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A recent survey by the National Business Group on Health reveals that large U.S. employers predict their health care benefits costs will rise an average of 8.9 percent in 2011 (up from 7 percent in 2010).
Top strategies employers plan to use to control costs include:
- Raising employee contributions (63 percent)
- Raising out-of-pocket maximums (46 percent)
- Raising in-network deductibles (44 percent)
- Raising out-of-network deductibles (40 percent)
- Raising copay/coinsurance for specialist care (21 percent)
- Raising copay/coinsurance for primary care (6 percent)
One of the most common cost-controlling tactics cited by employers was offering a consumer-directed health plan (CDHP). In 2011, 61 percent of employers plan to offer a CDHP, while 20 percent will offer it as their only plan option (up from 10 percent in 2010). Other survey trends include:
- In 2011, 5 percent of employers will drop retiree health benefits, while 60 percent are considering doing so.
- Many employers will offer premium discounts for completing health risk assessments (41 percent) or participating in tobacco cessation programs (22 percent).
- A quarter of respondents will raise their copay/coinsurance for retail pharmacy prescription drugs, and 21 percent will do the same for mail order pharmacy benefits. ■

The Affordable Care Act includes a provision regarding over-the-counter (OTC) drugs and FSAs, HRAs, HSAs and Archer MSAs. The IRS recently released additional guidance for this new standard.
Effective January 1, 2011, OTC drugs can no longer be reimbursed from any of the above medical accounts, unless a prescription is obtained for the drug. This does not apply to insulin, which will continue to be an eligible medical expense, even if purchased without a prescription.
This rule applies only to purchases made on or after January 1, 2011. Any OTC purchases made without a prescription in 2010 can still be reimbursed in 2011 (if allowed by your plan). ■ |
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U.S. deaths in the workplace fell 17 percent to a record low, partially attributable to a sharp decline in construction fatalities as unemployment soared to the highest level in 25 years, according to the Bureau of Labor Statistics.
Secretary of Labor Hilda L. Solis responded in a statement that while the decrease is “encouraging,” it is essential to maintain “continued strong enforcement of workplace safety laws” since “a single worker hurt or killed on the job is one too many.” A comprehensive risk management and safety program can prevent worker injuries and fatalities.
For the second year, transportation accidents were the most frequent cause of worker deaths. Fleet safety programs can abate this risk. ■ |
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In an effort to ensure worker safety by setting examples for all employers, OSHA is aggressively enforcing its standards in cases where employers demonstrate indifference in protecting the health and safety of their workers.
In the past year and a half of the current OSHA administration, OSHA investigators have issued 17 citations for egregious violations. These employers showed multiple instances of willful and flagrant indifference to correcting workplace hazards, many of which resulted in tragic worker fatalities, worksite catastrophes (including explosions and chemical releases) or large numbers of worker injuries or illnesses.
This number is more than double the amount of similar violations issued in the two years before the current administration took office. Some of the employers that have been cited as a part of OSHA’s recent efforts include BP Products North America, Kleen Energy and Cooperative Plus.
What does this effort mean for employers? More than any other time, it is crucial to make safety and OSHA compliance a top priority. Measures to improve job safety and health will consistently help your bottom line by reducing workers’ compensation claims, improving worker satisfaction and employee retention and avoiding costly citations from OSHA.
Making safety and proper recordkeeping a priority can improve your business operations and ensure that OSHA inspections go smoothly. ■ |
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When a company experiences significant increases in workers’ compensation costs, it usually triggers internal activities aimed at reducing insurance costs and spending. The key to spending fewer dollars is more than just stopping a few accidents; it is having a sound safety program designed to continuously improve.
There are five basic steps a company can take to have a well-rounded safety program that produces a safe work environment, achieves OSHA compliance, reduces accidents and ultimately reduces workers’ compensation costs.
- Develop the various programs required by the OSHA standards. A good number of accidents stem from poorly developed, trained or implemented OSHA programs: slips or trips may come from poor housekeeping efforts or not keeping walking and working surfaces clear, not using personal protective equipment may result in excessive lacerations, and poor lifting techniques can result in strains.
- Integrate those programs into the daily operations. Putting a policy into practice requires a strategic plan clearly communicated to key participants, good execution of that plan based on developed competencies, and a culture that inspires and rewards people to do their best.
- Investigate all injuries and illnesses. The ability to reduce accidents is significantly enhanced when those accidents are fully investigated instead of simply being reported.
- Provide training to develop safety competence in all
employees. The goal of training is to develop competent people who have the knowledge, skill and understanding to perform assigned job responsibilities.
- Audit your programs and your work areas on a regular
basis to stimulate continuous improvement.
