Inova Leadership Institute Communicating with Employees About Compensation and Benefits Presentation by: Ms. Cassandra (Sandy) Johnson Vice President, Human Resources Mr. Jeff Cowart Chief Marketing Officer 0 Inova Leadership Institute Welcome to Inova Compensation & Benefits Training PURPOSE: Provide a high-level overview of Inova’s Total Rewards, how they compare in the market and what you can do to raise employee understanding Discuss the programs, scope and value of Inova’s compensation and benefits programs Conclude with breakout groups based on actual Inova employee compensation & benefit scenarios 1 I n o v a L e a d e r s h Ii p I n s t i t u t e Today’s Session Topics Inova Compensation & Benefits Philosophy High-Level Overview of Inova’s Compensation & Benefit Programs Inova’s Market Value Your Role in Communicating About Compensation & Benefits Your Questions 2 Inova Leadership Institute Inova Compensation & Benefits Philosophy 3 Inova Leadership Institute Key Issues Facing the Health Care Industry Manage Organization Quality/Clinical Outcomes Human Capital • Productivity • Attraction • Retention • Talent Supply Manage Relationships Financial Results Physician Relationships • Key agent/broker • Link of patient to hospital Patient Satisfaction Revenue Generation • Reimbursement levels Market Share • Linkage between hospital, health plan and physician Cost Management 4 Inova Leadership Institute Challenges in Managing Talent in the Health Care Industry Need to control costs in a dynamic environment Diverse workforce Unique staffing challenges • Trouble retaining critical-skill employees • Older workforce • High demand for services • Jobs that require skills and certifications 5 Inova Leadership Institute Compensation and Benefits Program Outcomes The “war for talent” is challenging organizations to assess their Human Resources programs and practices — especially those designed to attract and retain top performers Desired Outcomes of Compensation Program Desired Outcomes of Benefit Program • Market-competitive • Systematic • Cost-effective • Market-competitive • Responsive to employees’ needs • Supports organizational objectives • Valued by employees • Supports improving/maintaining employee health and productivity • Supportive of the business 6 Inova Leadership Institute Inova Total Rewards Philosophy Inova offers employees a total benefits package that: Provides financial security now and in the future Helps employees and their families maintain a healthy lifestyle Fosters learning and career development Inova encourages employees to tailor their benefits to suit their personal needs and circumstances 7 Inova Leadership Institute Inova Compensation Philosophy Inova strives to provide a compensation structure that gives us a competitive advantage in recruiting and retaining talent • Our compensation programs fully support our business strategy, motivating actions and accomplishments aligned with those strategies • We coordinate compensation practices across the system and make strategic decisions to minimize internal competition between units based on pay • We generally target pay at the 50th percentile, or midpoint, of the market • We take a more aggressive position in areas with staffing shortages and business issues that affect patient care, financial stability and agency usage 8 Inova Leadership Institute Inova Compensation Objectives Quality Ensure that policies, procedures and programs are administered in accordance with legal and governmental regulations Ensure that processes are maintained, utilizing continuous improvement principles Service Cost People Provide open and detailed communications about total compensation at all levels in the organization, to help employees gain understanding of the link between their compensation, market data and business results Maintain compensation programs that are competitive within the relevant external labor market Ensure that compensation programs reflect and support our mission Ensure that administration processes and compensation structures manage costs over the long term Growth Community Provide compensation programs that are flexible enough to meet the unique needs that may exist within the organization, now and in the future Be a socially responsible employer by offering marketbased compensation and benefits protection to employees and their families, who are also members of our community Enable managers to attract highly qualified and diverse candidates 9 Inova Leadership Institute Compensation Plan Drivers To determine the across-the-board increase amount and other compensation initiatives, our System-wide Compensation Committee examines the following: Salary survey/market data Current pay rates as compared to Inova’s competitors Organizational business needs Organizational resources Current and future staffing needs Vacancy Agency usage Turnover Inflation index 10 Inova Leadership Institute What Compensation Can and Can’t Do REWARDS can: • Motivate behaviors and results • Engage employees in business success • Recognize valued skills and behaviors • Communicate commitment • Contribute to a great place to work REWARDS cannot: • Create a business strategy • Build a culture • Replace poor leadership • Retain top performers by themselves • Improve morale and commitment 11 Inova Leadership Institute Inova Benefits Philosophy Support employees by providing benefits that offer choice, flexibility, life balance and value Provide tools to