Enrolling At The Worksite: High Touch Or High Tech?

August 31, 2003 at 08:00 PM
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It used to be that William A. Kelly–who goes by the name of Tinker–would market worksite insurance products in the so-called "traditional" way.

That is, he would conduct group meetings of employees, at the workplace, to educate on the needs and explain the products. Then, he would follow-up with one-on-one sessions with each employee (or with those who were interested in buying).

No more. Four years ago, Kelly, who is president of Voluntary Employee Benefits Advisors in Nashville, Tenn., began using what is called an "alternative" enrollment method. That is, his firm adopted a "call center" model. It communicates benefits and product information to employees via comprehensive materials and then encourages those who want to know more or who want to sign up to call an 800 number.

"We have no face-to face meetings with employees at all," says Kelly, explaining that todays larger employers, especially Fortune 500 firms, will not allow direct access to employees.

Is this the wave of the future? Kelly and other alternative marketers say "yes." But there is also a whole cadre of worksite specialists who say, "No, the traditional approach is here to stay."

Take Anneliese Clark, district general agent for Colonial Supplemental Insurance in Jacksonville, Fla. She finds the traditional method to be very effective, regardless of group size. This year alone, her office enrolled two groups this way–with 9,000 and 6,000 lives respectively.

Far from rejecting onsite enrollment approaches, employers are actively in favor of this approach, she maintains.

With todays newly downsized workforces and smaller human resource departments, companies "need us more than ever," Clark maintains. They need onsite worksite enrollers to help communicate details about the entire company benefit plans–such as why medical deductibles are increasing–as well as why supplemental products can fill gaps and needs, she says.

This article examines the alternative vs. traditional quandary facing producers in this field and how specialists are responding.

First, here is a market recap. Worksite sales have been growing at a steady pace in recent years, according to Eastbridge Consulting Group Inc., an Avon, Conn., firm that follows the industry.

For instance, in 2002, total sales were up 15% over 2001, Eastbridge says (see Chart I). The figures are based on results of 41 carriers who responded to Eastbridges annual survey plus estimates for non-responders.

This growth has occurred in a wide assortment of worksite product lines–including life, disability, accident, cancer and critical illness, dental, hospital indemnity and medical supplement, investments and annuities, and long term care (see Chart II).

Along with the growth has come the expansion of enrollment methods, says Gil Lowerre, president of Eastbridge, citing results of his firms new worksite enrollment survey.

Employers still value the "traditional" methods of enrollment, says Lowerre. But "employers are asking for other enrollment options, too," he says. In particular, they are requesting alternatives such as Internet or telephonic enrollment strategies or combinations of those.

Kelly, the Nashville specialist, says employer attitudes started changing three to five years ago, as certain employer markets became saturated with worksite products. Specifically, he says employers started complaining about the traditional enrollment process. His firm did some research and found that many larger employers felt they had no control over what the enrollers were saying at the meetings, Kelly says.

Also, "some complained they had no guarantee the enroller would not oversell the employees. Some worried about perceived pressure on employees to participate. Others were concerned about privacy issues that could come up in the one-on-one meetings."

Finally, he says, the larger employers objected to the cost of sending hundreds of employees to the 15- to 20-minute one-on-one sessions to learn more and sign up.

In some cases the resistance to onsite enrollment has become so strong that HR directors tell Kelly flat out, "we want zero distractions" and "not on company time."

Given those parameters, Kelly says his firm has built a call center approach that focuses on written communications (e-mail, posters, announcement letters, 800-phone-number stuffers, and enrollment guides) plus an 8 a.m. to 10 p.m. call center and an information-only Web site.

To maintain the personal touch, he says, "we select call center people who are very consumer-friendly and helpful. It makes a huge difference."

And the results? "On a group with 10,000 lives, we typically get calls from 25% to 30% of the employees, and total participation, in one or more of the benefit offerings, is typically in the 20% range," he says.

Some carriers do not like the approach, he allows. "They prefer 40% to 50% participation. They want more revenues. And they want less exposure to adverse selection," Kelly says. "But, in our market, the boss in the equation is the HR department, not the carrier."

Clark, the Florida general agent, presents a much different picture. Some employers do express concerns about onsite enrollment, she allows, noting this is based on negative prior experiences. But once they see how onsite enrollments can help employees understand all their benefits, not just the worksite benefit, their eyes open up, Clark says.

Employers respond to a needs assessment approach, she explains. They like the idea of enrollers showing employees the benefits they already have, what the employer pays for the benefits, and the impact of supplemental benefits on employee paychecks.

Employers today realize they have less manpower available to do this kind of education, Clark says. "But they know they need someone to get the word out."

Onsite enrollers make "over-selling" a moot point, she contends, by carefully reviewing with the employee how the paycheck will look after deduction of worksite premium. "Then, we ask, are you comfortable with this decision?" If the answer is no, the selection is removed.

