Jeff Williams from Aptia shares the ins and outs of benefit administration, emphasizing the complexity of health administration, compliance, and the challenges employers face in offering tailored employee benefits. From understanding regulations to enhancing benefit adoption, I explore how employers can design better programs that meet employees' diverse needs.

In this episode, we look at Aptia, benefit administration, compliance, health administration, employee benefits, state regulations, benefit design and how they all play a critical role in shaping modern workplaces. Discover the strategic decisions employers must make to ensure benefits are both compliant and valuable.

Key Takeaways

  1. Aptia offers comprehensive benefit administration services that simplify eligibility management, enrollment, and life event tracking for large employers.
  2. Complex state and city regulations require expert navigation, and Aptia helps employers stay compliant across various jurisdictions.
  3. Benefit design goes beyond health plans, encompassing retirement benefits, time off, and even unique options like pet insurance.
  4. Effective communication is crucial for benefit adoption, ensuring employees understand and utilize their benefits fully.
  5. Employers must weigh trade-offs when selecting benefits, balancing cost with the needs and preferences of their workforce.
  6. Understanding employee demographics is key to creating benefit programs that resonate and retain talent.


Chapters

00:00 Introduction and Small Talk

02:03 Introducing Jeff Williams and Aptia

03:12 Aptia's Role in Benefit Administration

04:47 The Problem Aptia Solves

06:32 The Complexity of Benefits Administration

08:46 Types of Benefits Handled by Aptia

10:30 The Increasing Complexity of Benefits Regulations

11:38 Proliferation of Benefit Types

15:46 Unique Benefits: Menopausal Benefits

16:13 The Complexity of Employee Benefits

17:09 The Importance of Benefit Consumption and Adoption

18:18 Making Trade-Offs in Benefit Design

19:49 Effective Communication in Benefit Programs

22:51 Understanding the Employee Population for Better Benefit Design

25:32 Key Questions for Potential Benefit Program Buyers


Connect with Jeff Wililams here: https://www.linkedin.com/in/jeffreylwilliams/

Learn more about Aptia here: https://www.linkedin.com/company/aptia-group/


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[00:00:00] Deal has helped over 35,000 businesses simplify global hiring, onboarding, payroll and compliance.

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[00:00:11] That's d-e-e-l dot com.

[00:00:15] Hey, what's going on everyone?

[00:00:17] Ryan Leary here from WRKdefined.

[00:00:19] You know, if there was one thing that I could change about recruiting, it would probably

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[00:00:52] Hey, this is William Tyncup and Ryan Leary.

[00:01:05] You are listening and watching the Use Case Podcast.

[00:01:08] Today we have Jeff Ogg from Aptia.

[00:01:11] And we're going to be learning all about his company and a little bit about Jeff as well.

[00:01:17] So Jeff, how you doing today?

[00:01:19] I'm great.

[00:01:19] How about you guys?

[00:01:20] You are great.

[00:01:21] Fantastic.

[00:01:22] Oh look at that.

[00:01:23] Rockets, flying.

[00:01:25] You are great.

[00:01:27] And you're in Boston?

[00:01:28] Is that right?

[00:01:28] I am indeed, yes.

[00:01:29] Ah, very nice.

[00:01:31] There's nothing, there's always, you can always tell when you like somebody based on

[00:01:36] their clothing.

[00:01:37] And the fact that Jeff is in Boston wearing Eagles Green or close enough to Eagles Green

[00:01:44] tells me he's a good guy.

[00:01:47] Now Ryan up here they would call it Celtics Green but we may be split.

[00:01:51] Wow, is that what that is?

[00:01:52] It is.

[00:01:52] A little bit but it's fine.

[00:01:55] Yeah, it's fine.

[00:01:56] Yeah, yeah.

[00:01:58] We'll go with Eagles Green.

[00:02:01] Well, since that they just won a championship I would go with Celtics Green.

[00:02:04] There you go.

[00:02:05] You know what the sad part is?

[00:02:06] I didn't even think about the Celtics.

[00:02:09] I just call it Patriots.

[00:02:10] That's all I thought.

[00:02:12] Yeah, if you're in Philly though I think that's kind of the deal right?

[00:02:15] You can't pick in Boston terms at all, right?

[00:02:18] Yeah, no, no.

[00:02:20] It's an area.

[00:02:21] It's a cluster.

[00:02:22] Yeah.

[00:02:23] Hey, guys, I'm living in Boston but I come in peace I swear.

[00:02:29] Sorry, he's a Cowboys fan so we can team up on him that way.

[00:02:34] We haven't been relevant in 30 years.

[00:02:36] We're good.

[00:02:36] No worries.

[00:02:37] 35.

[00:02:40] There's...

[00:02:40] Just tell us a little bit about yourself and once we do that tell us about Aptia.

[00:02:55] All right.

[00:02:57] Got it.

[00:03:00] Don't worry about that.

[00:03:01] This is Dallas talking.

[00:03:05] So husband, father, Canadian by birth, American by upgrading.

[00:03:11] I've been in the tech enabled services businesses my whole career.

[00:03:15] Had a major in tech and telecom for the first half and in the second half I've been

[00:03:19] in the HCM Human Capital Management, Benefit Administration and payroll businesses.

[00:03:26] Been an executive at companies like ADP and Paychex, Aeon and now running Aptia here in

[00:03:35] the United States.

[00:03:36] That's fantastic.

[00:03:37] We know all those companies.

[00:03:38] When you were your time at ADP did you crisscross with employees?

[00:03:45] The technology?

[00:03:46] For sure.

[00:03:47] Yeah.

[00:03:48] When I was at ADP I was running the Canadian operation.

[00:03:52] Oh, wow.