educate employees and enable them to make informed decisions Implement focused healthmanagement programs that address the most critical employee health care needs Be in the forefront of new health care direction, both as a provider and as an employer 12 Inova Leadership Institute Inova Benefits Program Objectives Quality Service Cost People Offer a reasonable choice of plans with highperforming, innovative vendors Ensure that vendors provide excellent customer and claimprocessing service Ensure that plan costs are well-managed Ensure that plans are simple, easy for employees to understand and use Enable our ability to retain and attract employees Ensure that plans meet community expectations in keeping with a world-class, highperforming organization Ensure that quality care is available and accessible Assist in and encourage better employee decision making Offer plans that are affordable for both the organization and for employees Promote employee involvement and accountability Anticipate changing needs of our workforce Be a socially responsible employer by offering income protection to employees and their families Ensure that employees have easy access to information that is timely, accurate and relevant Growth Community 13 Inova Leadership Institute High-Level Overview of Inova Compensation & Benefit Programs 14 Inova Leadership Institute We Offer a Comprehensive Benefits Package • • • • • • • MEDICAL Aetna HealthFund Aetna PPO1 Aetna PPO2 Aetna HSA HDHP Kaiser HMO Out-of-Area Plan Opt-Out Credit DENTAL • Aetna High • Aetna Standard PRESCRIPTIONS • Included in Medical VISION • Included in Medical WELLNESS PROGRAMS • BabyNET • WeightNET • BackNET • 75% discount HealthSource classes RETIREMENT BENEFITS LONG-TERM CARE INSURANCE CHILD CARE • On-site at IFH, IFOH and IMVH • Back-up child care at Bright Horizons centers TIME OFF BENEFITS LONG-TERM DISABILITY • 60% • 70% SHORT-TERM DISABILITY • 66-2/3% LIFE INSURANCE • Basic Life/AD&D – 1x pay • Supplemental Life/AD&D • Dependent Life (Spouse) • Dependent Life (Child) EAP • Legal Assistance • Financial Planning • Counseling/Support • Employee Discounts INOVA LEARNING NETWORK Red text indicates that the benefit is fully paid by Inova for eligible employees FLEXIBLE SPENDING ACCOUNTS • Health Care ($3,000 max) • Dependent Care ($5,000 max) • • • • • • • • • • • • • OTHER PROGRAMS Educational Assistance Adoption Assistance Direct Deposit Credit Union/Bank of America Scholarship Program Professional Certification Bonus ADVANCE Clinical Ladder Shift Differentials/On-Call Pay Employee Referral Bonuses Cafeteria/Gift Shop Discounts 529 College Savings Plan Service Awards Automated Employment Verification 15 Inova Leadership Institute Compensation Programs Base Pay/Salary Shift Differential/On-Call Bonus Pay • Employees can increase earnings by working evenings, nights, weekends or by being on-call in targeted areas Annual Adjustment or Lump Sum • Based on employee’s position in the range 16 Inova Leadership Institute Paid Time Off (PTO) PTO combines: • Vacation • Holidays • Personal Days • Incidental Sick Days Employees can choose how they use their PTO Extended Illness Bank (EIB): • Before April 1, 2007, employees accrued EIB leave that could be used in the event of a qualified serious medical condition • On April 1, 2007, the STD benefit was enhanced and employees no longer accrued new EIB leave, though they may use EIB leave accrued before April 1, 2007, for qualified absences 17 Inova Leadership Institute Benefit Coverage and Changes Who is covered? Employees may elect to cover eligible dependents: Employee’s legal spouse • Unmarried dependent biological or adopted children under age 19 (or under age 24, if full-time students) • Disabled child age 19 or older, who resides with the employee When can they enroll? When can they make changes? Employees have an opportunity to enroll or change benefits when hired; if there is a qualified mid-year change; and during annual enrollment Per IRS guidelines, status changes can be made any time throughout the year when the following events occur: • Marriage • Divorce • Birth, adoption or legal guardianship • Death of a dependent • Change in dependent child status • Spouse obtains or terminates own coverage due to change in scheduled work hours 18 Inova Leadership Institute Inova Medical Benefits Overview Variety of medical options to meet employee needs Coverage levels for medical and dental plans: Employee Employee and one dependent Family Medical plan options: Prescription drug benefits Vision coverage Mental health benefits Options differ based on flexibility in obtaining care and cost 19 Inova Leadership Institute Six Health Care Plan Options 1. Aetna HealthFund A Health Reimbursement Arrangement (HRA) to which Inova allocates funds at the start of the plan year. Employees use the fund to pay for eligible health care expenses (including deductibles), up to the fund amount. 2. Aetna Health Savings Account A High-Deductible Health Plan (HDHP) that allows employees to defer income to a health savings account (HSA) to pay for qualified medical expenses. 3 & 4. Aetna Open Choice PPO 1 & 2 A network of providers who offer Aetna’s negotiated rates. Employees do not choose a Primary Care Physician (PCP) or need referrals. Employees pay a copay at the time of service. 5. Aetna Out of Area This plan is offered to employees outside the Aetna service region. 