Compliance & Policy
Legal/Compliance Year In Review
The election cycle and an increasingly empowered federal judiciary have resulted in a fair amount of activity on the regulatory front over the last year.
October 6, 2024

Key Takeaways

  • The election cycle and an increasingly empowered federal judiciary have resulted in a fair amount of activity on the regulatory front over the last year.
  • Major regulatory actions include areas such as accommodation protections for pregnant workers, retirement planning, and banning non-compete agreements.
  • The most impactful decision from the Supreme Court from a business perspective may be Loper Bright Enterprises v. Raimondo, which overturned Chevron and may result in a dramatically different regulatory framework than what we’ve seen over the last 40 years.

ARTICLE | Legal/Compliance Year In Review

The 2024/2025 term for the US Supreme begins the first Monday in October. 

In the next installment of this series, we’ll cover some of the major cases that the Court is expected to hear throughout the coming term, as well as how the potential range of decisions may affect some of the issues most relevant to business, labor, insurance, and workforce management. 

In the meantime, however, on the final day of the 2023/2024 term, we thought it might be beneficial to take a look back at some of the legal and regulatory issues that have shaped these topics over the last year - including Supreme Court rulings, agency rules, and beyond -  as preface for the arguments that will be unfolding before the Supreme Court from tomorrow through April with decisions handed down next summer. 

What follows is a collection and summary of some of the most relevant entries over the last year into our Legal/Compliance Roundup blog series, which are posted monthly here

Noteworthy Judicial Cases & Developments

Non-Competes Banned, Then Ban Put On Hold

The FTC banned non-compete agreements last year, but shortly thereafter a federal judge in Texas issued a ruling that currently applies nationwide and overturns the FTC’s rule banning non-compete agreements.

The judge indicated that the ban is too broad and that the FTC is limited to challenging unfair competition on a case-by-case basis but lacks the authority to issue a blanket ban and the evidentiary basis to justify such a ban were it permitted.

The FTC has until the latter part of October to appeal the decision, but the non-compete ban will likely remain unenforceable in the meantime.

That said, other cases addressing the non-compete ban are working their way through other federal districts, and should one of those cases rule differently, these issues may get fast-tracked for resolution by the US Supreme Court.

Federal Tip Credit Rule Is Simplified

On August 23, 2024, the Fifth Circuit Court of Appeals overruled the Department of Labor’s 80/20/30 rule for tip credits.

As a result, employers no longer need to distinguish between tip-producing and tip-supporting work when calculating tip credits.

It is important to note that this ruling only applies to the federal DOL rule, and does not affect any state or local labor rules regarding minimum wage and/or tip credits.

You can read more about the 80/20/30 rule being vacated here

Supreme Court Sides With Employee In Title VII Discrimination Interpretation

The case at issue involved a male employee replacing a female employee who was transferred to a new department where her pay and title remained the same but her scope of duties, schedule, and some job perks did not.

The Court held that a job transfer did not need to have caused ‘significant’ harm to an employee in order for the employer to have violated Title VII.

Supreme Court Ends Chevron Deference

The Supreme Court parted with precedent and abandoned the Chevron deference doctrine that has guided regulatory rulemaking for the last 40 years. 

When Federal agencies enforce the laws that Congress writes, they often have to make judgment calls in interpreting the statutory language about how to practically go about accomplishing the intentions of the law. 

For the last 40 years, those agencies have relied on Supreme Court precedent requiring courts to defer to the agencies’ judgment calls in interpreting how to enforce federal statutes so long as there was some ambiguity about what the statute intended that the agencies had interpreted in a reasonable manner. 

That deference was especially relied upon when agencies were interpreting federal laws that were written a long time ago, like the Fair Labor Standards Act, which was written in the 1930s when working conditions, and American life for that matter, were very different.

With the Supreme Court’s latest decisions in the cases of Relentless v. Department of Commerce and Loper Bright Enterprises v. Raimondo, however, that deference previously afforded to federal regulators in interpreting ambiguous federal laws and filling in the gaps will now be shifted to the federal courts.

While the rulings will not overturn all previous decisions that have been based on the deference previously afforded executive agencies, of which there are thousands, those previous challenges are now ripe to be litigated, only now the government will have to justify their interpretation of the statute and their resulting authority to take a given action with persuasive reasoning, which will likely prove to be a much harder standard for federal regulators to meet.