[00:03:53] I had a lot of exposure to that for sure.

[00:03:55] Okay.

[00:03:56] Yeah, there's cool tech at the time.

[00:03:58] I mean things have changed clearly but at the time it was a really cool tech.

[00:04:01] Well why don't we learn a little bit about Aptia?

[00:04:03] Tell us what is Aptia?

[00:04:05] What are you guys doing with problem solving and we'll go from there.

[00:04:08] Sure.

[00:04:09] The company really has I guess three primary constituents.

[00:04:15] We go to market through brokers so think of it as broker lead sale and the health

[00:04:23] administration space.

[00:04:25] So they're doing a lot to advise clients and we normally sell to clients that have

[00:04:31] more than 1,000 employees and a lot of those are taking advice from their broker

[00:04:36] on who they should use for their benefit administration.

[00:04:39] So they're a big channel of ours.

[00:04:41] And our clients are the employers so they purchase the benefit administration

[00:04:46] services from us and then we service their employees.

[00:04:51] So the problem we're solving is you've got these large employers who have to

[00:04:57] either buy technology, stand up processes, acquire talent and figure out ways to

[00:05:04] service their populations or they can pull in someone like Aptia that allows them

[00:05:10] to kind of offload all of that.

[00:05:12] Let them focus on their core business and not have to acquire these skills,

[00:05:17] stay compliant, stay up to date with tech, all that sort of stuff.

[00:05:21] So it's one of those classic examples where if it's critically important

[00:05:27] to everybody and strategic to nobody, it's a perfect candidate for outsourcing.

[00:05:32] So we're that outsourcer that does this in the benefit administration space.

[00:05:37] So with Benefits Now, are you seeing, are there just health benefits

[00:05:42] or do you get into financial or well-being or wellness and stuff like that?

[00:05:48] Yes, we're primarily a health administration provider.

[00:05:52] So that is the focus of our business.

[00:05:55] The very nature of it though is you end up touching a lot of the other benefits

[00:05:58] that exist in the ecosystem.

[00:06:02] But absolutely, we're a pure play health and benefit administrator

[00:06:07] for active employee populations as well as we can do that for companies

[00:06:12] who want to offer those benefits to their retirees.

[00:06:15] Oh, that's cool.

[00:06:16] Yeah.

[00:06:18] That's, I haven't heard that before.

[00:06:22] So that's very, very cool.

[00:06:24] Yeah, that market has changed a lot over the years.

[00:06:28] It used to be that every employer of any significant size

[00:06:31] offered higher-to-grave sort of benefit packages.

[00:06:35] Now what we see is there's less employers doing that.

[00:06:39] And those employers that do it usually do it as a subsidy rather than being

[00:06:43] in the kind of retiree health business themselves.

[00:06:47] Right.

[00:06:48] And it's multiple help benefits plans like the brokers can go with,

[00:06:53] we'll just use some names, Aetna versus UnitedHealthcare versus Blue Shield

[00:06:57] or Blue Cross or whatever.

[00:06:59] So they can pick, they can help their client pick the best plan.

[00:07:04] And then the administration of that open enrollment and all the things

[00:07:09] that kind of go with it, that's through you.

[00:07:12] You got it.

[00:07:13] The broker is going to help them pick the carrier.

[00:07:15] They're going to help them figure out the cost of coverage.

[00:07:17] They're going to do all of that straight injury.

[00:07:20] Yeah.

[00:07:21] And they will come in behind that and make sure all of that stuff

[00:07:24] works for the broker and for the client.

[00:07:27] And we'll do the eligibility management of the employees.

[00:07:31] We'll do the enrollment on the platform.

[00:07:33] Right.

[00:07:34] We'll manage life events as their needs change throughout the year.

[00:07:39] We're there for all that.

[00:07:40] Oh, that's cool.

[00:07:42] A lot of the, we do a lot of different shows and have different conversations

[00:07:47] and a lot of the topics have been around compliance

[00:07:51] and staying up to date with all of this stuff.

[00:07:54] So obviously if someone who's listening is at the right company,

[00:08:00] a thousand, five thousand, ten thousand, a hundred thousand plus person,

[00:08:04] they understand the value here.

[00:08:06] But maybe talk a little bit about where AppDia comes in on managing all of that

[00:08:11] and taking care of all of the compliance and making sure everybody is only up and up.

[00:08:17] Yeah.

[00:08:18] It's a great question.

[00:08:19] And you know, the, in my time in the industry over the last call a decade and a half,

[00:08:25] I've just seen a real ratcheting up of this complexity.

[00:08:29] There's just, I'd say one root cause of that is there's been a lack of will at the federal level.

[00:08:37] So you're seeing all that complexity get layered in at the state level

[00:08:40] and even increasingly at the city level.

[00:08:44] You know, there's some cities that have been really assertive

[00:08:46] relative to what the entitlements are of their populations.

[00:08:50] So we're going to take that off of the plate of the employer to worry about.

[00:08:55] We're going to make sure that our systems are compliant.

[00:08:59] We're going to make sure that their programs are going to be compliant.

[00:09:04] You know, and frankly, we're going to help them determine the right eligibility

[00:09:08] for who should be on the program and who should not be.

[00:09:12] So back to the point around, you know, outsourcing, like why would an employer

[00:09:17] want to have to figure that stuff out on their own?

[00:09:20] They can rely on the expertise we have and the benefits of hundreds

[00:09:25] or thousands of customers coming together in a with a supplier like ours.

[00:09:31] And we'll take those problems away from that client.

[00:09:34] Hey, this is William Tinka, work defined.

[00:09:37] Hey listen, I'd like to talk to you a little bit about inside the C-suite, the podcast.

