eolesen
Veteran
- Jul 23, 2003
- 15,940
- 9,371
This is probably one of the few areas where Wing and I agree on something...
Yes, there's a lot of fraud out there. Percentage-wise, it's a small number of employees actually doing this, but AMR is self-funded, so every dollar for medical claims paid out is one less dollar in the profit column.
When several of the big three automakers did their verification, they found tens of millions of dollars in coverage had provided to ineligible persons. Even with an amnesty period, they still had hundreds of dependents being covered who were eventually kicked off their plans. Chrysler went as far as to payroll deduct the market value of the coverage provided from employee paychecks, even if no claims were paid out.
I've looked at what several other employers offer in my profession, and most of them offer coverage for spouse/kids, but at the employee's expense.
We're pretty damn lucky to have the coverage we have, especially managed care. The other employers typically only offer a choice of a HMO or an 80/20 plan with no max out of pocket....
There are exceptions to that, but fewer and fewer each year.
As far as part timer's go, I agree that they shouldn't get the same level of benefits as full-timers, but what about the full-timers who elect to CS/trip-trade as many hours off as possible and be a virtual part-timers?...
Yes, there's a lot of fraud out there. Percentage-wise, it's a small number of employees actually doing this, but AMR is self-funded, so every dollar for medical claims paid out is one less dollar in the profit column.
When several of the big three automakers did their verification, they found tens of millions of dollars in coverage had provided to ineligible persons. Even with an amnesty period, they still had hundreds of dependents being covered who were eventually kicked off their plans. Chrysler went as far as to payroll deduct the market value of the coverage provided from employee paychecks, even if no claims were paid out.
I've looked at what several other employers offer in my profession, and most of them offer coverage for spouse/kids, but at the employee's expense.
We're pretty damn lucky to have the coverage we have, especially managed care. The other employers typically only offer a choice of a HMO or an 80/20 plan with no max out of pocket....
There are exceptions to that, but fewer and fewer each year.
As far as part timer's go, I agree that they shouldn't get the same level of benefits as full-timers, but what about the full-timers who elect to CS/trip-trade as many hours off as possible and be a virtual part-timers?...