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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Navigating Rising Long-Term Care Costs: Essential Insights for Franchise Group Employees

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Healthcare Provider Update: Healthcare Provider for Franchise Group The Franchise Group, a company operating several retail and service brands, typically partners with major health insurance providers to offer healthcare coverage to its employees. While the exact provider may vary, large national insurers such as UnitedHealthcare, Anthem, and Aetna are commonly chosen by companies in similar industries for their comprehensive plan offerings. Potential Healthcare Cost Increases in 2026 As we look ahead to 2026, healthcare costs are anticipated to surge significantly, primarily driven by the expiration of enhanced federal premium subsidies associated with the Affordable Care Act (ACA). Many states are bracing for substantial rate hikes, with some insurers proposing increases of over 60%. The Kaiser Family Foundation highlights that without congressional intervention, nearly 92% of marketplace enrollees could face out-of-pocket premiums climbing by as much as 75%. Combined with rising medical costs, these factors are likely to put considerable financial pressure on consumers and companies alike in the coming year. Click here to learn more

It is crucial for Franchise Group employees to actively prepare for the unexpected expenses that come with long-term care in order to guarantee their financial future,' says Patrick Ray, from The Retirement Group at Wealth Enhancement Group.

Managing long-term care is not merely a question of awareness: it means action,' says Michael Corgiat of The Retirement Group, a division of Wealth Enhancement Group.

In this article we will discuss:

Financial Planning for Long-Term Care: In this article, we will look at the costs and ways of paying for long-term care, and why it is a problem for Franchise Group employees and how strategies like insurance and savings can help.

Insurance Options and Benefits: In this paper, the different types of insurance plans provided to employees are evaluated, including the traditional and hybrid plans, and the employer-provided plans, and their implications for the future financial situation.

Family and Personal Impacts: In this paper, the emotional and financial impacts on families, the different ways of handling potential long-term care situations, and the importance of planning for these scenarios are discussed. As a Franchise Group employee nearing retirement, long-term care must be addressed. The government estimates that 70 percent of older adults will need some form of long-term help. Nevertheless, a Kaiser Family Foundation survey reports that many have not planned for this.

The Cost of Long-Term Care

This is important for the employees of Franchise Group to know the financial consequences of long-term care. The Genworth Cost of Care survey reveals that the cost of a year in a private room nursing home is more than $100,000 and home health aides are more than $60,000 a year. Since Medicare does not pay for these expenses, alternatives like personal savings, hybrid insurance policies, annuities with long-term care features, traditional insurance or Medicaid (after the assets are exhausted) have to be considered.

Family Impact: The effects of unprepared long-term care can be financially and emotionally devastating to family stability. This paper provides practical suggestions for Franchise Group employees on how to manage these possible costs.

Conventional Insurance for Long-Term Care: For the workforce of Franchise Group, long-term care insurance can be obtained only when one is fit, applies early and can afford to pay the premiums. However, only a small percentage of those who are eligible take this insurance.

The Price of Long-Term Health Insurance: Purchasing long-term care insurance at forty or early fifty can lead to lower premiums. With age, not only do the premiums rise but the chance of being turned down for coverage also rises.

Ways to Reduce Costs: According to the findings of the study, Franchise Group employees may have to turn to purchasing insurance at a young age, buying policies that have the joint benefit for couples or choosing a longer waiting period to buy the policy at a lower price. Making annual premium payments also saves on costs.

Benefits for Franchise Group Employees: Some employers may provide long-term care insurance as a form of benefit and such insurance is portable upon leaving the employment.

Hybrid Insurance Policies: Long-term care insurance has become popular and there is a shift toward hybrid policies that combine life insurance with long-term care benefits. These are accessible but are generally more expensive than standalone policies.

Long-Term Care Rider Annuities: A type of annuity that includes a long-term care rider may be more suitable for some retirees in that they make payments regardless of long-term care needs and tend to have less stringent health requirements.

Independent Insurance: High net worth retirees may decide to self-insure and therefore need to have a sufficiently large balance sheet to be able to pay for the potential long-term care expenses. It is important for Franchise Group employees to consider the tax consequences of using their retirement funds for these expenses.

Health Savings Accounts (HSAs): HSAs are a form of tax-preferred savings vehicle for long-term care expenses that can be used by Franchise Group employees with HDHPs. These accounts are funded with pre-tax dollars, and can be used to save for medical expenses without incurring taxes on growth or distributions.

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Family Guidance: As the example of Nancy Yung and her family shows, family plays the most significant role in long-term care and thus retirees will often turn to their family for care.

In Summary:

Long-term care planning is basically laying down a safety net for retirement, which is crucial in addressing rising housing and food costs. It is the responsibility of Franchise Group employees to meet with their financial advisors to identify all the possibilities of protecting their future. This planning is not only about risk avoidance it is also about assisting in a steady and protected path to retirement.

Sources:

  1. Shah, Samir. 'Genworth Releases Cost of Care Survey Results for 2023: Twenty Years of Tracking Long-Term Care Costs.' InsuranceNewsNet, InsuranceNewsNet, Mar. 12, 2024,  www.insurancenewsnet.com .
  2. Stulick, Amy. 'Nursing Homes See Lowest Cost Increase Among Long-Term Care Settings in 2021.' Skilled Nursing News, Skilled Nursing News, Feb. 16, 2022,  www.skillednursingnews.com .
  3. Noceti, George M. 'Checklist: Is It Time for Assisted Living?' Morgan Stanley, Horsesmouth LLC, 2018,  www.morganstanley.com/theintegragroup .
  4. Reimer, Jennifer. 'Support for an Aging Parent or Relative.' Advisor.morganstanley.com, Morgan Stanley, 2018, advisor.morganstanley.com.
  5. Haendiges, Brian. 'The Cost of Long-Term Health Insurance.' Genworth Financial, Genworth Financial, 2024,  www.genworth.com .