6. Kaiser Permanente 30 area medical centers that provide outpatient services. Employees select a personal physician, who provides referrals for specialty care. Health Maintenance Organization 20 Inova Leadership Institute Two Dental Coverage Options Aetna High Dental • Preventive care is paid at 100% without deductible • Orthodontic and Periodontal services are covered at 50% • Maximum calendar year benefit of $1,500 Aetna Standard Dental • Preventive care is paid at 80% without deductible • Orthodontic and Periodontal services are not covered • Maximum calendar year benefit of $800 21 Inova Leadership Institute Two Flexible Spending Accounts (FSAs) FSAs allow employees to set aside a portion of their pay, before taxes, for payment of out-of-pocket health care and dependent care expenses Inova offers two FSAs: Health Care FSA Employees can pay for eligible health care expenses that are not covered by their medical plans Dependent Care FSA Employees can pay for eligible expenses related to the care of a child or disabled dependent 22 Inova Leadership Institute Savings Plans and Pension Plan 401(k) Savings Plan — Employees can make pre-tax contributions. Inova matches up to 3% of the employee’s salary, of the first 4% of salary contributed by the employee (after one year of service). Employees are vested after three years. 403(b) Savings Plan — Employees can make pre-tax contributions up to a defined limit. Contributions are not eligible for Inova match. Employees are immediately vested. Pension Plan — Eligible employees earn annual pension credits (equal to 3% of salary) based on service hours. Participants also earn interest credits over time. An employee is fully vested in the Pension Plan after five years of service. 529 Savings Plan — Eligible employees can make pre-tax contributions for higher education expenses of a designated beneficiary. 23 Inova Leadership Institute Security Benefits Inova offers employees three programs to ensure their financial security in the event of an accident: • Life Insurance — Provides basic life insurance at no cost to employees. Benefit is equal to 1 times pay for full-time employees and 1/2 times pay for part-time employees. Employees can elect to purchase additional supplemental life insurance coverage. Dependent life insurance also is available. • Short-Term Disability (STD) — Inova provides STD coverage of 662/3% of monthly salary for eligible employees. Employees are eligible on the first of the month following date of hire. • Long-Term Disability (LTD) — Inova provides basic LTD coverage for full-time employees at 60% of monthly salary. Employees can elect to purchase additional coverage. 24 Inova Leadership Institute Employee Welfare Benefits Career Development Tuition Reimbursement Employees can receive up to $3,000 for course work that enhances job skills. Additionally, Inova offers generous scholarships for specific clinical programs. Bonus/Cash Award Employees receive a 2% bonus for completing professional certification for eligible programs Healthy Living Inova HealthSource Employees can receive a 75% discount on health, parenting, fitness and other community classes that promote healthy lifestyles from infancy to senior years. Long-Term Care Voluntary long-term care insurance for employees and their eligible dependents and relatives. Covers nursing home costs and eligible in-home care. Employee Assistance Adoption Assistance Reimburses up to $7,500 of certain adoption-related expenses for eligible employees. Employee Assistance Program (EAP) Confidential mental health counseling and legal and financial services for Inova employees and their families. Inova HealthNET Programs Confidential care management programs including: Inova BabyNET Inova WeightNET Inova BackNET 25 Inova Leadership Institute Understanding Inova and the Market 26 Inova Leadership Institute Robust Process for Determining Inova’s Market Position We benchmark our employee compensation and benefits programs against comparable health care organizations using nationally recognized market survey data and research 27 Inova Leadership Institute Compensation & Benefits Benchmark Organizations We benchmark compensation & benefits against more than 20 health care systems and hospitals, including several local competitors, such as: • MedStar Health — Georgetown University Hospital • MedStar Health — Washington Hospital Center • Potomac Hospital • Reston Hospital Center • Sibley Memorial Hospital • George Washington Hospital • Johns Hopkins Hospital • Virginia Health System • Sentara Healthcare 28 Inova Leadership Institute Measuring Market Position — Key Terms Total Rewards — Collective term that includes base pay, retirement, health care, security and paid-time-off benefits Market Average — The average of the comparator group of survey participants Market Ratio — Inova’s ranking in the marketplace, expressed as a percentage Slotting — Determining the value of a job relative to other similar benchmarked positions in the organization 29 Inova Leadership Institute Inova’s Market Position Drive the market average in certain areas: • Retirement plans • Security benefits Meet, or in some cases, beat the market average in other areas: • Base salaries Accept that in some areas we will not be as competitive, due to demographics and business decisions Reinforce the total-value proposition of working at Inova, Northern Virginia’s largest health care system 30 Inova Leadership Institute Inova’s Market Position Benchmark Organizations Security 4% PTO 44% Retirement 