take responsibility for their own health and better
appreciate the employer-sponsored benefits plan.
Lay a foundation of critical illness insurance, and then
let plan members choose between vision care, vacation credits or whatever
strikes their fancy. Dr. Arif Bhimji, consulting physician for At Work Health
Solutions Inc. in Concord, Ont., describes it as a "movement to defined
contributions as opposed to defined benefits."
Having just returned from our Defined Contribution (DC)
Plan Summit in Banff, Alta., where there was no shortage of angst on the subject
of plan member choice, Dr. Bhimji's description gave me a bit of a start.
As any DC plan sponsor will tell you, offering choice
means educating plan members about those choices. That is a major challenge for
DC plan sponsors.
Educating health benefits plan members will be every bit
as difficult. Maybe more so, given people's tendency to believe that they will
remain healthy. How many of those young plan members will make sensible
decisions about dental coverage when it means saying no to extra vacation days?
None of this is to say that choice is a bad thing. Choice
in a health benefits or retirement savings plan does empower the individual plan
member. And it does give them a clearer sense of what their employer is
providing them.
But as benefits plan sponsors go down this road, they
would do well to ask for directions.
We are accepting nominations for the benefits canada
Silver Anniversary Lifetime Achievement Awards. Our goal is to recognize three
professionals who have helped shape this business over the last 25 years. We
will present one award in each of these categories: employer-sponsored health
benefits, employer-sponsored pensions and pension fund investment.
E-mail your nominations, along with a quick paragraph on
your candidate or candidates, to kpress@rmpublishing.com. The deadline
is April 1 at 5 p.m. |