It may take some time before major effects from this decision start being felt, but the regulatory landscape will likely look very different in the next 5 years than it has for the past 30, and at the very least there is likely to be significant confusion in the meantime.

Noteworthy Executive & Regulatory Developments

Federal Contractor Wage Determination

Back in October of 2023, The US Department of Labor began implementing a rule that updated the Davis-Bacon Act in a comprehensive way for the first time in more than 4 decades.

According to the updated regulation, if a given federal construction contract is meant to include a wage-determination calculation but that calculation is omitted within the contract, contractors are now required to reimburse any employees who may be negatively affected by the omission, and the federal agency responsible for contracting must reimburse the contractor accordingly.

You can read more about the new rule here.

Secure Act 2.0 

The Secure Act 2.0 took effect at the beginning year, ushering in some sweeping changes to retirement planning and savings administration in the US, including: 

  • Mandatory 401k Enrollment: Most companies with more than 10 employees that have been in operation for at least 3 years will be required to automatically enroll employees into their 401k plan with between 3% and 10% automatic contributions. There’s also a tax credit available for many companies to cover the additional administrative burden of automatic enrollment.
  • Starter 401ks With No Employer Match Requirement: The expense of matching employee contributions has deprived many employees over the years of the benefits of having a 401k account even in the absence of matching employer contributions, which should no longer be an issue under the new law. 
  • Increased Catch-up Contributions: The amount of annual contributions that employees can begin putting into their 401ks at age 50 is being increased by 50% from $6,500 to $10,000, and that limit is now indexed to inflation to ensure it keeps up with the cost of living.
  • Increased Emergency Savings Account Flexibility: Despite more than 4 in 10 US workers expressing a desire to be automatically enrolled in an emergency savings account program through their employer, only about 1 in 10 employers offered such an opportunity as of 2022. The Secure Act increases the flexibility and ease with which employers can now offer such accounts via withholding as much as 3% of opting-in employees’ paychecks up to $2,500 to be placed into said emergency savings accounts, from which employees can then withdraw their money untaxed up to four times a year with no penalties whatsoever. 

Defining Employees vs. Independent Contractors

In determining whether a given worker should be classified as an employee or as an independent contractor, as of March 11, 2024, the Department of Labor effectively reverted back to ‘the economic reality’ test.

The economic reality test takes  into account the following 6 factors when evaluating workers' employment status and classification:

  • Whether it is possible for the worker to either profit or lose money as a result of the arrangement;
  • What investments have the employer and worker each made toward completing the work;
  • Is the working relationship a more permanent arrangement or more temporary;
  • How much control does the employer exert over the worker’s process;
  • How crucial is the worker’s output to the employer’s business; and
  • The levels of skill and initiative possessed by the worker.

You can find more information from the DOL on determining employee and contractor status here.

Further, the Internal Revenue Service released an information letter that clarifies the primary factors that determine whether a given worker should be properly classified as an employee or as an independent contractor for tax purposes. 

When making this determination, the main consideration is how much control and autonomy does the worker have in doing the job, which can be analyzed in light of three primary factors: 

  • Behavioral Control: The main question to ask when assessing whether a worker is subject to the behavioral controls of a supervisor and should therefore rightly be classified as an employee is whether or not the recipient of the worker’s services has the right to control or direct how the work is done. Providing the worker with training or instructions on how to complete the required task and/or providing an evaluation of the worker’s performance or an evaluation of the work itself upon completion might all be indicative that the worker should be classified as an employee.
  • Financial Control: Whether the recipient of the worker’s services has control over the financial aspects of the job is another important consideration when assessing employment status. For example, some good questions to ask are how was the method of paying the worker determined, has the worker made a significant investment in order to complete the work (as well as if/how reimbursements were involved), and is there an opportunity for the worker to profit or incur a net loss as a result of their work. 
  • Relationship Between Worker and Work Recipient: The relationship between the parties is not only determined by their agreements and contracts but also by their other actions with respect both to the work and to each other. How each party represents the nature of their relationship to others - including other employees and/or contractors -  can also factor into the determination, in addition to whether or not the worker offers similar services more broadly to the market in general.

The IRS also noted that while it can not make determinations as to whether or not a prospective employee would properly be classified as an employee or independent contractor, the IRS will issue a letter ruling on prior employment status which can then be applied to all other workers engaged under substantially similar circumstances. 