14% Health 38% Inova Health System Security 6% PTO 42% Retirement 16% Health 36% 31 Inova Leadership Institute Your Role in Communicating Compensation & Benefits Information 32 Inova Leadership Institute Your Role in Communicating with Employees As a manager, you are Inova’s first line of communication with employees You are a trusted resource and advisor for your direct reports; they will rely on the information they receive from you You should be able to answer high-level questions about Inova’s compensation & benefit programs Leaders should know: • How to address appropriate questions about compensation & benefits • When to refer an employee to HR or the Benefits Center (at Fidelity) • What resources are available for self-help • To submit timely employee profile updates for changes in status, salary or other circumstance 33 Inova Leadership Institute What You Need to Know You should know and be able to communicate with your employees about the following: The compensation & benefits programs offered by Inova Eligibility requirements for Inova compensation & benefits programs Our benefit vendors and their role Resources for additional information 34 Inova Leadership Institute Where to Turn for More Information Inova provides a variety of resources on compensation & benefits, including: The materials you received today The 2007 Benefits Enrollment Guide Summary Plan Descriptions (SPDs) The Inova Benefits Center (netbenefits.com) Custom Aetna Web site (http://custom.aetna.com/Inova) Inova Human Resources department InovaNET — HR Page & HR Policies Town Hall meetings with employees 35 Inova Leadership Institute The Benefits Center or HR Department? You should know when to refer employees to the Benefits Center, HR or the Insurance Carrier The Benefits Center • To report a life event (e.g., a marriage or birth) • To enroll in your benefits (e.g., health insurance or retirement plan) • To commence retirement Questions regarding: • Information on current enrollments • Health care costs • Benefits eligibility • Impact of change in employment status on benefits HR Department Insurance Carrier • To change employment status • Employees should contact Aetna, Kaiser or Medco, as appropriate, to request medical, prescription or dental ID cards and/or to ask questions regarding claim payments or benefits coverage • To update name or Social Security number Questions regarding: • Paid Time Off (PTO) • Extended Illness Bank (EIB) • Employees should contact Prudential regarding shortterm or long-term disability claim status, filing or payments 36 Inova Leadership Institute Referring an Employee to the Benefits Center From time to time, an employee will have a question or situation you are not able to resolve Examples of when to refer an employee to the Benefits Center include: • A question or situation that involves personal information about an employee that makes you or the employee uncomfortable • Any time there is a potential legal issue • When you are unable to find an answer through your available resources Contacting the Inova Benefits Center: By phone: 1-877-MYINOVA (694-6682) On the Web: netbenefits.com 37 Inova Leadership Institute Accurate Employee Data: What You Can Do To Help Updates to employee data are sent to the Benefits Center (at Fidelity) daily Changes received daily are reflected in Fidelity’s system the next day, as long as there are no errors identified with the information sent Changes can be applied to Fidelity’s system either by Inova or initiated by the employee calling the Benefits Center or logging on to NetBenefits Almost all data changes (such as Social Security number, date of birth, address, pay information and employee status) must be received from Inova; an employee cannot call the Benefits Center to update this information Whenever an employee changes status, it is very important that you complete an Employee Profile (EP) and submit to HR in a timely manner. This will ensure that the employee’s data is accurately reflected in Fidelity’s system and no incorrect literature is sent. Most changes require literature to be mailed to the employee 38 Inova Leadership Institute Communicating the Message Communication is a series of transactions between individuals. Success depends on how well those individuals understand each other. Effective communication is not what we say or do or write, but others accept and believe. 39 Inova Leadership Institute Key Drivers of Effective Communication Knowledge and authority Preparation Listening Responsibility 40 Inova Leadership Institute Poor Listening Drivers Interrupting Allowing speaker’s sentiments to influence your reaction Busy framing reply Lack of interest, engagement 41 Inova Leadership Institute Effective Listening Value the person you are speaking with Repeat back to verify understanding accuracy Stop, think, frame appropriate reply Cultivate the ability to be silent Immediacy important, not essential 42 Inova Leadership Institute Responsibility & Answering Questions Avoid “us / them” trap Never speculate Single-out problem / listen for cause Help speaker associate problem with cause Help identify resources for solution 43 Inova Leadership Institute Your Questions 44 Inova Leadership Institute Introduction to Breakout Sessions We will now break out into groups to practice answering employee questions about compensation & benefits You will find a set of scenarios/case studies in your packet that we will use during these discussions 45