[00:09:41] It's a look into the journey of how one goes from high school, college, whatever

[00:09:46] all the way to the C-suite, all the ups and downs, failure, success and all that stuff.

[00:09:51] Good listen. Subscribe wherever you get your podcast.

[00:09:54] Yeah, it's a good argument of why would you have Dan or Susie try to remain compliant

[00:10:01] and understand what's going on as opposed to somebody that's doing it every single day?

[00:10:06] A technology that already understands the compliance, understands the complexity.

[00:10:11] It might even be sees some of the compliance things that are coming down the pike

[00:10:15] and get in front of it as opposed to someone.

[00:10:19] I mean, that would be, it's like payroll.

[00:10:21] It's exactly like payroll. Imagine, you know, standing up.

[00:10:25] If you had four locations, one in New York, one in California, one in Florida,

[00:10:29] one in Texas, like where do you even start?

[00:10:32] Right? There's just such different regulations in all those places.

[00:10:37] Yeah, I would start California because it's most complex.

[00:10:41] Exactly.

[00:10:43] Where have you seen this shift in complexity?

[00:10:46] So you've been doing this decade and a half, you said.

[00:10:49] So from the time you came in till now, what does that look like?

[00:10:52] Where was it when you started versus now?

[00:10:55] I'm just curious to see what your take is there.

[00:10:58] Yeah, I'd say really Ryan, it's become very bespoke by state.

[00:11:04] So it used to be you could rely on pretty concrete direction of where legislation was

[00:11:12] and there was more uniformity and the US looked like a much more homogenous market.

[00:11:18] I would say the states again, due to just the gridlock at the federal level

[00:11:22] have decided to intervene and do much, much more on their own.

[00:11:25] And that's where we see it play through increasingly.

[00:11:30] It's just, it is really that state regulation.

[00:11:33] No, I would say no entity at the public level has gotten less complex.

[00:11:39] 100%.

[00:11:40] 100%.

[00:11:41] Just the degree to which they've layered on this complexity.

[00:11:45] To me, it's like what we used to see in global payroll is what we're now seeing in global benefits.

[00:11:51] And the thing is, is again, text as you already said, Texas versus California.

[00:11:56] They're like two countries, like two different countries.

[00:11:58] There's France and Germany.

[00:12:00] There's no difference.

[00:12:01] Well, and so here's another piece of that as well from a provider like ours.

[00:12:06] So we've seen a proliferation of benefit types.

[00:12:11] So, you know, the big three are your health benefits, your retirement or wealth benefits and your time off.

[00:12:18] Like those are kind of the three core things that have kind of traveled through the passage of time.

[00:12:25] And the pretty standard supplemental stuff, you know, dental vision, that stuff is all pretty standard as well.

[00:12:32] But the stuff beyond that, you know, you look at, look at Gen Z, right?

[00:12:36] The second most popular benefit for our Gen Z population is penetrance just as an example.

[00:12:42] So we're seeing this proliferation.

[00:12:45] Oh man, you just hit.

[00:12:46] It's on a German.

[00:12:49] Ryan and I did.

[00:12:50] Ryan and I did, sure.

[00:12:50] I didn't mean to, Ryan.

[00:12:51] No, no, no, no.

[00:12:52] This is greatness.

[00:12:54] So we're at, it was in New Orleans.

[00:12:57] This is probably five years ago.

[00:12:59] And we were doing shows out in front of their expo.

[00:13:02] Yeah.

[00:13:03] And we had, I can't remember the carrier, but it was the very first episode.

[00:13:09] Oh God.

[00:13:10] And I said, I said, what's the word, we talk about pet insurance and Ryan's had almost exploded.

[00:13:15] It's like, dude, it's a thing.

[00:13:18] How am I going to talk about pet insurance?

[00:13:21] It's an important thing to people.

[00:13:23] And now we're starting to see even further into that is bereavement policies around pets,

[00:13:30] pet bereavement policies and things like that.

[00:13:32] Now I've got to ask questions.

[00:13:34] So do you have a pet, Ryan?

[00:13:36] I do, but I just never, he gets sick.

[00:13:42] I take him to the vet.

[00:13:43] Is it a dog?

[00:13:45] Yeah.

[00:13:45] Yeah, yeah, yeah.

[00:13:47] He doesn't care.

[00:13:48] So, you know, you're staring down a $5,000 bill for the dog.

[00:13:52] You're going to get the surgery, right?

[00:13:54] Well, yeah, right.

[00:13:56] Have to get the surgery.

[00:13:57] So he's got three girls.

[00:13:59] I fully understood.

[00:14:00] And a wife.

[00:14:01] So this is where my, this is, this is so awful.

[00:14:05] This is where I changed.

[00:14:07] This is where I changed my thought process.

[00:14:09] When we take the dog to boarding, when we travel,

[00:14:13] they have the little box that says,

[00:14:15] how much would you like to spend should your pet need surgery or...

[00:14:20] That's actually right genius.

[00:14:22] Right.

[00:14:22] And it's like, and they don't even give you a box to check.

[00:14:26] You have to write a number.

[00:14:28] So as I'm writing the number, like, well, is $5,000?

[00:14:32] Like, is it like, how much am I willing to spend?

[00:14:35] And I feel bad for like an hour.

[00:14:38] No, you're so torched.

[00:14:39] Yeah, it's a compassion quiz.

[00:14:41] It really is.

[00:14:42] It is.

[00:14:43] My father, he, one of his jobs outside of Heekrad,

[00:14:48] he went, he was in the late fifties, early sixties.

[00:14:51] So the speed early sixties, he went and worked for a vet.

[00:14:55] And it was a bit back then it was a bit on how much money

[00:14:58] did I have?

[00:15:00] You know, how much money do, how much, how,

[00:15:02] how important is this pet to them?

