How to Plan for Benefits in 2021 and COVID-19
August 27, 2020

Studies show that it is important for employers to consider updating their employees’ benefits programs to better suit their employee’s needs. This includes changing the design of employee benefits and the need to assess and modify their benefits packages for 2021.


We will clue you in on the most popular changes being made for the 2021 enrollment season.


Possible Increase in Cost and Plan Design

We are expecting plans to increase in cost as we head into 2021. Over the past several years, premiums have been on the rise of approximately 6% on average. Though quite a few health care providers are waiving fees related to COVID-19, those costs will likely trickle down over time. With many patients putting off elective surgeries and procedures during the pandemic, they may decide to move forward with care in 2021, which would increase claims and costs.


As an employer, you may see the need to consider plan design changes for the upcoming 2021 enrollment period. Some options to consider include cost-sharing or new plan options, like you have probably thought about in previous years. However, the pandemic has added some new challenges many of us have not faced before, so we have compiled here some new options to consider implementing for your employees:


Telehealth

Communicating electronically with a doctor or medical professional by phone or video chat is an option we now have. This platform has increased in popularity over the past few years, and the pandemic has demonstrated just how valuable telehealth benefits can be. Many insurers are currently covering telehealth in their plans, and most likely we will see more following this trend.


According to a FAIR Health survey, there has been a giant increase of 4,347% nationally in telehealth since March 2019 until March 2020. As the pandemic advanced, hospitals and providers encouraged the use of telehealth for non-life-threatening care, rather than making the trip in and increasing the risk of exposure.


Since telehealth is on the rise, your business may want to consider your current health benefit plans and think about adding or enhancing this benefit.


Mental Health Benefits

Ginger, a mental health provider, found through a survey that almost 7 in 10 employees labeled the pandemic as the most stressful time in their careers. Many are experiencing hard financial times, balancing new responsibilities as a caregiver to their kids and elders, and trying to maintain their physical health. During this challenging time, it is understandable that your employees may be under a significant amount of stress. This can lead to more health risks, absenteeism, and increased health care costs.


Employers may want to consider offering or improving an employee assistance program (EAP) and increasing mental health resources for 2021.In addition to EAP’s, employers may want to add telemental health services and provide access to mental health professionals or apps. SimcoHR has a Sim“Co-Pilot” app that can provide this confidential service for your employees as well as other beneficial features.


Flexible Benefits

Employers are feeling the pressure to provide flexible workplace benefits. Flextime, increased PTO and allowing employees to telecommute are now favorable options for employees. Since the pandemic, the need for these benefits have skyrocketed. Creating balance between work and caregiving responsibilities can be tough and lead to lower productivity, poor mental health, and heightened stress for employees. With a potential second wave of COVID-19, parents are trying to decide how they will school their kids while trying to work. Those with aging parents are also juggling their responsibilities. Some employees may be high-risk for contracting COVID-19 and may not be comfortable returning to the office every day.


Because of all of this, employees are seeking more flexible benefits such as:

  • Working remotely—This may not be possible in every situation, but those employees who are working from home because of the pandemic, and are just as productive as being in the office, may come to expect this benefit to continue in the upcoming year.
  • Flexible hours-Offering flexibility may help employees balance work and home responsibilities and prove to them that their health is a top priority.
  • These are a few ideas of how your business can offer better benefits for your employees in 2021 that employees view as incredibly valuable.


Virtual Open Enrollment

Open Enrollment is usually done in the office and during a specific time. Due to the pandemic, you may want to make plans to hold open enrollment virtually. Instead of in-person meetings with your employees, you may want to offer video messages and instructions. Personal text and email reminders about the open enrollment period, may provide a more personal touch. Enrollment and plan benefit information for your employees is available through an app that SimcoHR can provide.


For more information or help with the 2021 open enrollment period, contact SimcoHR.