Employers Who Reject Job Applicants Due to Credit Reports Must Provide Credit Rating Agency Info 

On March 20, 2024, the Consumer Protection Bureau began enforcing its rule requiring Employers that reject job applicants due to information obtained through a credit report to provide the rejected applicant with information about the credit reporting agency from which the report was obtained, including name, address, and telephone number.

This rule, which went into effect in April of 2023, is an update to 2018’s Summary of Your Rights Under The Fair Credit Reporting Act.

You can read more about the new rule, its impact, and enforcement here

Pregnant Workers Fairness Act

The final regulations in support of the Pregnant Workers Fairness Act (PWFA) went into effect on June 18, 2024.

Some of the accommodations that the final rule presumes to be reasonable absent an especially significant justification for denying the accommodation, including allowing pregnant employees to: 

  • Take breaks to eat and drink;
  • Keep water nearby;
  • Use the restroom as needed; and
  • Sit or stand as needed

The rule also places a number of limitations on when employers can require supporting documentation in order for employees to request or receive accommodations under the rule, allowing employers to request such documentation only when it is reasonable under the circumstances.

The final rule also requires accommodations for medical appointments and defines certain terms broadly enough to require accommodations for medical care involving fertility, contraception, and situations when pregnancies abruptly end whether willfully or not. 

You can find the final rule here.

OSHA Hazardous Industry Electronic Submission Requirements

In addition to submitting form 300A, firms that have at least 100 employees and operate in industries that have been designated as hazardous must electronically submit data from their injury and illness logs.

You can find additional information about OSHA electronic submission requirements here.

New Notice Requirements For Enrolling and Re-enrolling Certain Policies

A new federal rule addressing short-term limited duration insurance and independent non-coordinated benefits like fixed indemnity and specific-disease or illness policies was published on April 3, 2024. 

The rule is the result of a joint effort between several federal agencies and includes a requirement that the first page of any materials marketing application enrollment and re-enrollment must include notice to potential and current policyholders that the policy does not provide comprehensive benefits. 

This notice requirement takes effect for applicable policies issued or renewed after January 1, 2025. 

You can find that new rule here

New FLSA Minimum Wage Poster

The Department of Labor released a new iteration of its Employee Rights Under Fair Labor And Standards Act Poster, which employers are required to display. 

You can find that FLSA poster here.

Overtime/Minimum Wage Exemption Threshold Increased

The Department of Labor increased the pay thresholds for Executive, Administrative, and Professional employees (EAP) including salaried computer workers, and Highly Compensated Employees (HCEs) to remain exempt from federal minimum wage and overtime laws.

On July 1, 2024, the EAP exemption threshold increased from $35,568 to $43,888. That threshold number is also set to rise again the following year on January 1, 2025, when the EAP exemption minimum annual salary rises to $58,656, after which automatic increases will begin July 1, 2027, and every three years after that. 

The increase in the minimum HEC exemption threshold follows a similar path, with the first increase up to $132,964 beginning today, before increasing again to $151,164 on January 1, 2025, and every three years after beginning on July 1, 2027. 

The overtime and minimum wage exemption threshold for computer workers that are paid hourly remains at $27.63 per hour, while the threshold for computer workers paid on a salaried basis is linked with the EAP minimum. 

Barring any unforeseen changes or court-initiated interventions, the first exemption-threshold increases are set to take effect in one month. 

In preparation, employers and human resources professionals may want to identify all the employees who may be affected and assess whether to increase their pay in accordance with the rate increases or whether it is better to begin paying them overtime (and minimum wage if applicable) instead. 

You can find more about these exemption threshold increases here

HSA & HDHP Inflation Adjustments Announced

The IRS announced the 2025 adjustments to health savings accounts and high deductible health plans:

The self-coverage limit increased by $150 to $4,300 while the family coverage limit increased by $250 to $8,550.

  • There was a $50 dollar increase on the minimum annual HDHP deductible, bringing it up to $1,650, while the family coverage deductible rose by $100 up to $3,300. 
  • The maximum yearly out-of-pocket expenses for single coverage HDHPs, including premiums, deductibles, and other related expenses) rose by $250, up to $8,300, while the family coverage equivalent increased by $500, up to $16,600

You can read more about the adjustments here

ACA Affordability Threshold Increase

Large employers with an average of 50 or more full-time employees or the equivalent are required to either offer employees minimal, affordable health coverage or they must pay a penalty in the event that an employee secures health coverage with a premium tax credit via the exchanges. 