[00:15:05] Right.

[00:15:05] Yeah.

[00:15:06] Yeah.

[00:15:07] It's really, it's really, he was really jaded.

[00:15:09] My dad was really jaded with that stuff.

[00:15:11] So I, so yeah, I got a little of that and I have two pits.

[00:15:16] I have to put pit bulls and they're almost indestructible.

[00:15:20] Like these dogs have eaten a remote control.

[00:15:23] They've eaten an entire polyvibroprofen.

[00:15:25] They've eaten batteries.

[00:15:27] Like, I'm not really like we're not going to have to,

[00:15:30] there won't be a big discussion at the pet.

[00:15:33] No, no, we're good.

[00:15:35] No, I'm just thinking guys, do you remember,

[00:15:37] do you remember a thing called radio?

[00:15:39] Like if this was a live show, think about it.

[00:15:41] Are lines be burned?

[00:15:43] Oh my God, the lines would be lit up.

[00:15:45] You can't do animal eaters.

[00:15:47] Can't people alone?

[00:15:49] The SPCA would be involved?

[00:15:51] No, it's just.

[00:15:51] Yeah, I'm feeling a little judged right now.

[00:15:53] I'm feeling sorry about that.

[00:15:55] I've had insurance guys.

[00:15:57] But it's just, and then we had a story this week.

[00:16:00] It was about pet bereavement.

[00:16:02] People having the benefit of taking time off

[00:16:05] because your pet has passed.

[00:16:07] Oh, right.

[00:16:07] What determines a pet?

[00:16:08] Is it cat dog or is it a gerbil and fish?

[00:16:11] His had almost exploded when I brought the story to him

[00:16:14] because he's like, really, you're going to take off

[00:16:16] of work because your goldfish died?

[00:16:21] It's usually probably not goldfish.

[00:16:22] It's probably a pet that they've had for a long time

[00:16:24] and it's a thing.

[00:16:26] I'm going to bring you two back to Earthreal.

[00:16:30] I'm going to bring it up.

[00:16:34] It speaks to the way things have changed, right?

[00:16:37] Nobody was having this conversation.

[00:16:40] And now we've got things like weight loss benefits.

[00:16:46] We've got things like legal benefits.

[00:16:48] We've got things like menopausal benefits.

[00:16:51] We've got all this great voice out there.

[00:16:55] I think Shurm, who's the society for human resource management,

[00:16:59] I just saw their study in this area and there's like 216 things

[00:17:03] they're tracking their employee benefits.

[00:17:06] And when you think about kind of your average worker, right?

[00:17:10] Half of the American workforce is going to wrestle

[00:17:12] to come up with 500 bucks in an emergency

[00:17:15] and you're giving them health.

[00:17:17] You're giving them 401k match.

[00:17:20] You're giving them time off.

[00:17:22] You're asking them to choose between vision

[00:17:25] and dental and student loan repayment and tuition assistance.

[00:17:29] Like you've got this basket of choices.

[00:17:31] So I think another macro trend is in all of our complexity

[00:17:37] are we really making the employment condition better

[00:17:40] for our employees?

[00:17:42] Are we making the right choices for what they actually want

[00:17:44] and need and we can really help employers do something.

[00:17:48] I've done this bit for years around user adoption

[00:17:51] software, HR software in particular.

[00:17:53] And I start off by saying listen software companies

[00:17:57] will have you believe that they have a lot of benefits.

[00:18:01] The features that they have, et cetera.

[00:18:05] But a benefit isn't a benefit unless you use it.

[00:18:08] Then it crosses over into becoming an actual benefit.

[00:18:12] Before that it's an option.

[00:18:14] It's a feature.

[00:18:15] It's something that's there but it's not a benefit

[00:18:17] until you consume it.

[00:18:18] So consumption, usage, adoption, et cetera.

[00:18:21] But I had a very specific question for you.

[00:18:25] Around GLP ones.

[00:18:27] So I've been tracking this because of all the medicines

[00:18:31] but I've been tracking it from the insurance carrier

[00:18:33] perspective on what they're willing to fund and not fund

[00:18:38] as it relates to GLP one.

[00:18:42] So do you have any insight?

[00:18:44] Do you see anything there?

[00:18:46] I see, I'm guessing I'm seeing the same thing

[00:18:49] that you're seeing, which is a lot of indecision.

[00:18:53] Yes.

[00:18:54] A tsunami level trend coming at them.

[00:18:57] Oh yeah.

[00:18:58] An expensive product.

[00:19:01] One that's seen maybe as a panacea for problems.

[00:19:07] Yeah.

[00:19:08] And I don't, I'd like to tell you I see a concrete

[00:19:12] direction on it.

[00:19:14] I don't yet.

[00:19:14] I see a lot of people hovering and looking for signals

[00:19:18] from the market on which we are.

[00:19:21] We're not there yet, in my opinion, based on what you're seeing.

[00:19:23] Yeah, I've got the same take.

[00:19:25] I think it's if done well, it could be marketed as a retention

[00:19:31] and a recruiting tool.

[00:19:33] If done well, it's like, no, we're going to make the bet

[00:19:36] that you want to zimp pick or any of the folks

[00:19:39] that fall into the category.

[00:19:41] And you know what?

[00:19:42] Hey, cool.

[00:19:42] No judgment.

[00:19:44] Here's the deal.

[00:19:44] We've got it covered.

[00:19:45] We've got you covered.

[00:19:46] Now, if it's marketed well to the employee base, why would I leave?

[00:19:51] If it's marketed well to candidates and it's a coin flip

[00:19:56] of a job, I'm taking a job.

[00:19:59] So here's something that is an adjunct to that for me is

[00:20:06] who's your population and what is the experience

[00:20:09] of your population?

