Why is our product relevant in the market?

To answer this, I want you to think about the market and analyze where it’s at and where it’s trending.

If you’re staying current, you’ll know that there’s a gig economy, and it is one of the places I’ve seen our product do very well. Gig workers are employees who work variable hours. They are independent contractors, online platform workers, contract firm workers, on-call workers and temporary workers.

Legislation has been put in place on which employers need to classify these gig workers as employees, and there are only a few types of companies that are exempt. Everyone else is subjected to ACA filing and reporting if they are considered an Applicable Large Employer and they are required to offer minimum essential coverage to their employees.

Our products are very relevant in the gig economy to ensure that all workers can be offered affordable health insurance coverage. As major medical premiums continue to increase, so does the cost of living. Often times employers might think they are limited in what they can offer their employees, and even if they offer their employees a bronze-level medical plan, most of them can’t afford to have it or use it.

One of the most relevant factors is employers want their broker to bring them affordable solutions, which is where Evolved Benefits steps in. We can even assist with the navigation of complex government contract insurance solutions and compliance-related insurance issues.

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

This week we want to focus on a case study with a print shop.

This print shop was only 12 people strong, and it grew to 200 employees in about a year and became an around-the-clock shop. Only six or seven people were enrolled on the group’s HMO plan. This was the health plan they continued to offer year after year without looking at the data.

We were invited to come on board, and in the pre-enrollment meeting we discussed our solutions and how valuable these health plans will be for the employees and the employer. Our focus was to build value into their benefit plan so that it encouraged employees to stay, while also motivating them to stay ahead with their health.

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

This week we want to review the most common objections we hear when we’re on the phone with employee benefit advisors talking about our solutions.

Objection Number One – This isn’t real insurance.

Our Approach – All of our minimum essential coverage plans are in fact a health plan and they are ACA compliant, and you can offer these solutions to your clients.

Objection Number Two – There’s no way these particular solutions pay enough commissions based on the premiums.

Our Approach: Our commissions are often on par with or even far exceed the major medical commissions with the group. A lot of times the broker only has a core amount of employees insured on a plan and they haven’t cast a net over the entire population, offering solutions to those that waived the major medical or those who are part time or variable hour. Once we do an open enrollment, you see that the commissions are actually very lucrative.

Objection Number Three: Advisors say they are not comfortable in talking about these solutions because they don’t want to jeopardize the commissions from the major medical plan that they have in place.

Our Approach: I completely understand that, but that’s really just another way of saying I don’t understand this solution, and I’m not comfortable talking about it, so I’m not going to talk about it.

At the end of the day, these are all very easy conversations to have. I’d be happy to talk through our solutions with you in detail so you will be comfortable showing them to your clients. I often join benefit advisors on calls with their clients as an extension of their team and subject matter expert. I want to help you add more value to the services you offer.

I look forward to connecting with you soon.

Contact — Evolved Benefits

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

This week I want to highlight the Family Glitch Act proposed by the Biden administration. If you haven’t heard of this act, it is in response to a section of the ACA that decreases the ability for families to qualify for health subsidies that make healthcare more affordable.

Currently, families do not qualify for health subsidies if they pay 9.61% or less of their paycheck on health insurance.

The current administration’s expanded health subsidies proposal aims to allow family members who pay more than 10% of their income toward health coverage to qualify for a subsidy.

Through this proposal, nearly 1 million Americans will have access to more affordable healthcare, and nearly 200,000 will gain coverage.

I think this is a good thing for low-income employees and people that have families. It will make health insurance more affordable to about 5 million more Americans than there are currently today.

Now, it’s great for these families to afford coverage, but let’s talk about how that will affect the employers, especially those considered Applicable Large Employers (ALEs) who are not offering at least minimum essential coverage to 95% of their staff. The Family Glitch Act will draw more people over to the exchange, and they will receive subsidies. This will trigger Penalty B more than ever for their employers. Penalty B is triggered when a person is not offered affordable coverage from their employer, and they go on to the exchange and get a subsidy.

As a trusted adviser and employee benefits broker, you need to get ahead with industries that have companies that fall into this category.

If you’d like to know more about the Family Glitch Act, call me, reach out to me on LinkedIn, or email me.

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

This week we are discussing the cause and effect of the Build Back Better Bill. Our current administration has put this into effect because they want to encourage Americans to enroll in the state exchange and receive a subsidy.

For some people, this is excellent news! Some people need a subsidy, or they’re not offered coverage from their company or may not be eligible. These employees might work multiple part-time jobs, so they don’t have access to employer-provided coverage.