Studies indicate there is a return on investment and that companies see direct bottom-line benefits with a properly designed, implemented and integrated safety program. |
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Adventure enthusiasts get excited at the thought of scouring the woods and skimming ice-covered lakes on their snowmobiles. To protect against potential hazards, Snowmobile Insurance is as essential as your gloves, boots and the need for speed. A typical Snowmobile Insurance policy includes the following coverage:
- Bodily Injury and Property Damage Liability (BI/PD): Covers liability for an accident involving injury to other people or property, up to your liability limits.
- Comprehensive and Collision Coverage: Replaces or repairs your vehicle if it is stolen or damaged, regardless of who is at fault. Collision coverage applies for accidents involving a nonliving object or other vehicle; and events such as fires, theft or vandalism.
- Uninsured/Underinsured Motorist: Pays for your medical treatment resulting from accidents involving uninsured or underinsured motorists when you are not at fault.
- Roadside Assistance: Covers labor for repairs and towing to the nearest repair facility due to dead batteries, mechanical or electrical breakdowns, lost keys, insufficient fuel (or oil, water or other fluids) and entrapment.
- Accessory Coverage: Covers items that were not originally manufactured on the vehicle, such as trailers, custom paint, racks and plow blades.
- Medical Payments
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Thank you for reading CLG InSIGHT.
For more information, contact:
CLG Insurance
172 Main Street, Nanuet, New York 10954
t: 845.623.3434 • info@clginsurance.com |
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As we move into a new season, let me reiterate our commitment to you our customer. Thank you for making us your insurance broker. We take our responsibility very seriously. If we haven't already, we will be contacting you shortly to review your exposures and renew your coverage.
The new health care legislation is on most people's minds. Please know that we are here to inform and advise you at every step. Make sure we have your email as well as updated contact information. You can also friend us on Facebook or Twitter to receive timely posts on this and other topics of importance.
As always, if you have any questions, please don't hesitate to contact me personally.
Enjoy the fall and stay safe this winter!
Regards,

Edward F. Carpezzi
President & CEO
CLG Insurance |
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Pierre Bartlalotta joined CLG in August as an Account Executive responsible for developing sales in the company's Personal Insurance (PID) and Select Insurance (SID) divisions. Pierre comes to us with 10+ years of sales experience. He lives in Waldwick, NJ with his family.
Erin Modafferi took on the position of Account Manager in the Business Insurance Division at CLG in September. Erin has over 10 years of experience in multiple capacities in the insurance industry including underwriting, operations and account services. Erin is a graduate of Pace University and resides in Congers, NY.
Welcome Pierre and Erin! ■ |
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CLG employees will be participating in the Jawonio Race for Recovery on October 9, 2010 at Rockland Lake State Park in support of Jawonio's Mental Health Recovery Services. Registration/Check In opens at 7:00am 10K Race starts at 9:00am 5K Walk starts at 10:00am PLEASE NOTE: Parking is FREE if you arrive before 8:00am $8.00 after that time.
Jawonio provides comprehensive medical, clinical, rehabilitative, educational, employment, day habilitation services, service coordination and community living services to children and adults with physical, developmental and/or emotional disabilities.
To take part or to support this worthwhile cause, please visit www.jawonio.org. ■
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CLG's Associate Account Manager, Dexter Rosario and his family will be taking part in the Have A Chance Walk to Fight Brain Tumors on Sunday, October 17 at Battery Park in New York City.
Since the first Walk in 2006, over 6,000 people have stepped forward and raised over $3 million. Those dollars have helped fund research and treatment programs and help families who are battling brain tumors with comfort, advice and financial assistance.
For more information or to make a donation, please visit haveachancewalk.org. |
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Supplemental heating, such as using space heaters, is the leading cause of home fires from December through February. If you are relying on space heaters for some additional warmth this winter, remember these safety precautions as you stay toasty:
- Do not use space heaters to warm bedding, cook food, thaw pipes or dry clothing. These tasks can present major fire and burn risks.
- Use space heaters with Underwriters Laboratories (UL) safety mark only. The UL mark signifies that the product was tested for potential safety hazards.
- Always purchase units that have automatic shut-off features and heating element guards.
- Keep sources of fire at least three feet away from the heater, including drapery, clothing and bedding.
- Turn off space heaters when leaving the room and going to sleep.
- Always supervise children and pets around heaters to prevent burn injuries.
- Periodically check for frayed insulation, broken wires and overheating. Have your space heater serviced immediately if you notice any of these problems. ■
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For years, creditors have been using credit scoring systems to determine if you’d be a good risk for credit cards, auto loans, and mortgages. These days, many more types of businesses — including insurance companies and phone companies — are using credit scores to decide whether to approve you for a loan or service and on what terms.
Auto and homeowners insurance companies are among the businesses that are using credit scores to help decide if you’d be a good risk for insurance. A higher credit score means you are likely less of a risk, and in turn, means you will be more likely to get credit or insurance — or pay less for it. |
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