The push to make benefits more personalized to employees has gained momentum. But could there be such a thing as too much customization?
Any company knows that
The issue isn’t the recent adoption of more expansive wellness benefits such as caregiving options for parents or
“Adverse selection is always going to be the underlying problem,” he says. “You could be putting your people in a position that they’re negatively selecting against themselves.”
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Adverse selection becomes most dangerous in a healthcare setting, according to Schultz, as it can put employees at greater risk for bankruptcy, due to the inability to pay off medical bills. For example, a company with a lot of employees under the age of 30 may choose to “personalize” their healthcare plan by basing it off of a younger individual’s resistance to getting sick and favor options with higher deductibles — which is a good strategy, until it isn’t. During COVID, the demand for medical attention rose, but these plans could make it challenging to cover the full scope of healthcare needs.
“That's a problem,” Schultz says. “That's why customizable [plan design] has to also include a degree of what I call guardrails, to make sure that we don't put employees in a position to become financially destroyed.”
To avoid this risk, keeping a standard plan may be more sustainable in some instances, according to Schultz. From an economic perspective, a standard plan gives employers a degree of certainty around what’s covered.
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But with the right steps in place, companies can juggle both — as long as the personalized benefit plans come with
“It shouldn’t be if you can afford to offer the insurance, you can't afford to get sick — that doesn't make any sense,” Schultz says. “There needs to be greater checks and balances.”