Here’s an HR dilemma. See if you can figure out the correct response.
Under your organization’s health plan, your company gets better rates if more of your workers are non-smokers. How do you ensure that employees who say they don’t smoke — and get nearly a $500 per year annual discount as a result — really are non-smokers?
If you’re managing public workers in Maricopa County, Arizona, you make the workers submit to a controversial saliva test. And you’re not surprised when you find that, lo and behold, a lot of those non-smokers getting discounts have been fibbing about their tobacco use all along.
According to a story in the Arizona Republic newspaper in Phoenix, “Hundreds of Maricopa County employees caught fibbing to their health insurer about their smoking or who refused nicotine testing will now pay higher health-insurance premiums under a new county policy. As a result, the county will collect an additional $327,360 in health-insurance premiums, with the money going into an employee-benefits fund.”
No one in management (especially in HR) likes to play benefits cop, but in a world caught up in Obamacare, federal mandates, and ever-rising health care costs, this may be a sign of the times.
The controversial mouth swabs began a year ago, when all county workers were told to submit to saliva testing for nicotine or lose an annual insurance-premium discount of $480 offered to those who do not use tobacco products.
The requirement spurred an outcry among some who said it was an invasion of privacy and would allow the county to collect sensitive health information.
Of the 11,089 employees covered by health benefits, 682 declined to take the saliva test or took the test and failed. In either case, they lost the premium reduction.
Test results raised the proportion of employees presumed to be smokers from 11.6 percent to 17.8 percent, according to county data. That is closer to federal-government rates showing that about 18 percent of federal employees smoke, according to the U.S. Centers for Disease Control and Prevention.
Prior to the swabs, employees self-reported on tobacco use by filling out paperwork declaring they did not use. But the number of employees reporting themselves as smokers was too low compared with national statistics, said Chris Bradley, director of the county’s Department of Business Strategies and Health Care Programs.”
Why should managers and HR pros care about all of this? Well, besides the lesson it should teach all of us about the validity of self-reported data we get from those in our employ, it’s also highlights the cost burden that tobacco users put on your company health plan. That’s because at the core of all of this flap in Maricopa County is the fact that the CDC estimates “that each employee who uses tobacco costs an employer an additional $3,400 per year.”
That’s a pretty big chunk of change for organizations to shoulder, and it shows why more and more companies are looking for ways to help encourage their employees to kick the smoking habit — even if it means, as it does in Arizona, that HR has to become the tobacco police.
But there’s more going on this week than policing non-smokers who really do smoke. Here are some HR and workplace-related items you may have missed. This is TLNT’s weekly round-up of news, trends, and insights from the world of talent management. I do it so you don’t have to.
