Revenge of the Post-Retirement Health Care Plan

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This entry was posted on 1/9/2008 12:32 PM and is filed under Program Management, Retirement Benefits, Benefit Financing and Accounting, Public Benefit Plans, GASB 45.

The following is the January “Views & Vents” column for Employee Benefit News.

Over the past few years, most of my private-sector clients have been wrestling with tough decisions about post-retirement health care benefits—and awaiting relief that’s taking awfully long to arrive.

But what’s gone around is about to come around.  And, when it does, the end may finally be at hand.

Playing “Chicken” with Retiree Benefits

A few years ago, the Financial Accounting Standards Board (FASB) changed the rules for private companies that offered retiree medical coverage. Under these new provisions, employers couldn’t simply finance plans on a pay-as-you-go basis.  Instead, they had to recognize the potential future impact of claims – plus inflation, retiree medical trend, and a host of other factors. Worse, FASB mandated highly unfavorable actuarial assumptions – projected over the lifespan of the entire retiree group. 

In “real life,” though, these overstated obligations would never materialize.  Any sentient employer would modify plan design long before such outrageous liabilities were incurred. Plus, future claim costs wouldn’t be payable until . . . well, the future. Over the coming decades, companies would presumably adjust benefits based on their changing business situation. It’s hardly likely that an employer would just sit by passively while retiree coverage threw the organization into bankruptcy.

Still, as Tina Turner might ask, what’s logic got to do with it? 

A Helping Hand – Across the Face

Let’s assume FASB’s intentions were good – that the board merely wanted to help secure the availability of retiree coverage. But the execution was a disaster. In essence, employers were forced to account for impossibly inflated future expenses on today’s financial statements.  The impact of such liabilities was devastating, especially for companies under constant pressure to be profitable.

So they reacted as one might expect:  By eliminating the source of liability.

Faced with FASB’s new rules, most employers either terminated or sharply curtailed their post-retirement medical plans. They had to, since even those that could fund the coverage couldn’t afford to carry the expense. In the end, FASB’s rules killed off the plans they set out to protect.

In fact, the only major group of workers today with ready access to retiree coverage is governmental employees. That’s because governments haven’t been subject to these accounting standards. Until now. 

Reality Check

Over the next few years, the Governmental Accounting Standards Board (GASB) is requiring governments to follow rules like the ones FASB imposed on the private sector.  And as absurd as the standards are for companies, they’re downright insane for governments.

After all, governments don’t produce profits. And their commitments to retirees are unfixed. As opposed to employee pensions, health plans can be reduced as necessary – so they don’t affect the “bottom line.” 

Moreover, governments aren’t limited to the revenue on their books. A former CEO of the City of Atlanta once told local business leaders, “If my benefit costs go up, I’m not in the same boat as the rest of you.”  As he noted: “I can raise your taxes.”

The Cavalry Cometh

Whenever clients gripe about FASB, I hold out the hope that government’s coming to the rescue. Once public entities are compelled to comply with GASB, I suggest, the rules will have to be changed – for three rock-solid reasons. 

  1. Governments lack the flexibility of private employers to handle the instantaneous appearance of multi-million-dollar liabilities. The impact will wreak havoc with their credit ratings, and be tough to explain, let alone justify, to taxpayers. 

  2. Governments will have a hard time cutting benefits. There are too many retirees – and too many unions.

  3. In governments, there are lots of employees with legal access to firearms. Not an ideal negotiating position.

This situation is tailor-made for employee pushback. And I can tell you that, when the moment comes, things will turn ugly in a hurry. 

Think: Which mayor or governor wants to be vilified for taking away benefits from retired schoolteachers?  Who wants to turn down coverage for nurses who’d dedicated their lives to caring for others?  Or deny it to 62-year-old heroes who have pulled babies out of burning buildings?

These are headline, Eyewitness-News-type stories. Imagine endless servings of firefighters with lung cancer, but no health coverage; or retired police officers with bum knees, left to suffer after a career of chasing criminals.  It won’t take long for the public to have its fill. 

Eventually, rather than try to “sell” benefit cut-backs, our elected officials will be pleased to shift the blame – to the “clueless accountants” who imposed the rules in the first place. And that will mark the end of the financial straitjacket – if only for governments.  But it will give private employers (at last!) a fulcrum to unwedge the bigger issue for the rest of us.

A New Day at Dawn

I’m currently working with a governmental entity to explore plan change options consistent with the GASB rules. As private employers know, the alternatives aren’t pretty, and my client will certainly be facing some pain, as well as employee-relation issues.

Of course, over time, all remaining governments will be forced to deal with these mandates.  And as chickens start coming home, there’ll be increased pressures on the roost.  Once the affected population reaches critical mass, demand for change will become impossible to ignore. 