In 2025, the threshold for what qualifies as affordable coverage increases from 8.39% to 9.02%, which means that an employee’s required contribution to the plan can be no more than 9.02% of their salary in order for the plan to be considered affordable, which allows employers to avoid potentially paying the penalty. 

You can read more about the affordability threshold here.

Noteworthy Policy Developments

Universal Paid Sick Leave Is Overdue

A recent piece from the Center for American Progress makes the case that universal paid sick leave leads to better outcomes for employees and employers alike.

The authors argue that a federal policy is necessary to supersede the patchwork set of rules and regulations on state and local levels in order to provide a more equitable competitive landscape among companies doing business all across the country.

Further, the benefits of universal paid sick leave wouldn’t stop with employers and their families, or even with the companies themselves who can expect to see increased productivity and reduced turnover as a result, but even public health and the US economy as a whole would see net gains from the enactment of universal paid sick leave legislation.

You can find the relevant data and analysis here

Workplace Psychological Abuse Regulations

Supporters want to see the Workplace Psychological Safety Act become the new template across the country for how psychological abuse is reported, managed, and prevented at work.

Unlike many current laws addressing workplace harassment, the Workplace Psychological Safety Act has no requirement that ties the bullying behavior to protected status on the part of the victim, thus removing one of the major obstacles to complaint filing and dispute resolution. 

The model legislation requires employers to: 

  • Promptly investigate complaints of workplace psychological abuse;
  • Implement policies aimed at combating abuse; and
  • Submit diversity metrics and abuse reports quarterly, which will then be made available via public search in an effort to increase transparency and incentivize compliance.

The model legislation also enables victims of on-the-job psychological abuse to:

  • Request internal investigations by their employers in order to circumvent some of the red tape that can sometimes bog down investigations conducted by state agencies; and
  • Sue employers for failing to adequately address the abuse in accordance with the law. 

While the Act has yet to be enacted by any state legislature, the momentum seems to be building, with statehouse support in Rhode Island, Massachusetts, and New York.

Pre-Tax Deduction Primer

Forbes Advisor published a helpful piece that breaks down some of the key aspects involving pre-tax deductions, what is permissible, what isn’t, and how they work.

The core idea behind pre-tax deductions, of course, is that they can benefit employees directly in some way while also reducing their taxable income. 

Some examples of pre-tax deductions include contributions toward health plans, insurance coverage, dependent care, and transportation benefits, all of which can be taken from employees’ gross income prior to calculating any taxes.

It’s important to keep an eye on the compliance issues involved, however, given that many types of pre-tax deductions are capped, including some retirement accounts, FSAs, and HSAs. Also, there are eligibility requirements, specific rules for specific plans, and limitations that apply exclusively to highly-compensated employees that must all be adhered to when administering these types of programs, as well. 

You can read more about the issues involving pre-tax deductions here

Mployer’s Take

For the Executive Agencies, it was business as usual for the most part, but with the greater sense of urgency that comes in the final year of a presidential term when the future of agency leadership and policy prioritization is uncertain.

The implementation of the Pregnant Workers Fairness Act and the Secure Act 2.0 were certainly significant, but perhaps the largest and most ambitious regulatory change was the Federal Trade Commission’s ban on non-compete agreements, which has since been put on hold by a federal judge as the legality of the plan is adjudicated and makes its way through the court system.

That system and the process of regulations getting challenged in federal court is likely to see a lot more activity in the coming years, as well, in the wake of the Supreme Court’s overturning of the Chevron doctrine, which puts significantly more power in the hands of judges in terms of evaluating executive agency action.

While the impacts of the Supreme Court’s decision to abandon Chevron precedent will not be immediate, the next several years may bring with them substantial upheaval of the existing regulatory framework that has been established over the last 40 years. 

And although that kind of subtle, yet ground-shifting impact will be tough to match, in the next installment we’ll highlight some of the cases set to be heard and decided by the Supreme Court in the new term beginning this week, and given the Court’s activity over the last couple of years, some of those cases may be primed to have comparably significant impacts as to how business is conducted in the US, as well.

Workforce Management
CEOs Now Saying Full-tIme In-Office Schedules Are History
More heads of US companies are now joining investors and workers in relegating to the past the traditional full-time in office work schedule that has defined corporate operations for nearly 100 years.
January 18, 2024

This recent piece from Axios makes the case that company leadership have now joined investors and workers in relegating to the past the traditional full-time in office work schedule that has defined corporate operations for nearly 100 years.