[00:20:10] Good point.

[00:20:10] What's going to matter to that population?

[00:20:12] This in some companies may absolutely be worth it.

[00:20:16] You may be able to draw a straight line to the ROI.

[00:20:19] Right, right, right.

[00:20:20] Whereas I'll bring up the menopausal one again.

[00:20:23] It's 10% of the workforce or menopausal age women.

[00:20:27] And you may be much better off to offer menopausal leave

[00:20:31] or menopausal support as depending on who you are

[00:20:36] as a company, what you believe in,

[00:20:38] what your population wants and needs.

[00:20:40] So it's understanding that your employee population is shifting.

[00:20:44] Yes.

[00:20:44] So surveying them, figuring out what's important to them,

[00:20:47] making sure that you're not giving them stuff that's great.

[00:20:51] That's cool.

[00:20:52] But it's not stuff that they're going to consume or use.

[00:20:55] Yeah, and if I may, you know, it's a guess no newsflash

[00:21:00] or five generations in the workforce.

[00:21:02] Yeah.

[00:21:02] So what do you do about that?

[00:21:04] How do you play through all that?

[00:21:06] Oh my goodness.

[00:21:09] Bad touching, harassment, sex, violence, fraud, threats,

[00:21:15] all things that could have been avoided.

[00:21:19] If you had pharma, stop hiring dangerous people.

[00:21:26] pharma.io

[00:21:36] No.

[00:21:37] Yes, you have the Vodafone Gigadepot.

[00:21:39] Oh, that's right.

[00:21:40] And I have it in my hand how big my depot is.

[00:21:43] Now with the Vodafone Gigadepot

[00:21:45] and use the data volume in the next month.

[00:21:47] Go on in the reliable 5G-net from Vodafone.

[00:21:51] Vodafone, together we can.

[00:22:06] Use it.

[00:22:07] And then how to, so then, so then the next level to that,

[00:22:13] how does an employer decide what are the extra benefits?

[00:22:18] And I have my view on it.

[00:22:21] I feel like there's just three people sitting in a room

[00:22:23] and they're saying, well, these look really good

[00:22:26] and they're choosing off of a menu, right?

[00:22:28] A, B and C.

[00:22:30] First of all, they're brokers helping them through some of this.

[00:22:34] Yeah, yeah.

[00:22:34] But I mean, does an organization or do you see,

[00:22:38] I should say not does, are you seeing organizations

[00:22:41] at the highest levels that have programs

[00:22:44] where employees actually appreciate it

[00:22:47] and it's known that they have a really good program

[00:22:50] that they offer?

[00:22:51] How are they doing this?

[00:22:53] How are they surveying the employee population?

[00:22:56] Are they taking that?

[00:22:57] Or are they just making decisions based off

[00:22:59] what brokers are seeing across competitors

[00:23:01] and things like that?

[00:23:02] Because this is a recording tool.

[00:23:04] This is absolutely a recording tool.

[00:23:06] It can be.

[00:23:07] Yeah.

[00:23:07] One thing I'd say probably in the both the employer

[00:23:11] and brokers defenses,

[00:23:13] I've sat across hundreds of clients wrestling with these decisions.

[00:23:18] Can't have it all.

[00:23:20] Can't have it all.

[00:23:21] They can't have it all,

[00:23:22] but invariably their hearts are in the right place.

[00:23:25] Right.

[00:23:25] With whatever they have,

[00:23:27] they want to do the best possible thing

[00:23:28] they can for their employees.

[00:23:31] Like I do see a genuineness of spirit on these decisions

[00:23:34] that may not be obvious to anyone.

[00:23:36] Now, are they restricted on budgets?

[00:23:39] Have they got scarcity issues?

[00:23:40] For sure.

[00:23:41] But they're trying to do the best they can.

[00:23:43] What the brokers role in that is,

[00:23:45] is to guide them through that scarcity.

[00:23:47] So here's an example of a trade-off.

[00:23:50] A trade-off might be, man,

[00:23:52] like our poor health based on our experience last year,

[00:23:56] those premiums are going to go up seven or 8%.

[00:23:59] And there's like nothing in your benefit portfolio

[00:24:01] that's going to cost you as much as that.

[00:24:04] Right.

[00:24:04] So if I want to keep my employee contributions level,

[00:24:07] I might have to forsake some things at the edge,

[00:24:10] which are nice and interesting,

[00:24:12] dare I say pet insurance or whatever it is.

[00:24:14] Maybe I'm going to give up on that

[00:24:16] to keep core health stable.

[00:24:19] I think the more enlightened employers

[00:24:22] are doing a lot to understand the correlation

[00:24:27] between benefit consumption and employee retention.

[00:24:31] I think the more enlightened ones are trying to figure out

[00:24:33] the connection between benefit consumption

[00:24:36] and employee performance.

[00:24:38] But at the very heart,

[00:24:41] I think all of them are trying to balance this.

[00:24:43] What's the best mix?

[00:24:45] Here's one quick example of something on this tangent.

[00:24:49] So there's one of the wellness apps

[00:24:53] that we had at a former employer of mine.

[00:24:57] And they came in after we had had them for a year,

[00:25:00] and they could draw a straight line.

[00:25:01] We had three populations.

[00:25:03] There was the population that didn't open the thing ever.

[00:25:06] There was the population that opened it, signed up,

[00:25:09] maybe did a quiz and got out of it.

[00:25:11] And then there was the population that opened it,

[00:25:13] used it, were religious about it.

[00:25:15] And guess what the health experience was

[00:25:17] of those three different populations.

[00:25:20] So their pitch to us was,

[00:25:22] you need to go all in on this app

[00:25:24] because it is much better

[00:25:27] and your people are much healthier if they engage in that.