For once, the government may really “be here to help.” Won’t that be special?

Strategic Planning Associates makes it a practice to come up with creative solutions that reduce costs without reducing benefits. For more information, click here.


 
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Comments

    • 1/9/2008 1:57 PM HR21 wrote:
      Very well written, but I must disagree with your hypothesis. Government employees get a free ride. Their benefits are much richer than ours, and the argument that this is to make up for below-market salaries is a canard. Public employees get paid very well compared to us in the private sector, maybe not at every single position, but competitively. The difference in benefits is huge. Most of them have employer paid pension plans and free or low cost health care. There is no reason why the rules should continue to be so heavily weighed in favor of government. The free ride must end.
      Reply to this
    • 1/9/2008 2:12 PM C. Corlis wrote:
      Yet another example of government regulations forcing employers to cut employee benefits. What a system!
      Reply to this
    • 1/23/2008 3:11 PM Don Levit, CLU, ChFC wrote:
      Thanks for providing your thoughts. I was not aware that FASB and GASB forced employers and governments to overstate their obligations. I was under the impression that the liabilities were figured under current inflationary trends, which, if correct, seem to be reasonable.

      Aside from that potential error, I fail to see why employers and governments should not set aside assets to cover future liabilities.

      Granted, in many cases, the liabilities can be amended, modified, or even terminated. On the other hand, it would be unreasonable to assume that none of these promises are liabilities.

      These promised medical benefits are not free, yet employees have encountered a reduction in pay for the promise of future benefits. To simply continue paying for retiree liabilities on a pay-as-you go basis is not only unwise, but negligent, in my opinion.

      Of course, the pay-as-you-go basis that employers and state governments use to pay future liabilities pales in comparison to what the federal government does. Instead of actually depositing payroll taxes in a trust fund, even for the current year's payments, the money is merely a bookkeeping entry, replaced with IOUs. In essence, debt is paying the current year's medical expenses.

      The federal government's view of its liabilities for Medicare and Social Security is that these obligations are contingent liabilities. They are "funded" annually, and the government promises, by law, to pay only the current year's liabilities. The only one who is beholden here is the taxpayer. The federal government, in effect, is doing the taxpayer a favor by providing Medicare and Social Security benefits.

      In effect, the obligation goes only one way -- the taxpayer pays in. The government does not have to pay out, past the current year.

      Why accumulate a trust fund anyway, solely for the upcoming year?
      Reply to this
    • 1/23/2008 3:16 PM Chrissie Jones wrote:
      I read with interest your article on health benefits. MedTral NZ has been trying to break into the mindset of insurers, TPAs, self-insured groups, and others to market our business proposition . . .

      We offer health care in a first-world country. . . . I know that outsourcing care to another country will not begin to address the mess that the American health system is in (which will be achieved only by a huge effort of the collective will of the people -– like the French did in their revolution!).

      But [outsourcing] might be a God-send for people who are facing financial hardship – a real alternative to consider when retiring or already retired. . . .

      In this era of rising US health care costs, our company, Medtral New Zealand offers an affordable alternative by providing access to New Zealand private hospitals for non-acute surgical procedures. . . .

      The cost of our packages (including airfare, accommodation, expected medical treatment, concierge services, and contingency insurance, are about 40% of the cost of the [same] procedures in the US. . . .

      [We also offer] world-class quality. The hospitals we use have all met accreditation set by the International Society of Quality in Healthcare ISQua (of which the American organization JCI is a member). The surgeons we use have had extensive specialty training, both in New Zealand and either North America or the UK. Many are board-certified for the USA.

      New Zealand, as you may know, is a first-world, English-speaking country, with a cultural affinity to North America; hence, patients coming here for treatment will not have a "foreign experience." [New Zealand] is also considered by many to be one of the most beautiful countries in the world, as well as being [a] safe and peaceful [place] to recuperate in.

      Medtral New Zealand offers fully integrated concierge service, including international patient coordinators to help with all bookings and arrangements; contingency insurance to cover the small unexpected risk of something going wrong during or after the operation (e.g., prolonged hospitalization, including ICU), and for all associated medical treatment; and medivac to the home country, if deemed necessary by the treating physician.

      We believe we offer a real cost-effective alternative to Hawaiian and North American patients and organizations seeking world-class medical treatment in a first-world, English-speaking country that is only 12-14 hours' direct flight from the West Coast (eight hours from Hawaii), at an affordable price.

      More information is available on our website, www.medtral.com.
      Reply to this
    • 2/7/2008 8:26 PM John wrote:

      Good article and an excellent insight into the problems with GASB

      Years ago, it was very difficult to borrow money out of your retirement account (see our blog entry).  Today, however, it’s not difficult at all to dip into your retirement savings to pay for all types of things, emergency and otherwise. That's why this health issue is some important, I'll try and give it some coverage on our blog (www.expertretirementplanning.com).  Great info - Thanks!