According to the article, fewer than 4% of the 158 CEOs of US companies that were surveyed indicated that bringing more workers back to onsite work was on their agenda in 2024.

Continuing with the hybrid-work schedules they already have in place, however, is the plan for more than 1 out of 4 of those CEO respondents (27%) while an even greater proportion of US CFO respondents (65%) indicated that it is their understanding that hybrid work arrangements would remain available at their companies in the year ahead.

Recent estimates from Goldman Sachs indicate that between 1 in 4 and 1 in 5 employees (20% - 25%) in the US currently work at least part of the week every week at home instead of a worksite of one form or another,

Although the proportion of employees working from home has certainly decreased from its high water mark during the peak of the pandemic, at which point about 47% of the US workforce was spending at least some of their time on the clock working off-site, only about 3% of US workers had this kind of work arrangement prior to the onset of the pandemic, which is a good benchmark to look when evaluating just how dramatic this change has been over a relatively short time period.

Further, those numbers seem to indicate that about half of the jobs that went hybrid during the pandemic have stayed that way, and many thought leaders in the field believe that those changes aren't likely to revert any time soon.

For example, one confounder of a think tank that focuses on the future of work believes that the the flashy headlines highlighting big business leaders pushing for a return to in-person work are really just outliers that are outnumbered by the majority of company leaders who have realized the fight to bring workers back on-site does more harm than good.

Even companies run by outspoken proponents of full-time on-site work like Jamie Dimon continue to offer hybrid policies - 3 days in-office per week for most office workers excluding senior bankers in the case of JPMorgan Chase.

The battle may be over, as one member of the Conference Board’s leadership team put it, but what remains to be seen is whether some of the CEOs who pushed back hardest in the past will pick the fight back up again in the event that the labor market continues softening and leverage shifts back to employers to such a degree as to cross some undefined tipping point.

In the meantime, if the war continues in any form, it’s a cold war because hybrid and remote work arrangements have proven sturdier than most leaders were expecting, and the more ingrained and widespread that flexible work arrangements become, the bigger the fight will be the next time someone tries to put those opportunities back on the chopping block.

You can read more about this topic here.

Employee Benefits
What Is The Key To Better Wellness Programs?
Wellness and well-being have become areas of increasing focus and attention in recent years, but not all means of fostering and harnessing wellness in the workplace have been equally effective.
January 17, 2024

Wellness and general well-being have become areas of increasing focus and attention in recent years, both inside and outside the workplace for both employees and employers alike.

After all, employees that are in a better place mentally and physically tend to be more productive and achieve better outcomes on the job.

Further, given the growing interest in wellness among the workforce, employers have had an added incentive to introduce and promote well-being-related benefits and perks just in terms of attraction and retention alone even absent the productivity gains. 

The concepts of well-being and wellness, however, are fairly broad, abstract ideas, for which there is no universal agreement with any specificity about what it means to achieve well-being or how best to do so.

As a result, the variety of potential solutions for achieving well-being has been fairly broad in their own right, which has led to a great deal of employer experimentation with mixing and matching programs, practices, and policies aimed at promoting well-being.

While not all of those means have been equally effective at fostering and harnessing wellness in the workplace, of course, there does appear to be a growing acknowledgement among professionals in the field that a buffet of disconnected offerings is pretty unlikely to achieve the intended outcomes.

As for how the desired results from well-being related efforts might be better achieved, this recent article from Fortune contains some insight on the matter that may be worth considering.

How To Achieve Better Results From Wellness & Well-Being Programs

  • Offer/Promote Volunteer Opportunities: One recent study involving nearly 50 thousand workers found that of all the well-being-centric benefits they analyzed - including resilience training, apps that monitor sleep, and virtual wellness coaching - the only offering that actually correlated positively with improved workplace well-being was volunteering. 
  • Integrate Well-Being Into Company Culture: It’s not enough to provide a smorgasbord of wellness options and leave it up to the employees to take the next steps. Leadership within the company must be developed and encouraged to prioritize the well-being of their people in order to make it possible for either the employees or the company as a whole to realize the potential of their wellness efforts. 
  • Remove Stressors: Many wellness interventions seem to treat the symptoms without addressing the underlying disease. Removing sources of stress from an employee’s on-the-job experience can be more beneficial than offering solutions that help better manage the resulting stress. Some of the most effective means for increasing wellness company wide can range from increasing schedule flexibility and minimizing work requirements during non-business hours to implementing a 4-day workweek and offering additional mental health PTO.

