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  • Wyatt Bosworth, Assistant Counsel
  • Ashley Zane, Government Affairs Associate

A Discussion on Health Insurance and Workforce Development Policy

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Who We Are

  • CBIA is the state’s leading voice for business
  • Represent the interests of thousands of businesses across the state
  • 95% of CBIA member companies have 100 or fewer employees
  • Chris DiPentima, President & CEO

Represented industries include:

      • Manufacturing
      • Service
      • Construction
      • Finance
      • Insurance
      • Real Estate

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Workforce Development

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Current Programs: Manufacturing

The Manufacturing Innovation Fund, which recently received $20 million in new funding from the legislature, has proven to be a major asset for businesses across the state.

The fund includes initiatives such as:

  • Voucher program providing companies with capital to further develop equipment and expertise needed to grow
  • Incumbent worker training fund offering funds for workforce training
  • Apprenticeship program combining a mix of classroom instruction and job training in the state’s manufacturing industry
  • Internship program offering internships at an early stage for college students in order to retain them and provide work-based learning opportunities

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Current Programs: Regional Sector Partners

Regional Workforce Boards

  • Capital Workforce Partners (North Central Region): 1 Union Place, Hartford 06103 | Alex Johnson, Acting President & CEO (860.522.1111; 860.722.2486)
  • Workforce Alliance (South Central Region): 560 Ella T. Grasso Blvd., New Haven 06519 | William Villano, President & CEO (203.624.1493; 203.562.1106)
  • Eastern Connecticut Workforce Investment Board: 108 New Park Ave., Franklin 06254 | Mark Hill, President & CEO (860.859.4100; 860.859.4111)
  • The WorkPlace, Inc. (Southwest Region): 350 Fairfield Ave., Bridgeport 06604 | Joseph Carbone, President & CEO (203.610.8500; 203.335.9703)
  • Northwest Regional Workforce Investment Board, Inc.: 249 Thomaston Ave., Waterbury 06702 | Catherine Awwad, Executive Director (203.574.6971; 203.573.8951)

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Office of Workforce Strategy

  • Chief Workforce Officer: Kelli-Marie Vallieres
  • Workforce Development Specialist: Laura Baker
  • Chief of Staff: Niall Dammando
  • OWS Initiatives:
    1. Career Pathways: Technical assistance to districts and schools seeking to develop new career-focused courses
    2. Work Based Learning: Support to districts and schools in fostering local employer partnerships to develop internship, pre-apprenticeship, job shadow, or mentorship opportunities for middle and high school students
    3. Dual Credit/Dual Enrollment: Strategic support to districts and schools interested in developing new opportunities for high school students to earn college credit in a professional area of interest while working towards high school graduation requirements
    4. Digital Literacy Professional Development: Assistance to districts and schools in forming partnerships with leaders in the technology and tech education sectors who can offer high quality digital literacy training to teachers.

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Additional OWS Partnerships

  • A partnership with Google to provide Google Certificates free of charge for community colleges and technical high schools across the state
  • Partnership with Amazon
  • A collaboration with GEAR UP, which provides “life skills, professional skills, support necessary” for people entering training programs
  • Work with hospital systems across the state to build a work pipeline for healthcare workers
  • One stop shop online portal for job seekers

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Health Insurance Policy

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Employer Vaccine Incentives

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Employer Incentives

Vaccine Administered by Employer

  • ADA: the value of the incentive (both rewards and penalties) may not be so substantial as to be coercive
  • GINA: as long as the employer does not acquire genetic information while administering the vaccine, they may offer incentives to employees for getting vaccinated

Vaccine Administered by Health Care Provider

  • ADA: no incentive limits to encourage employees to voluntarily receive COVID-19 vaccination
  • GINA: no incentive limits

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Health Insurance Incentives

New Federal Guidance

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Delta Airlines- Unvax Surcharge

  • Aug. 25: imposed $200/month surcharge on unvaccinated employees
  • One of the first big U.S. employers to do so
  • Unvaxxed employees also faced indoor masking and weekly COVID-19 tests
  • Average hospital stay: $50k

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Federal Guidance

  • Oct. 4, 2021: DoL, Treasury & HHS jointly issued a set of FAQs governing employers’ ability to provide discounts or surcharges on employees’ group health insurance, based on participants’ COVID-19 vaccination status
  • Generally: permit employers to impose a surcharge on unvaccinated employees or to provide a discount to vaccinated employees, in an amount up to 30% of the total cost of the employee-only coverage

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FAQs: Cont.