[00:25:30] Now what's causation? What's co-intest?

[00:25:32] What's correlation? I'm not sure.

[00:25:34] But it's an example of what we see all the time

[00:25:37] on these trade-offs of employers want to offer benefits

[00:25:40] that are relevant.

[00:25:42] Sometimes we do see a spray and pray approach of,

[00:25:45] I'm going to offer a bunch of stuff and see what's going on.

[00:25:48] What's the importance of communications in this process?

[00:25:52] Because if we're surveying the audience,

[00:25:54] i.e. the employee population,

[00:25:56] we have an idea, we got to make that tough trade-off of,

[00:25:59] okay, rates, I'm pretty sure insurance rates in my,

[00:26:02] at least in my history,

[00:26:03] I don't think they've ever gone down.

[00:26:05] That might be wrong about it.

[00:26:07] They might have been flat.

[00:26:09] Flat is the new down.

[00:26:11] Okay.

[00:26:13] But they might not understand,

[00:26:14] listen, you have an 80% contribution

[00:26:16] or if you have 100% contribution from the company,

[00:26:20] we can take that down to 80.

[00:26:22] Here's how that impacts you.

[00:26:23] And we can have these other things.

[00:26:25] Or we can keep it at 100%.

[00:26:27] I'm just using basic numbers.

[00:26:29] But we're going to have to get rid of some of the other stuff.

[00:26:31] Like that, to me, that's a comms-related issue

[00:26:37] where once the decisions have been made

[00:26:40] and the hard decisions have been made,

[00:26:43] somebody's got to communicate this down to the employees

[00:26:46] so they understand what's changing

[00:26:48] and they don't wake up in a new year or-

[00:26:51] And it's not just an email.

[00:26:52] Right.

[00:26:53] Right.

[00:26:54] Yes.

[00:26:55] And communications and benefit programs

[00:26:57] go so closely together.

[00:26:59] It's complicated.

[00:27:01] Yeah.

[00:27:01] And it's hard and people want to know what the changes are.

[00:27:04] You asked earlier, Ryan, about asking,

[00:27:07] do you ask your employees about what they want?

[00:27:12] Do it, but only if you're going to listen.

[00:27:15] If you're going to take the approach of work,

[00:27:17] sure that's great, they want this,

[00:27:19] but we're going to do that.

[00:27:21] Yeah.

[00:27:22] That just creates frustration.

[00:27:24] It does.

[00:27:26] Since you say that, Jeff,

[00:27:27] because I've been in rooms and discussions where,

[00:27:32] again, everybody means well in the room.

[00:27:34] They want to make the right decision,

[00:27:36] but there's always that person

[00:27:38] that influences the others that says,

[00:27:41] let's ask.

[00:27:43] They don't really know what we do.

[00:27:46] We could just say, this is what the survey said,

[00:27:49] and that's how we made our decision.

[00:27:51] There's always that person, and I think that fear,

[00:27:54] let's say fear,

[00:27:55] that's maybe because it's just my jadedness,

[00:27:58] how the employee population potentially feels

[00:28:01] or feels that the decision has been made.

[00:28:03] You asked me, but you really didn't listen.

[00:28:06] So I think you're making a good point.

[00:28:08] Or they asked, they listened,

[00:28:11] and they didn't make that decision,

[00:28:13] but they could communicate and close the loop.

[00:28:15] Or they asked an unsolvable question.

[00:28:19] So do you want more of this or that?

[00:28:22] Well, of course I do.

[00:28:23] Yeah.

[00:28:23] It asks them to make the trade-off decisions

[00:28:26] associated with that.

[00:28:27] Can't have either.

[00:28:28] I'm a lot more of that.

[00:28:29] I love that.

[00:28:30] I think there's a bunch of kind of situational

[00:28:33] and scenario-based things that we can teach employees

[00:28:36] to where they understand that this is a game of trade-offs.

[00:28:39] Yes.

[00:28:40] But you know, okay, we can do 100% of your health benefits,

[00:28:44] the employee,

[00:28:45] and we can do 100% of your family's health benefits.

[00:28:47] Right.

[00:28:48] If we do that, there's nothing else.

[00:28:52] There's literally nothing, retirement, nothing else.

[00:28:56] So do you want to make that decision now

[00:28:58] to somebody that's got kids?

[00:29:01] Yeah, they probably would make a different decision

[00:29:03] than somebody that's just entering the workforce

[00:29:05] that doesn't have kids.

[00:29:09] You know what you should know?

[00:29:11] You should know that you should know podcasts.

[00:29:14] That's what you should know.

[00:29:16] Because then you'd be in the know

[00:29:17] on all things that are timely and topical.

[00:29:20] Subscribe to the You Should Know podcast.

[00:29:23] Thanks.

[00:29:24] You know, it's funny.

[00:29:25] One of the things we've done at AppDeo,

[00:29:28] we carved out a merger.

[00:29:29] So we were the benefit administration entity inside Mercer,

[00:29:33] which is a subsidiary of Martian Clim.

[00:29:35] Right.

[00:29:36] And when we carved this company out,

[00:29:38] one of the promises we made to ourselves

[00:29:40] and to our employees was that everyone would be a shareholder.

[00:29:44] And we made that come true last month.

[00:29:47] We told everybody what shares they were going to get.

[00:29:50] And now, so what we're trying to do with that

[00:29:53] is to have employees think that way

[00:29:55] when they're helping us with ideas on what to do with problems

[00:29:59] like this, your owner that comes with some rights

[00:30:02] but also comes with some responsibilities of helping us trade

[00:30:06] off what the right things are.