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January 7, 2025
As 2025 kicks off, the HR landscape is evolving faster than ever before. Technology, shifting workforce expectations, and the need for businesses to be agile in a dynamic global environment are all driving change. What worked yesterday may not be enough today, and companies must adapt to stay ahead. Here are the top five HR trends you’ll need to watch closely in 2025: 1. AI is Changing the Hiring Game Artificial intelligence is no longer just a buzzword in HR—it’s a game-changer. Tools that can scan resumes, match candidates to roles, and even conduct initial assessments are becoming staples for businesses aiming to save time and improve hiring outcomes. In 2024, many organizations began integrating AI to remove unconscious bias and make their hiring practices more inclusive, and this trend is expected to accelerate. 2. Flexibility Isn’t Just a Perk Anymore Hybrid and remote work models are here to stay, but the conversation has shifted. In 2025, it’s less about offering flexibility and more about making it work effectively. Companies are adopting sophisticated tools for remote collaboration, redefining performance metrics, and ensuring policies address the nuances of managing both in-office and remote teams. The focus is on maintaining productivity without compromising employee well-being. 3. Wellness Goes Beyond Gym Memberships In recent years, wellness programs have evolved beyond basic offerings like gym memberships to address a wider range of employee needs. As companies recognize the link between employee well-being and productivity, they’re broadening their focus to include mental health, financial stability, and holistic support. In 2023 and 2024, for example, Delta expanded its employee wellness initiatives by improving access to mental health care. The airline worked with Spring Health, a new EAP provider, to create a larger and more diverse network of mental health professionals, offering better support for both employees and their household members. Looking ahead to 2025, wellness will become more deeply integrated into company cultures. Expect companies to go beyond providing reactive support to fostering proactive wellness through personalized tools, such as mental health apps, financial coaching, and enhanced benefits like paid leave for caregiving. With these programs, businesses are not just addressing immediate health concerns but also empowering employees to manage their overall well-being in a more holistic way. The focus will be on creating a supportive, sustainable work environment that helps employees thrive both at work and in their personal lives. 4. Upskilling is a Competitive Necessity Technology is evolving faster than ever, and companies are racing to keep up. Upskilling employees in areas like data analysis, AI, and emerging tech became a priority in 2024, and it’s clear that this trend will only grow. Businesses that invest in continuous learning programs—whether through certifications, on-the-job training, or digital learning platforms—are better positioned to stay ahead in their industries. 5. Data is Driving HR Decisions HR is leaning heavily on people analytics to guide decision-making. Instead of relying on intuition, businesses are using data to understand employee engagement, pinpoint reasons for turnover, and improve productivity. The emphasis on metrics like employee sentiment and workforce utilization gained traction last year, and more organizations are embedding analytics into their HR strategies to tackle challenges proactively. Final Thoughts The HR landscape in 2025 will be shaped by these transformative trends. Businesses that embrace innovation and prioritize their people will find themselves not just adapting but thriving in the evolving workplace. As these trends unfold, staying proactive and flexible will be the key to turning challenges into opportunities.
January 6, 2025
The IRS has released the 2025 Patient-Centered Outcomes Research Institute (PCORI) fee , which will increase to $3.47 per covered life —a $0.25 increase from 2024. This fee applies to plan years ending on or after October 1, 2024 , and before October 1, 2025 . What is the PCORI Fee? The PCORI fee was introduced as part of the Affordable Care Act (ACA) to help fund the research conducted by the Patient-Centered Outcomes Research Institute (PCORI). This research focuses on improving healthcare outcomes by comparing different medical treatments. The fee is levied on insurers, as well as self-insured and level-funded health plans. The fee is calculated based on the average number of covered lives under a plan and is due once a year, with the filing occurring during the second quarter on Form 720 , the Quarterly Federal Excise Tax Return . The payment is due by July 31 each year. Key Details for Employers and Plan Sponsors Who is Affected? : The fee applies to health insurers, self-insured health plans, and level-funded health plans. When is it Due? : The fee must be reported on Form 720 and paid by July 31 each year. How is it Calculated? : The fee is based on the average number of covered lives during the plan year. The updated $3.47 per covered life fee will be in effect for health plans with policy years ending between October 1, 2024, and October 1, 2025. Employers should be prepared to account for this increase when filing for 2025. For more information on the PCORI fee and its reporting requirements, consult the IRS Bulletin 2024-49 , published on December 2, 2024, or visit the IRS PCORI Fee page . 
January 6, 2025