  • Discount/surcharge = “activity-only” wellness program
  • Q/A-3 confirms that requiring an employee to be vaccinated for COVID-19 to receive the benefit of lower premiums does require the employee to perform or complete an activity related to a health factor and thus must satisfy the existing five criteria for activity-based wellness arrangements under HIPAA

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  1. The program must be reasonably designed to promote health or prevent disease
  • FAQ suggests helping schedule vaccination appointments and establishing a toll-free hotline to answer questions

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(2) The program must provide a reasonable alternative standard to qualify for the discount on health insurance premiums

  • FAQ suggests providing the discount if the individual can verify it would be unreasonably burdensome or medically inadvisable to be vaccinated for COVID-19 due to an existing medical condition

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(3) The program must provide notice of the availability of a reasonable alternative standard

  • FAQ suggests mandating compliance with the CDC’s mask guidelines for any employee who cannot otherwise be vaccinated because of an existing medical condition

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(4) The incentive award (or penalty) cannot be more than 30% of the total cost of employee-only coverage when combined with all other wellness program awards or penalties

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(5) All employees must be offered the opportunity to qualify for the incentive at least once per year

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Example

A group health plan offers a 25 percent premium discount of the cost of employee-only coverage to all participants who receive a COVID-19 vaccination in accordance with the recommendations of ACIP (and does not offer any other reward under other health-contingent wellness programs with respect to the plan). To help facilitate participants receiving the vaccination, the plan also maintains a toll-free hotline to answer questions about COVID-19 vaccination and offer assistance to schedule appointments to receive a COVID-19 vaccination. The plan provides the same premium discount to individuals for whom it is unreasonably difficult due to a medical condition or medically inadvisable to obtain a COVID-19 vaccination if the individual attests to complying with the CDC’s mask guidelines for unvaccinated individuals. The plan also provides notice of the availability of this alternative to all participants. Participants may qualify annually for this premium discount.

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Further Guidance

  • The premium discount/surcharge amount must be included in affordability calculations under the ACA
  • Employers may not exclude employees from eligibility or coverage under a group health plan solely because of an employee’s COVID-19 vaccination status
  • Employers must provide 100 percent coverage of all COVID vaccination costs, including boosters

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Paid Family Medical Leave (PFML)

  • 2019: PMFL created to provide partial wage replacement benefits to employees taking leave for reasons allowed under the state’s FMLA or family violence leave law
  • 2022: program will provide up to 12 weeks of PFML benefits over a 12-month period, plus 2 additional weeks for a serious health conditions that results in incapacitation during pregnancy
  • Administered by the CT Paid Leave Authority

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PFML - Who’s Covered?

  • All private-sector employees (except those in private elementary or secondary schools)
  • Some public-sector employees
  • Sole proprietors and the self-employed can choose to join the program, but they must enroll for at least three years

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PFML - How is it funded?

  • All employees covered by the program must contribute to it through a payroll deduction starting on January 1, 2021
  • The annual contribution rate will be set by the authority but it is capped at 0.5% of the employee’s total wages, up to the maximum amount that is subject to Social Security taxes ($142,800 for 2021)

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PFML - Implementation Dates

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PFML - Who is eligible for benefits?

  • Covered employees are eligible if they have earned at least $2,325 in the highest quarter for the first four of the five most recently completed quarters
  • Must also be currently employed, have been employed within the last 12 weeks, or be participating sole proprietor or self-employed individual

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PFML - Benefit Eligible Leaves

Parental Bonding

Serious Health Conditions

Donors

Armed Forces

Family Violence

Birth of the employee’s child

Placement of a child with the employee for adoption or foster care

For the serious health condition of the employee or the employee’s family member

To serve as an organ or bone marrow donor

Undergoing treatment for an injury or illness incurred in the line of duty

Being deployed to a foreign country

Seek medical care or psychological counseling

Obtain services from a VSO

Relocate because of family violence

Civ/Crim proceeding

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PFML - Weekly Benefit

  • 95% of his/her weekly earnings, up to 40 times the state minimum wage PLUS 60% of the amount of employee’s average weekly earnings that exceeds 40 times the minimum wage
  • Total benefits cannot exceed 60 times the minimum wage
  • If the contribution rate is at its maximum (0.5%) but not generating enough to ensure solvency -> reduce benefits

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PFML - Substance Abuse

  • Substance abuse may be a serious health condition
  • FMLA leave may only be taken for treatment for substance abuse by a healthcare provider or provider of healthcare services
  • Absence because of the employee’s use of the substance, rather than for treatment, does not qualify for State FMLA leave

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PFML - Substance Abuse

  • Treatment for substance abuse does not prevent an employer from taking employment action against an employee
    • The employer may not take action against the employee b/c they exercised right to take FMLA for treatment
    • BUT, if the employer has an established, nondiscriminatory policy, employee may be terminated whether or not they take FMLA

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PFML - Substance Abuse & Intermittent Leave

  • Leave may be taken intermittently or on a reduced leave schedule when medically necessary for planned and/or unanticipated medical treatment of a serious health condition
  • May include leave of periods from an hour to several weeks

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Contact Information

Wyatt Bosworth

Assistant Counsel

wyatt.bosworth@cbia.com

860.244.1155 | @WyattBosworthCT

Ashley Zane

Government Affairs Associate

ashley.zane@cbia.com

860.244.1169 | @AshleyZane9