[00:30:08] And what I found on this is if you ask,

[00:30:13] if you respect, if you're transparent,

[00:30:16] if you're genuine, if you explain your way through it,

[00:30:19] generally it usually works out better

[00:30:21] than if you dress it up in a bunch of corporate gobbledygook

[00:30:24] around why you can't do this or that or the other.

[00:30:26] Ryan, do you have something?

[00:30:27] Go ahead.

[00:30:27] No, I don't get that.

[00:30:28] How often should they be, because at least as I remember it,

[00:30:33] people either do it on the calendar year

[00:30:35] or they do it mid-year somewhere in that process.

[00:30:39] So how often should they be looking at usage and consumption

[00:30:45] so that they understand that?

[00:30:46] We'll get away from the asking employees part.

[00:30:49] Now let's get into, we're looking at the system.

[00:30:51] You know what they're consuming.

[00:30:53] This, as a technology, you know what's being consumed

[00:30:57] and what's not being consumed.

[00:30:58] How often should they be looking at that?

[00:31:01] Yeah, I think there's some biorethms to this industry.

[00:31:05] I think it starts, the super bowl of this thing

[00:31:08] is open enrollment.

[00:31:09] So the period sometime in the sometime between mid-October

[00:31:14] and December 1st where everybody enrolls

[00:31:18] and your benefits get set on January 1st by and large

[00:31:22] and that's the kind of cycle of the business.

[00:31:24] Then you've gone live in January.

[00:31:27] Hopefully you've gone live smoothly.

[00:31:29] Nobody's standing at CVS, not being able to get their insulin

[00:31:32] or that's it.

[00:31:33] You've done all that eligibility and coverage

[00:31:35] and that's all working.

[00:31:38] And then as an employer, you know, you're debriefing.

[00:31:40] How did that enrollment go?

[00:31:42] What have we learned?

[00:31:43] What did our employees think of it?

[00:31:45] So you're doing that kind of in the springtime.

[00:31:46] Then in the summertime, you're getting into what do we want to do next year?

[00:31:51] What are our planned design choices?

[00:31:53] What was our experience last year?

[00:31:55] How does it influence our cost structure?

[00:31:57] What do our employees say if we're going to ask them?

[00:32:00] And then you get into the actual programming and design

[00:32:03] late in the summer or late in the fall

[00:32:05] to go with open enrollment again.

[00:32:08] That's kind of the general nature of the way this industry

[00:32:12] kind of moves from you.

[00:32:13] Yeah, I didn't ask but go ahead, Russ.

[00:32:14] No, but finish up that and I'll say I might be going backwards a little bit.

[00:32:19] No, this is completely different.

[00:32:20] Do we discuss you're within the four walls of the United States?

[00:32:25] Are you in Canada or do you work for it?

[00:32:27] Yeah, we're in the United States.

[00:32:31] Yeah, okay.

[00:32:32] I did mention that Canadian part.

[00:32:34] I'm pretty impressed.

[00:32:36] I feel like that should be opposite.

[00:32:38] Most people want to be born in America but raise Canadian.

[00:32:42] 100%.

[00:32:42] I believe in November there's going to be an influx.

[00:32:48] I love the influx.

[00:32:50] Yeah, you may have a whole lot of Americans up your way.

[00:32:56] Well, you're in Boston, I guess.

[00:32:57] So that's it.

[00:32:59] Alright, so question I had.

[00:33:00] This might be going backwards a little bit

[00:33:02] but I wanted to ask it because

[00:33:06] people who are listening in today to this show,

[00:33:10] they're going through an issue.

[00:33:11] Otherwise they wouldn't be listening to this specific topic.

[00:33:14] It's not something that I wake up today and I say I want to talk about administration.

[00:33:19] So somebody that's having trouble now designing a program

[00:33:24] or understanding what to offer, etc.

[00:33:28] Consumption models like we were just talking about,

[00:33:31] what is your recommendation?

[00:33:32] How do they go about beginning to design

[00:33:36] or overhauling I should say because at that level

[00:33:39] they've already got something overhauling what they already have

[00:33:44] so that it is better consumed.

[00:33:47] I think it probably starts with a frank discussion

[00:33:53] among the leadership of the entity,

[00:33:57] of who you are and what you want to be to your employees

[00:34:00] and what degree of investment does that look like?

[00:34:04] I think it starts kind of with the culture piece.

[00:34:09] How you think about your employees,

[00:34:11] how you value that stuff

[00:34:13] because I think employees recognize when it comes out the other end

[00:34:18] and you're not being congruent to that.

[00:34:20] So I would say start there.

[00:34:22] I'd say the next piece is and you can do that yourself

[00:34:26] as an employer.

[00:34:27] There's lots of great broker partners out there.

[00:34:30] There's good association work and there's people like us

[00:34:32] that can get you really grounded in the data.

[00:34:35] What is happening experientially?

[00:34:38] How healthy is your population?

[00:34:40] How well saved is your population?

[00:34:42] What's your turnover look like?

[00:34:44] What's your health experience look like?

[00:34:47] What's your drug consumption look like?

[00:34:49] You've got to kind of play with all of that

[00:34:51] and figure out what's working and what's not

[00:34:55] and then balance all of that with inflation

[00:34:59] because you're going to experience some cost increases

[00:35:03] from year to year and partner with your broker

[00:35:08] and with someone like us to help you ideate

[00:35:11] and think through those choices.

[00:35:14] And again, asking employees is a great idea.

[00:35:17] Listening to some of the best work going on

[00:35:19] at places like Shurm to pick one.

[00:35:22] There's just such a wealth of information out there

[00:35:27] about what direction employers are taking

[00:35:30] on some of these things.

[00:35:32] You don't have to be on an island on your own on this stuff.