What retirement savings options does Franchise Group offer to its employees?

Franchise Group offers a 401(k) savings plan to help employees save for retirement.

How can employees at Franchise Group enroll in the 401(k) plan?

Employees at Franchise Group can enroll in the 401(k) plan by completing the enrollment forms provided during orientation or through the employee portal.

Does Franchise Group match employee contributions to the 401(k) plan?

Yes, Franchise Group offers a matching contribution up to a certain percentage of employee contributions to the 401(k) plan.

What is the vesting schedule for the 401(k) match at Franchise Group?

The vesting schedule for the 401(k) match at Franchise Group typically follows a graded vesting schedule over a period of time, which will be detailed in the plan documents.

Are there any fees associated with the Franchise Group 401(k) plan?

Yes, there may be administrative fees associated with the Franchise Group 401(k) plan, which will be disclosed in the plan documents.

Can employees take loans against their 401(k) balance at Franchise Group?

Yes, Franchise Group allows employees to take loans against their 401(k) balance, subject to the plan's terms and conditions.

What investment options are available in the Franchise Group 401(k) plan?

The Franchise Group 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.

How often can employees change their contribution amounts to the Franchise Group 401(k) plan?

Employees at Franchise Group can change their contribution amounts to the 401(k) plan typically on a quarterly basis or as specified in the plan documents.

What is the minimum contribution percentage for the Franchise Group 401(k) plan?

The minimum contribution percentage for the Franchise Group 401(k) plan is usually set at 1% of the employee's salary, but employees are encouraged to contribute more if possible.

Can employees at Franchise Group access their 401(k) funds before retirement?

Employees at Franchise Group may access their 401(k) funds before retirement under certain circumstances, such as financial hardship or termination of employment.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Franchise Group, like many companies, offers retirement plans to its employees, including both pension and 401(k) plans. As of 2022, 2023, and continuing into 2024, Franchise Group aligns its retirement benefits with federal legislation, including the SECURE Act and SECURE 2.0 enhancements​ (RSM US)​ (National Law Review). For its 401(k) plan, employees are automatically enrolled at a contribution rate of 3% of their salary, which escalates annually up to 10%, per changes beginning in 2024. Employees have the option to opt out, but this automatic enrollment is designed to help employees build savings consistently. Franchise Group’s 401(k) plan also offers employer matching contributions​ (CLA). Part-time employees become eligible to participate after two consecutive years of at least 500 hours of service​
Restructuring and Layoffs: In early 2023, Franchise Group announced a significant restructuring plan aimed at streamlining operations and improving efficiency. This move included layoffs affecting approximately 10% of the workforce across various departments. The restructuring was driven by a need to adapt to changing market conditions and enhance financial performance. Company Benefit Changes: As part of the restructuring, Franchise Group also revised its employee benefits package. Changes included reduced health insurance coverage options and modifications to retirement plan contributions. These adjustments were made to better align with the company's new strategic goals and financial outlook.
Franchise Group provides stock options as part of its employee compensation package. These options allow employees to purchase company stock at a set price within a specific timeframe. Franchise Group typically grants stock options to senior management and key employees, based on performance and tenure. Franchise Group options are generally vested over several years, with certain performance metrics required for full vesting. Franchise Group RSUs (2022-2024): Franchise Group also offers Restricted Stock Units (RSUs) to its employees. RSUs are granted to employees but are subject to vesting schedules, which are usually tied to continued employment. Franchise Group grants RSUs to a broader range of employees compared to stock options, including mid-level managers and high performers.
Traditional Group Health Insurance Plans: Franchise Group offers traditional group health insurance plans where the company pays a fixed premium to the insurance carrier. These premiums cover a range of services, including medical, dental, and vision. The insurance carrier assumes the financial risk for claims, offering protection to the company against large, unexpected medical expenses. These plans, however, can become expensive and often require high participation rates from employees​ (StretchDollar). Health Savings Accounts (HSAs): Employees have access to HSAs, which allow them to set aside pre-tax dollars for medical expenses. These accounts are beneficial for both employees and employers, offering flexibility and tax advantages. However, HSAs are only available to employees who have high-deductible health plans (HDHPs), which could limit participation​ (StretchDollar). Individual Coverage Health Reimbursement Arrangement (ICHRA): Franchise Group also offers an ICHRA, which is a newer health benefit option. This allows employers to provide pre-tax funds that employees can use to purchase their own health insurance. This option is flexible and gives employees the freedom to select a plan that fits their needs. It is particularly useful for franchises with smaller workforces or employees located in various regions​ (StretchDollar)​ (Aflac). Compliance with New Regulations: Franchise Group ensures that their health plans comply with the latest federal requirements, including those related to mental health parity and transparency in pricing. The transparency rules require the disclosure of in-network rates, out-of-network allowances, and prescription drug costs, while the mental health parity rules enforce comparative analysis for mental health and substance use disorder treatments​ (Aflac). Recent Developments: The company has also been updating their healthcare offerings to align with new federal mandates regarding surprise billing, transparency in coverage, and parity in mental health services. These changes are designed to enhance employee protections, streamline claims, and provide clarity in pricing, which benefits employees seeking affordable care options​
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