In a move welcomed by many employers in the hospitality and service industries, the U.S. Department of Labor (DOL) has officially reinstated the pre-2021 tip credit rule. This change, effective December 17, 2024, follows a recent court of appeals decision that vacated the “80/20/30” tip credit rule that had been implemented under the Trump administration. If you’re wondering what this means for your business, don’t worry—this update doesn’t require any immediate action on your part. What Was the "80/20/30" Rule? Before we dive into the implications of the DOL’s latest rule change, let’s quickly review the "80/20/30" rule. This rule, introduced in 2021, placed specific restrictions on how much time tipped employees (such as waitstaff and bartenders) could spend on non-tip-generating duties (e.g., cleaning, setting up, and other side work). The rule essentially required that tipped workers spend at least 80% of their work hours on tip-generating activities to continue qualifying for the tip credit. Moreover, under the "80/20/30" rule, employers could no longer use the tip credit to offset wages for certain non-tip-producing activities, and they had to ensure that employees spent no more than 30 minutes at a time on side duties. This increased the burden on employers, as it required more careful tracking of employee duties and work hours to remain in compliance. Why Was the Rule Vacated? The court of appeals decision in August 2024 ruled that the "80/20/30" rule was too restrictive and inconsistent with the intent of the Fair Labor Standards Act (FLSA), which allows employers to take a tip credit for workers who perform both tipped and non-tipped duties. The court found that the new rule created unreasonable administrative burdens and restrictions that were not in line with past practices or legal precedents. In response to this ruling, the DOL moved quickly to restore the pre-2021 tip credit rule. What Does the Reinstatement of the Pre-2021 Rule Mean for Employers? With the reinstatement of the pre-2021 tip credit rule, the DOL has effectively simplified the way employers can apply the tip credit to their workers. Under the prior rule, employees who perform a combination of tipped and non-tipped duties can still qualify for the tip credit, as long as their primary job responsibility is related to tipped work. Employers no longer have to track the precise breakdown of time spent on tip-generating vs. non-tip-generating activities in the same way. This returns to the more flexible guidelines where as long as tipped employees perform "related" duties (e.g., cleaning their station, setting up for service), they can still receive the tip credit for those hours, provided those activities don’t dominate their workday. What Action Is Needed from Employers? For most employers, this change will not require any immediate action, as the final rule effectively restores the pre-2021 approach. The main thing to note is that employers should continue to comply with the broader requirements of the Fair Labor Standards Act (FLSA) and ensure they are properly paying employees at least the federal minimum wage (including tips) when they apply the tip credit. Here are a few things to keep in mind: Reassess Timekeeping Systems: While the rule change simplifies some aspects of record-keeping, employers still need to ensure they have a timekeeping system in place that accurately tracks the hours worked by tipped employees. It is essential to ensure that the wages (base pay plus tips) equal at least the federal minimum wage. No Need for Immediate Adjustments: If you were already applying the pre-2021 tip credit rule, no changes are necessary on your part. For those who had adjusted to the "80/20/30" rule, reverting back to the previous method should not require significant changes. State and Local Laws: Employers should still be mindful of any state or local laws that may have stricter requirements than federal law. Always check your state’s labor regulations to ensure full compliance. Why Is This Change Important? The reinstatement of the simplified tip credit rule provides relief to many employers, particularly in industries like restaurants, hotels, and other service-based businesses where tipping is common. The pre-2021 rule is seen as more employer-friendly, offering more flexibility in how tipped employees can spend their time without losing eligibility for the tip credit. For employers, this means less administrative burden, reduced risk of compliance issues, and potentially fewer legal challenges. This shift is a step toward simplifying labor law compliance for businesses already struggling with the complexities of wage and hour rules. Looking Ahead As we move further into 2025, it’s important for employers to stay informed of any future changes in federal labor regulations. While this change restores a previous rule, the DOL’s stance on tip credits and wage issues can continue to evolve. Employers in tip-dependent industries should continue to monitor updates from the Department of Labor and legal rulings to ensure ongoing compliance. The DOL’s restoration of the pre-2021 tip credit rule is a welcome change for many businesses, offering a return to simpler guidelines and less restrictive requirements. For most employers, no immediate action is required, but it’s always a good idea to review your practices to ensure they align with the updated rule. If you need further assistance in navigating these changes, reach out to Simco to ensure your business stays compliant in 2025 and beyond. 

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