While the experiment with how best to promote wellness in the workplace will likely continue for some time into the future, it does seem to be becoming more clear that there will be no simple one-size-fits-all solution for every organization.

That said, focusing on the needs and concerns most relevant to your employees and the talent pool you want to attract is emerging as a pretty good place to start.

DEI
How DEI Initiatives Are Adapting To Pushback
The uncertainty surrounding the legal foundations and limitations set on diversity, equity, and inclusion efforts has had a chilling effect in recent years, but 2024 may be primed for DEI advocates to retake some of the ground that had been lost while gaining new footing on some less contentious territory.
January 12, 2024

Benefits PRO recently released a piece that highlights an interesting perspective on the likely influence and prevalence of Diversity, Equity, and Inclusion initiatives in the year ahead.

The article notes that there has been a significant reduction in the scope and number of DEI programs across US companies over the past 2 years - in part in response to the additional calls for oversight and negative attention coming from some policymakers and legislators, as we have covered in previous blog entries.

Even beyond the direct action that has been taken in opposition to some DEI initiatives, the resulting uncertainty surrounding the legal foundation and limitations set on diversity-encouraging efforts has had a chilling effect that has likely discouraged additional DEI exploration and investment more than just staying in line with the letter of the law.

The author’s premise, however, is that these dynamics have resulted in a gap in the market, which creates an opportunity for forward-looking companies to bolster their DEI efforts and potentially not only reap all the benefits that diverse thinking, experience, and representation can bring to cooperative problem-solving, but reimagined and reinvigorated DEI programs can better position your organization to attract and retain a more diverse and currently underserved talent pool.

How Will DEI Programs Evolve In 2024?

Three of the top ways that DEI initiatives are expected to adapt and change over the coming year are through an increased focus on inclusion and equity, better integration into the overall business in a way that can be apparent from both internal and external perspectives, and increased adoption of AI to open up enable more opportunities for people with disabilities.

  • Focusing on Inclusion and Equity: Given that some of the more contentious backlash against some DEI efforts was largely specific to the diversity component, additional emphasis and building out the more inclusion and equity oriented aspects of these programs makes a lot of sense. Some companies are taking a look at their existing policies and looking for ways to expand them to cover additional, complementary services or employee groups who may not have been considered when the policy was originally envisioned and enacted - for example, broadening fertility benefits to include adoption support and/or to apply to same-sex couples. 
  • Ingraining DEI Companywide: To optimize the return on investment that can be gained through well-executed DEI programs including the talent-pool-broadening effect, these DEI efforts must be built into the company culture and operations so that people both inside and outside the company can see that these efforts are a priority, which is a necessary first element in order to maximize their impact. 
  • AI Further Enabling People With Disabilities: Artificial intelligence seems well positioned to impact just about every aspect of life and business in the relatively near future, but one less discussed opportunity that AI will afford is to both increase inclusion and broaden the talent pool by making a much wider range of tasks and roles accessible to disabled people.

You can read more about DEI initiatives and which ones your company should be prioritizing here

Market Insights
Tech Roundup - January 2024
Each month, Mployer collects and presents some of the most relevant and interesting technology-related information, insight, and examples we've encountered in the areas of insurance, workforce management, and employee benefits.
January 10, 2024

Each month, Mployer collects and presents some of the most relevant and interesting technology-related information, insight, and examples we've encountered in the areas of insurance, workforce management, and employee benefits.

Insurance Telemetric Growing Pains

We have noted in the past some of the many reasons telemetrics are becoming more prevalent in the insurance industry, but two recent lawsuits highlight a couple of the more problematic issues being raised by the use of these technologies, which provide insurance companies with the ability to monitor and analyze the performance data of individual policyholders in order to better quantify risk and even prevent some of the potential negative outcomes being insured against.