As for addressing time constraint issues, Clark says her reps are required to work within the employers preferences.

But she firmly rejects the idea of omitting one-on-one sessions–because she says the meetings strengthen employee education about benefits. "With greater education, you get higher participation," she explains.

Higher participation is always the goal in worksite enrollment. It ensures that more people have coverage and more money goes into insurance coffers. However, it has a plus for employers, too, says Clark. If the coverage is offered through a Section 125 plan, she explains, every dollar paid out in worksite premium reduces by one dollar what the employer pays out for FICA, Clark says, referring to the deductions in paychecks made under the Federal Insurance Contributions Act.

Rick Campitelli, president of Public Employees Benefit Services LLC, Havertown, Pa., prefers the onsite enrollment process, too. He concentrates on enrolling worksite disability insurance with a return of premium feature, but he also sells worksite life and occasionally other products.

The approach is "hands-on," he says, noting this is what his market–city and state unions–prefers.

Campitelli has worked with law enforcement officers during roll calls and correction officers in the facility cafeteria. "One after one, they come by to see what I am offering. I show the brochure and go over their benefits and the coverage. Some sign up then and others go home to talk to the spouse."

The approach works, he says, noting he gets 90% persistency on this business and participation in the 35% to 40% range.

Some marketers use both traditional and alternative approaches. For example, American Fidelity Assurance Company, Oklahoma City, Okla., uses the traditional method for groups in the 25- to 250-life range and alternative approaches for larger size groups, says Fred Fetterolf, director of marketing.

Many of the smaller employers want to be sure employees understand their benefits, he explains. In addition, they want to promote the perceived value of the benefits they make available. The traditional approach, with its handholding and personal attention, facilitates that, he says.

But employers with 1,000 or more employees usually wont allow the one-on-one meetings, Fetterolf continues. "Some do allow group meetings of an hour or less, but youll be in the room with the other benefit providers, too."

How does his firm handle enrollment in those cases? "We do a lot of pre-communication before the meetings." For sign-ups, the firm uses 800-phone lines and "voice prints" as signatures. In some groups, the firm sets up an Internet-equipped kiosk to accept enrollments.

"The penetration is a lower percentage than with one-on-one enrollments, he concedes, but the costs are a lot less, too. That means, in the 5,000- to 10,000-life groups, we still can make money. Also, the agent or broker who sold the case gets a piece of the commission plus access to information on who signed up for cross-selling purposes."

Over the years, adds Fetterolf, "we have found that the employers biggest concern is with the back-end administration of the worksite carrier. They want to be sure the bills are correct, the employees are added and deleted at the correct times, the claims are paid properly, and that its easy to do business with the carrier."

Michael Castle, president of Employee Benefit Communications, Tampa, Fla., says his firm also uses both traditional and nontraditional methods.

For smaller groups, "the traditional method still prevails," he contends. Many such employers like the high-touch approach, because the employees have difficulty understanding how the products work, he says. Also, some smaller employers do not have the technology available to do anything else, and sometimes the set-up cost of an alternate method would be too high compared to the likely penetration.

With larger employers, the approaches can vary. Sometimes Castle offers them "unassisted enrollment" (i.e., via an Internet kiosk or something similar) if the product is fairly simple–such as auto, homeowners, or term life insurance. But with more complex products–like universal life insurance or disability insurance–he favors "assisted enrollment" (with telephone access to a specialist).

Although Castle does both types of enrollment, he believes the trend is toward the technologically enhanced alternative methods. With the larger groups, face-to-face meetings entail too much work, he adds, and "some employers view the insurance person talking with the employees as a disturbance."

In some cases, "we walk the executives through the process, and we even do a trial run, demo or pilot enrollment, so they see how it works.

Someday, he predicts, enrollments might entail employee and enroller at their own computers, both scrolling down the screen together.

Whatever approach the enrollers use, Bonnie Brazzell, vice president of Eastbridge, has a word of caution.

In her firms recent survey on enrollment practices, 73% of employees who enrolled in the traditional manner said they were "very satisfied with their enrollment experience," she notes. By contrast, only 56% of those enrolled via alternative methods said they were "very satisfied."

This suggests that the more personal the approach, the more employees feel their needs were identified and met, Brazzell says. Therefore, "carriers and brokers should be aware of differences in satisfaction levels for each method."

In particular, Brazzell advises that nontraditional enrollers "try to replicate, as best they can, the same level of value provided by individual sales reps. They might, for example, provide comprehensive materials and clear Web-based procedures and information for employees to follow when enrolling."

The goal, she says, should be to as much personal value as possible.


Reproduced from National Underwriter Life & Health/Financial Services Edition, September 1, 2003. Copyright 2003 by The National Underwriter Company in the serial publication. All rights reserved.Copyright in this article as an independent work may be held by the author.


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