Many of these folks don’t understand that once they enroll in the state exchange, it puts their employer in a particular category with the IRS that could trigger an audit, and if the IRS determines that the employer is an Applicable Large Employer (ALE), they could be subject to hefty penalties.

Currently, we have a record number of people enrolling in state exchange healthcare programs. Over 14.5 million people have enrolled this year. That’s a huge spike from last year.

Why are people enrolling?

Well, it’s simple. The increased government subsidies are there to help. There are also very high enrollment rates in states with no Medicaid expansion.

The exchange health plan premiums can be up to 90% less than what’s being offered to people on the open marketplace or from their company because the company is only offering a major medical plan to the full-time eligible workers with salaries that can justify spending that on their health plan. Instead, the state exchange ensures that people will not spend more than 8.5% of their household income on the health plan.

All workforce employers must offer a minimum essential coverage plan to at least 95% of their full-time equivalent employees. An audit will be triggered if those employees go to the state for coverage and get a subsidy. This will affect the employer because they will get an IRS Letter 226-J, and there will be a short window to respond, pay the penalty, get in compliance, and try to make sure that they don’t get penalized the following year. Keep in mind that there’s no statute of limitations on a company being out of compliance. Once you receive an audit, they’ll go back as far as they can and get you for all those years.

There’s been a spike in enrollment on the state healthcare exchange because of affordability. This is great for many people, but this can be an issue for employers. As an employee benefits advisor, you must protect your clients from this. You need to understand the Build Back Better Bill and why it’s in place.

I would be happy to jump on a phone call and accompany you with your group as an extension of your team.

I hope that you all take this very seriously because when your group reaches out to you and says that they got a 226-J letter, they’re going to be wondering why they even got it. You’re their broker; you’re supposed to be helping them and making sure this doesn’t happen.

Reach out here with any questions:

Contact — Evolved Benefits

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

Benefit advisors need to understand how to help a company that is considered an Applicable Large Employer (ALE), so I want to introduce you to a tool we have on our website, evolvedbenefits.com.

Under the Resources tab, you will find our FTE Calculator. This tool will help you in advising companies that are considered an ALE. An ALE is an employer that has 50 or more full-time employees, or full-time equivalent employees (FTE).

It’s important to show an employer what its risk is if the company does not get itself into compliance. Under the rules of ACA, there are penalties for employers who are not offering at least minimum essential coverage.

For example, if we look at an employer with 100 FTE, the monthly penalty cost is just over $16,000 for not having an ACA-compliant health plan in place for their employees. At a 21% tax rate, that’s almost a $20,000 a month penalty. When you calculate that over a year, that’s over $230,000!

The monthly cost of having those same employees on my $45 minimum essential coverage plan (MEC) is $3,150. In this situation, you actually see a negative tax rate, so the total cost is just under $2,500 per month to have those same employees covered on a health plan with tangible benefits that they can use. The annual cost to the employer is just under $30,000. You’re saving your client over $200,000!

What kind of companies are we talking about? Staffing, agribusiness, logistics, warehouses, landscaping, janitorial, cannabis, assisted living facilities, home health care, and many more businesses can make use of this.

There’s also a new segment of employees called gig workers. These employees are variable hour employees that work sporadically for a company so their hours may be difficult to track, but if you add these employees together, that company could in fact be considered an ALE and not even know it.

If you use our FTE Calculator you can calculate what the risk exposure is, and that is a definite segue into a meaningful conversation that you can have with the employer.

If you’re not the incumbent broker, this is the type of information that would have your prospect questioning their broker, and it may convince them to partner with you.

Always bring value to your clients. I hope to chat with you soon.

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

Today we are looking at another industry in our educational series for employee benefits advisors. Let me show you where the opportunities are within the security guard industry.

Right now, there are over 1.4 million security guards employed in the United States, and the average age of a security guard is about 44 years old.

Why is that important?

When discussing health insurance, most of these security guards aren’t “young and invincible.” They’re at an age where they need to stay on top of their health. They need affordable access to quality care.

It can be very challenging to find access to quality care when the average salary for a security guard is just under $32,000. It doesn’t matter what state you live in; that salary does not justify a $400-$600 monthly premium for your health insurance.

I’ve worked with a few security guard companies over the last 18 months that had no idea they’re an applicable large employer, meaning they have 50 or more full-time employees or full-time equivalent employees. They’re subject to ACA filing and reporting, and they don’t understand that.