3 Potential Problems With Telemetrics In The Insurance Industry

  • Better Data Won’t Work In Every Customer’s Favor: While theoretically, most policyholders who incorporate telemetric-device-monitoring into their business operations should see a benefit from risk prevention alone and lower premiums as a result, there are some high-risk policyholders whose risk profiles and claims history data may ultimately lead to a higher rate than anticipated.
  • Negative Telemetric Data May Be Questioned: Among those policyholders whose telemetric performance is assessed as high-risk and leads to higher premiums as a result, some may question the accuracy or integrity of the data produced by the relevant telemetric devices. 
  • Conflicts of Interest Should Be Avoided: While conflicts of interest between telemetric device creators and the insurance companies incorporating the output of those devices into risk and claims assessment processes should be minimized as a preemptive defense against policyholders who question the accuracy of those data and assessments, that defense alone is insufficient to avoid litigation.

Both of the aforementioned lawsuits at issue involve Tesla drivers who saw their insurance premiums go up in response to data gathered from devices in their cars that assess driving performance including turning behaviors, braking behaviors, and initiated collision warnings. 

Going forward in the near term, insurers and policyholders alike would both be wise to consider the implications that potential alignment of interests between telemetric device makers and insurers may have on the propensity of policyholders to take legal action. 

All parties involved would also be wise to be thoroughly aware of the sensitivity of these devices as well as how various data ranges will affect premium expenses with as much specificity as possible.

Insurance AI Goes To Court

United Health is facing a potential class action lawsuit alleging that they are utilizing an artificial intelligence program that denies claims on faulty grounds, which has resulted in multiple deaths, including those of the plaintiffs whose estates are leading this suit.

The core of this case involves nH Predict, which is an AI platform that UnitedHealth has been developing through a subsidiary and using since the fall of 2019.

The primary complaint alleged by the plaintiffs is that United Health overly relies on nH Predict system output that significantly underestimate the amount of post-acute care or recovery-related therapy that patients will need following a traumatic illness and/or injury.

Plaintiffs argue that the system doesn’t take into account various factors that should be included among decision-making criteria, such as patient comorbidities and external factors like whether or not a patient caught a virus or infection while receiving care at a medical facility. 

According to independent research, when complaint denials have been challenged - whether through internal appeals or via administrative courts - around 90% have been reversed, which plaintiffs believe shows that the system doesn’t work and that UnitedHealth is therefore knowingly benefiting from the improper denial of claims that should be covered.

Although the defense has yet to make their case, the path on which this case proceeds and finds ultimate resolution could potentially have serious implications for how AI will be used in the insurance space going forward.

Workforce Management
The Most Pressing HR Issues of 2024
One recent study took an in-depth look at some of the biggest issues in workforce management and provided some recommendations about how best to meet those challenges.
January 9, 2024

Non-profit research organization The Integrated Benefit Institute recently conducted an in-depth study in order to better understand some of today’s most pressing issues in workforce management.

The research involved more than 300 human resources professionals and collected survey data in addition to less quantitative information and insights, largely focusing on the following topics:

  • Prioritization of Benefits
  • Data & Key Performance Indicators
  • Pandemic Takeaways
  • Strategic Investment Targets
  • Conflict Between Business Interests and Employee Interests
  • Challenges Implementing Effective Employee Well-Being Initiatives

Employers’  Top Organizational Goals

One of the most interesting insights that the research data revealed is that more than half (51%) of respondents claimed that improving employee job satisfaction was their organization’s top goal heading into the new year, which underscores the continuing resilience of the labor market and a power balance that remains relatively favorable to labor. 

Mitigating expenses and boosting revenue was the top priority for the vast majority of the remainder of study participants, accounting for 41% of survey responses. 

Employers’ Top Benefit Priorities

According to the survey results, participants ranked the following employee benefits as top priorities for their organizations:

  • Mental Health & Well-being
  • Financial Security
  • Physical Health & Wellness
  • Job Flexibility and Life Balance
  • Caregiving Support

There were of course generational discrepancies in benefit prioritization, for example employees age 46 and older were most interested in preventative health screenings and retirement related financial concerns, whereas employees under 30 placed the highest priority on work-life balance and fitness/wellness initiatives. 

Organizational Data Habits

The study also revealed that while the adoption of better data collection and management practices is becoming fairly widespread across industry in general, there are still significant opportunities to improve internal processes and gain competitive advantages through better/broader data capture and analysis.

Perhaps unsurprisingly given the employee-job-satisfaction focus that many organizational leaders are emphasizing in the new year, the highest rate of adoption among data categories in the survey responses was the collection of employee job satisfaction data, which nearly 3 out of 4 (72%) survey respondents reported collecting.

Only a little more than half of responding organizations gather data on employee retention or productivity (57% and 52%, respectively), which may reflect the continuing prevalence of outdated presumptions about diminishing returns in the quality of these kinds of measures that have not kept up with recent advancements in data analytics.