[00:35:34] There's lots of readily available information.

[00:35:38] I'd say get started early.

[00:35:40] So if you're thinking about substantive changes,

[00:35:44] as soon as your enrollment season is over,

[00:35:45] as soon as you're sure your population is set in January,

[00:35:49] start investigating what's going on in the market.

[00:35:51] Get really well informed.

[00:35:53] Rely on your supply chain to help.

[00:35:55] That's what we're here for.

[00:35:56] And we can help you make really, really good choices.

[00:36:01] Two questions to take in any order that you like.

[00:36:05] One is if you could script buying questions.

[00:36:08] So for someone that's in the market trying to figure out

[00:36:12] if you're the right technology platform for them,

[00:36:15] what should they be asking?

[00:36:17] And then the second question is your favorite part of the demo.

[00:36:21] When you get to show people software

[00:36:23] and you can't feel like there's an aha moment.

[00:36:26] You just can't wait to get to the aha moment.

[00:36:29] What is that for you?

[00:36:31] In any order that you like.

[00:36:33] Yeah, you know it's funny.

[00:36:36] And I don't know if all...

[00:36:38] First off, it's tough for me to keep two questions straight.

[00:36:41] But I think in this case I can actually answer both of them

[00:36:45] in the same way and it may not be exactly what you're asking

[00:36:47] so we can go at it again if it's not.

[00:36:49] But we genuinely believe

[00:36:51] that we're the best service provider in America.

[00:36:54] We believe that we set a standard in our service levels,

[00:36:59] in our care for employees, in our responsiveness,

[00:37:02] in our access to humans, in our net promoter scores,

[00:37:06] customer satisfaction scores, in our call centers.

[00:37:09] Like we think we're really, really great at that.

[00:37:12] We're also a pretty new company

[00:37:14] and we're also trying to bring that alive at Point of Sale

[00:37:17] which is probably a bit of the challenge for us, right?

[00:37:20] Because we've been this really well kept secret inside Mercer

[00:37:24] or Vala or a Carval, we're an independent company.

[00:37:27] I've got wall to wall, green SLA, green SLAs.

[00:37:32] You know and how do I convince clients of that

[00:37:36] when who is the last company you know that said

[00:37:38] hey, we offer a pretty crappy service,

[00:37:41] you should go with someone else.

[00:37:42] So everybody claims it.

[00:37:44] I genuinely believe it's true.

[00:37:46] I mean if you guys have any advice on that for me

[00:37:48] on proof sources, I'm all ears for it.

[00:37:51] But the point of the demo where I get the most excited

[00:37:54] is when the customer basically understands

[00:37:58] we have the enrollment and eligibility systems.

[00:38:01] We've got the decision support tools,

[00:38:04] we've got the summaries, we've got the navigation pieces

[00:38:07] and they want to talk about the difference

[00:38:09] we can make in the services part of the tech-enabled services

[00:38:13] because I think we can all do a pretty good demo

[00:38:15] but I think I'll put our people and our capabilities

[00:38:20] and our service levels up against anybody and be incredible.

[00:38:24] Final question on my side

[00:38:26] and I'm going to steal your questions here

[00:38:29] but Jeff, what are the questions that potential clients,

[00:38:34] prospects are not asking that they should be asking?

[00:38:38] I think it varies a little bit by segment Ryan.

[00:38:44] I would say that I think that clients,

[00:38:48] what we experience is sometimes it's pretty hard

[00:38:51] to compare what the cost of ownership is between solutions.

[00:38:55] I'll give you some examples, right?

[00:38:57] Like there may be a base charge

[00:38:59] or paying per employee per month.

[00:39:02] Now does that include administration of Cobra

[00:39:05] for your employees that are leaving?

[00:39:08] Does that include spending accounts?

[00:39:10] Does that include caps on the call center?

[00:39:13] Does that include enrollment?

[00:39:14] Does that include communication?

[00:39:15] I think that it's hard for a client

[00:39:19] if they don't have a really strong broker

[00:39:21] kind of helping them sort this out

[00:39:23] understand what it's really going to cost

[00:39:25] to do this and then what's included in that bundle.

[00:39:30] And I'd say the other thing is that

[00:39:34] again in the spirit of approving ourselves

[00:39:36] the question I'd like to hear more is

[00:39:38] put your money where your mouth is

[00:39:40] on the risk-reward relationship.

[00:39:42] So we'll set a price

[00:39:43] or we'll take some of those fees of risk.

[00:39:46] If you're willing to take a bet on us

[00:39:48] we'll make a bet on ourselves that we can deliver.

[00:39:51] So I'd like to hear more discussion on that

[00:39:55] because I feel like we have unique strength

[00:39:58] and courage on that that we're prepared to bring to our clients.

[00:40:02] Last thing, we talked the size of company

[00:40:05] but we've got geography generally.

[00:40:07] We can talk about industries.

[00:40:09] Is there any particular industries

[00:40:11] that y'all are targeting or you're going after or whatever?

[00:40:16] I think that we're open for business across all industries.

[00:40:21] We do see the unlike maybe some types of

[00:40:25] human capital management product lines

[00:40:27] or other types of services product lines.

[00:40:31] We see pretty homogeneous buying behavior

[00:40:36] and use cases across industries.

[00:40:39] Now a retail environment may have different benefit needs

[00:40:43] than a professional services environment

[00:40:45] but we see the general usage and consumption of that

[00:40:49] as it faces us to be pretty similar.

[00:40:53] Love it.

[00:40:54] Brother, we could talk to you for hours.

[00:40:56] So thank you for carving out time for us and our audience.

[00:41:00] Love what you're doing.

[00:41:01] Absolutely love what you're doing

[00:41:02] and thank you again for your time.