Most major medical brokers have been selling fully insured plans for most of their careers. They haven’t had to know the importance of the ACA employer mandates because they’re always offering a plan that checks the box of both Penalty A and Penalty B.

The employers in the security guard industry need your help. If you’re looking for new opportunities, and a way to generate new revenue while helping more people gain access to affordable health care, this is undoubtedly one of the industries you should look in to.

Let’s schedule a time to talk. I can show you how to get in front of these folks and have meaningful conversations with them.

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

This week, we continue our series on industries Evolved Benefits works well with. Let’s talk about the trucking industry, which I hold close to my heart because in my past life, I was a diesel mechanic. I got to know a lot of truckers, and I understand the lifestyle.

I understand how much time these folks spend away from home and their families. Most importantly, I know how thankless their job is.

There are over 2 million truckers holding jobs for the various trucking companies in the United States. I’m not talking about the independent drivers that own and operate their own Peterbilt. I am talking about the companies with fleets of trucks and their employees driving all over the country.

Tractor and truck drivers have some of the highest injury and illness rates of just about any occupation, and statistics show that the average wage of these truckers is about $48,000.

For brokers, that equals an opportunity to help.

Our health plans are not only affordable, but they’re on a national PPO network. That makes it perfect for a trucker navigating different zip codes. It makes it possible for them to access affordable care and find quality doctors in their area.

Right now, we have a trucking company in open enrollment, and the broker was having difficulty logistically getting an open enrollment meeting together. We solved that through our turnkey solution with a virtual enrollment company. They offer benefits communication to these truckers wherever they are. They can access it right from their smartphone. They can even make a phone call and receive benefits counseling.

Not only did we provide these truckers access to affordable care, but we were also able to offer benefits education on their time.

I hold the trucking industry close to my heart. If you are an employee benefit advisor working with trucking companies, I encourage you to look under the hood. See how many people you have on the health plan versus how many people are on the employee roster. Let’s have a conversation so we can help more business owners keep all their employees healthy.

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

The landscaping industry is highly underserved. There is a ton of opportunity for employee benefits advisors to bring real value and help employees of these companies get access to quality healthcare.

There are over 1.2 million employees in the landscaping industry. That’s a massive opportunity. There are over 604,000 landscaping companies in the United States, many of them highly concentrated in the states of Florida, California, and New York, and with many opportunities remaining in other states, it’s well worth your consideration.

The average salary is $35,400 for a landscape employee, and the average employee is in their mid-40s. Why is this important? Because when you’re in your mid-40s you need to stay on top of your health. We’re not young and invincible any longer.

If the employers of these landscape businesses knew there was a way to provide affordable healthcare to their employees, they would jump on it.

It’s your job as an employee benefits advisor to bring solutions, and it’s my job at Evolved Benefits to show you how to get in front of these companies and have meaningful conversations.

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]

We are continuing our series on industries we work well in, and this week we’re highlighting the Home Healthcare Workforce.

The home healthcare workforce is also referred to as assisted living workers, and these companies have a lot of part-time, variable-hour employees. I believe this industry presents an excellent opportunity for you as an employee benefits advisor.

First, the population of older people over the age of 65 will nearly double from 47 million to 88 million very quickly. And if you double the number of the folks that need assisted living, you need to more than double the number of people that work to care for these people.

It’s predicted that the home healthcare workforce will be up to 2.2 million employees by next year. That is a massive opportunity for benefit advisors.

Many of these employees do not have access to employer-provided benefits. They make minimum wage, they work part-time, and their salaries don’t justify paying for a major medical plan. And often, the employer can’t justify even paying half of a bronze-level major medical plan.

Take a minute to think about what these folks do for a living. They take care of older people. And they need to be healthier than the people they’re serving. We need to provide them affordable access to quality care.

Another issue these companies have is compliance. Many of them have no idea that because they have over 50 employees, they are considered an applicable large employer and are subject to ACA reporting. This is a conversation you can have with any employer, but especially those in the home healthcare industry.

Evolved Benefits has solutions for you to bring these employers. We can help you serve more people than you are today and grow your business.

If you want to learn more, message me on LinkedIn, give me a call, or email me!

Tommy Gaffney

VICE PRESIDENT OF SALES

Tommy is a Vice President of National Sales with over 17 years experience in healthcare, commercial, and personal lines markets. Connect with Tommy
📞 (888) 447-9994
in https://www.linkedin.com/in/tommygaffneyrsm/
✉️ [email protected]