Interestingly, when it comes to health care, 64% of survey participants conduct a formal review of their health programs every year, but only 44% of respondents gather the necessary health data from their employee population to optimize the effectiveness and utilization of those health programs. 

Strategic Benefit Design Recommendations For Employers 

Based on their analysis, the authors make the following recommendations as to how employers can best adapt to the changing market conditions outlined above:

  • Evaluate current policies in light of the company mission and the evolving tactics being employed by the company in the furtherance of that mission;
  • Consider creating work arrangements and work flexibility policies that take into account the needs of each role/team on a smaller, more granular scale as opposed to a one-size-fits-all approach;
  • Develop employees internally to fill skill gaps and build a stable talent pool; 
  • Prioritize quality benefit outcomes over employee benefit engagement rates; and
  • Provide additional, specialized training for managers and company leaders;

You can read more about this study and the resulting analysis here.

Economy
The Employment Situation for January 2024
The latest economic release from the Bureau of Labor Statistics reports that the U.S. added 267 thousand new jobs last month, while the unemployment held steady at 3.7%.
January 8, 2024

Editor's Note: This report is based on survey data from December 2023 that was published in January 2024. This is the most recent data available. (Source: Bureau of Labor Statistics)

US companies turned in another expectation-exceeding performance last month, adding 267 thousand new jobs and topping the adjusted 173 thousand new jobs from the month before by a significant margin.

At the same time, the unemployment rate held steady at 3.7% for the second month in a row after coming down by two-tenths of a point in November, marking the twenty-third consecutive month with unemployment below 4%. 

The final month of 2023 from which this data was gathered mostly reflected stability - both on a monthly and an annual scale. 

For example, the number of long term unemployed people in the US is currently about 1.25 million, which isn’t substantially different than it was a month ago at 1.22 million, nor is it substantially different from the 1.11 million American adults categorized as long term unemployed in December of 2022. 

Similarly, while the labor force participation rate fell by three-tenths of a point last month from 62.8% to 62.5%, neither of these figures are meaningfully different from the 62.3% labor participation rate measured the same time one year ago. 

On the other hand, there was a little month-to-month movement in terms of the number of people who were employed part time as a result of having hours cut and/or being unable to find full-time work, which rose by about 217 thousand over the last month up to 4.21 million. 

That increase, while still fairly small as a proportion, represents a significant jump relative to the stability of the past year given that the number of people occupying this category had only risen by a bit more than half that (116 thousand) over the prior 11 months combined. 

The number of people who are not currently in the labor force but want a job saw a larger proportional increase, however, with growth of nearly 10% over the year, climbing from 5.16 million to 5.67 million people over the last 12 months. 

As for industry growth, the government sector saw the largest share of new payroll entries with the addition of 55 thousand jobs last month, followed by the healthcare and leisure and hospitality industries which both added about 40 thousand new jobs, while the social assistance industry added 21 thousand, and the construction and retail industries each added 17 thousand to their ranks.

The professional and business services industry saw a small amount of growth (+ 13 thousand) but in practical effect its job numbers month-to-month were essentially unchanged, alongside the mining, manufacturing, wholesale, oil and gas production, and financial activities industries.

Average hourly earnings rose last month by about 15 cents up to $34.27 per hour. Over the course of the year, hourly earnings are up a little over 4%.

The average workweek dropped by one-tenth of a point to 34.3 hours per week. 

Mployer's Take

The beginning of this year feels very much like the beginning of last year in many ways, and we can only hope we get similar results.

At the end of last year, there was a considerable amount of speculation that the US economy would experience some significant turbulence over the course of the year, and while the labor market has certainly softened somewhat, forecasts of anything close to recession clearly have not come to fruition.

Currently, there are still plenty of indicators that economic perils may yet await on the road ahead, and some additional labor market softening would seem to be almost certainly in store especially given that the cumulative effect of the Federal Reserve’s interest rate hiking campaign has likely not yet had its peak impact. 

That said, it would be hard to make the case that recession looks more likely to occur now at the  outset of 2024 than it did at the outset of last year.

Even though 2023 had the benefit of being kicked off by an unseasonably warm January on the heels of an unseasonably cold December which provided an economic boost that 2024 is unlikely to match, we still seem prepared to start the new year in a comparably strong economic position. 

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