      Reply to this
    • 2/14/2008 8:24 AM AG1 wrote:
      As a financial professional, it is hard to take your objections seriously. Employers have for years over promised benefits to avoid having to confront employees with the facts of life. There is nothing wrong with requiring companies to recognize their future liabilities and fund for them. This is simply accounting 101. Don't blame accountants for problems "clueless" HR people have created for themselves.
      Reply to this
      1. 2/14/2008 9:42 AM Fred Munzenmaier wrote:
        I don't think the blame falls all in one place. One can point to where HR, finance, federal government, and actuaries all screwed up on this one.

        First HR: When most of these plans started, there were few retirees and the financial accounting cost was very low. It was a bargaining concession that let the industrial relations managers look like heroes and keep their jobs and get their bonuses for the length of another bargaining agreement. But they were not schooled in actuarial or accounting matters, so "foregive them for they knew not what they did."

        Financial including actuaries: The accounting standards started with the premise that the pension model should be the Holy Grail to follow for accounting for postretirement benefits. This is where someone needed to call time out and ask if there weren't some key differences. One key difference is that the resulting postretirement benefit model calls for projecting huge amounts of inflation up to and after the time that an employee retires. All of this is then brought back to the present and expensed on the books. But there was little regard for what the assumptions implied in the real world. Oft-times the assumptions implied that medical care would become an unrealistic percentage of the GDP. If the assumptions came true, the medical care financing structure itself would have to change (a la National health insurance). The model also failed to take into account the nature of the "liability." Usually, employers can cancel the coverage at any time.

        My view is that there should be a rolling 10-year period where inflation is recognized in the costs. After the 10-year period there is no inflation in the costs. This might be a compromise where the measuring device does not destroy the object it's measuring.

        Then there is the market discount rate mandated by FASB, which causes ridiculous fluctuations in the costs from year to year. Accounting theory now apparently says mark everything to market no matter how crazy the results. The GASB approach to the discount rate is a better way.

        My impression of how FAS 106 came about was there were distinguished accountants and actuaries who were on loan to FASB from their companies. It was a perk. They just wanted to get it done. Who wanted the hassle of thinking about the long-range consequences of what they were doing? Those of us who were practicing when FAS 106 was first published just had to accept what came down. I recall doing my first year-by-year actuarial projection on one of these plans back in the late 1980's. I saw huge amounts of inflation that would not occur until 20+ years in the future having to be booked today. I thought it was crazy, but by that time there was no way to slow the freight train down. Of course, now the train wreck has occurred.

        Want to know what really tells you how crazy this is? The auto makers have turned over their plans to union-sponsored VEBAs. If my understanding is correct, the auto makers are now back to pay as you go retiree costs.

        Federal Government: Congress did not want to lose any more revenue to the health care "tax expenditure," so Congress would never consider removing the Unrelated Business Income Tax (UBIT) on a VEBA that was set up to prefund these plans. Thus, employers did not prefund. Aren't you glad Congress didn't make this tax concession? Just think what a shambles the federal budget would now be in.

        At least a governmental plan has a section 115 vehicle available to fund without stupid tax consequences. Governments really should start prefunding their plans but not go overboard with the idiotic inflation assumptions that have to go into figuring the ARC. Just use something like the 10-year rolling average approach in determining funding.

        In conclusion, there needs to be a unified rethinking of all aspects of this problem. But it will never happen.
        Reply to this
        1. 2/14/2008 10:00 AM Corey Sherman wrote:
          As usual, Fred's nailed it (and very pithily, too). There's been a lot of feedback on this issue, here and at EBN.com, as well as by email -- almost all in agreement with AG1 and Don Levit. Fred's views, as an actuary, are particularly poignant -- the type of thing one would hope to see from senior leadership at the Society of Actuaries. Perhaps Fred's comments will stimulate this level of dialogue (thank you, Fred). Watch for the February "Views & Vents" column for more on this issue.
          Reply to this
    • 3/4/2008 11:51 AM Betsy Quinn, KIKO Radio wrote:
      Hello Corey
      I am a reporter in the rural town of Globe Arizona and cover City Council for a small local radio station. I found "Chickens Come Home To Roost" in Employee Benefit News while researching the GASB Rule of 45. It is an excellent story.
      Reply to this
    • 7/13/2009 1:38 AM carpal tunnel syndrome wrote:
      I was just thinking about Health Care Plan and you've really helped out. Thanks!
      Reply to this
    • 7/13/2009 2:15 AM carpal tunnel surgery wrote:
      That's great, I never thought about Retirement Health Care Plan like that before.
      Reply to this
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