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© 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise...

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© 2013 Oldemark LLC Healthcare Reform Stephanie Shaw Director, Enterprise Solutions
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Page 1: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

© 2013 Oldemark LLC

Healthcare ReformStephanie ShawDirector, Enterprise Solutions

Page 2: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• About The Wendy’s Company

• HCM/Benefits Footprint

• Solution Approach

• OAB ‘Lite’

• Canada

Agenda

Page 3: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

3The Wendy’s Company

3rd LARGEST HAMBURGER COMPANY

6,500 FRANCHISE AND COMPANY RESTAURANTS

43,000 EMPLOYEES

Page 4: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• 12.1.3

• EBS Products: HR, Payroll, OTL, CWB, OIC, OPM, OSB (Canada), Self Service (tiny-bit)

• TALEO Recruiting

HCM Footprint

Page 5: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• US – Benefits Administration Outsourced. Basic Benefits used to manage elements.

• Canada—OSB utilized to administer benefits internally

Benefits Footprint

Page 6: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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Benefits Footprint – Populations

80%

1%

16%

3%

CrewBakeryRestaurant OperationsCorporate and Field Support

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Yes, we have a Bakery!

Page 8: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• 2006 President Bush Support

• Consumer Driven Health Plans

• HSAs

Industry Leader in Benefits

Page 9: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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In March 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act

(ACA), into law. The law makes preventive care—including family planning and related services—more accessible and affordable for many Americans. While some provisions of

the law have already taken effect, many more provisions will be implemented in the coming years.

www.healthcare.gov

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• Shareholders

• Corporate Leadership

• Franchisees

• Industry Retail Peers

Stakeholders

Page 11: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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Approach

Education Data Analysis

Solution Design

Page 12: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• Medical Benefits/Legal Impact

• Systems Integration Implications

• Franchisee Communications

EducationLearning Curve

Page 13: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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Data Analysis

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Data AnalysisBridging the Gap

• Manual Reporting Process

• Disparate Data

• Time Consuming

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• Vendor Solutions?

• Labor Scheduling/Timekeeping Solution?

• Oracle HCM Internally Designed Solution?

Solution DesignWhat is the right fit for Wendy’s?

Page 16: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• Not fully baked

• Eligibility solutions only sold bundled with Benefits Administration

• Gap in reporting needs

Solution DesignVendor Solutions

Page 17: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• Multiple solutions to manage the data

• Gap in reporting needs

• Operational Reporting vs. Benefits Reporting

Solution DesignLabor Scheduling/Timekeeping Solution

Page 18: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• System of record-No one knows our data better than us

• Bridge the gap while solutions/laws stabilize

• Accommodate complex reporting requirements

Solution DesignOracle HCM Internally Designed Solution

Page 19: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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OAB

• Minimal OAB functionality

• 30-Hour eligibility determination using eligibility profiles

• SITs used to store results

• Results transmitted to TPA on Census file

• Provide Reporting

OAB ‘Lite’Benefits Administrator

• Receive and process Census file

• Send communications to eligible employees

• Manage employee enrollment

• Send Wendy’s inbound file with enrollment selections

Page 20: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• New Hire• Military Leave• Jury Duty• FMLA• Promotion

• Demotion• Rehire• Termination • Reverse Termination • Benefit Program Change

OAB ‘Lite’ – Life Events

Page 21: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• Segment 1 - Eligible Yes No• Segment 2 - Date of Eligibility Anniversary• Segment 3 - Date of Eligibility Anniversary override• Segment 4 - Date of Eligibility Enrollment Period• Segment 5 - Date of Eligibility Enrollment Period Override• Segment 6 - Benefit Group• Segment 7 - Benefit Group override• Segment 8 - Total Hours Enrollment Period 1st Anniversary• Segment 9 - Total Hours Enrollment Year • Segment 10 - Total Hours Enrollment Hours

OAB ‘Lite’ – SIT

Page 22: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• 10 Eligibility Profiles

• 6 Plans

• 14 Fast Formulas

• Reporting

OAB ‘Lite’ – Other Setups

Page 23: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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August 2013ACA On Hold!?

Page 24: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• OSB/OAB cannot exist in the same installation

• Several configuration opportunities

• Leverage existing OSB setups with a Life Event to enable OAB

Oh, Canada!!!

Page 25: © 2013 Oldemark LLC Healthcare Reform Stephanie ShawStephanie Shaw Director, Enterprise SolutionsDirector, Enterprise Solutions.

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• Canadian OAB – November 15, 2013

• OAB ‘Lite’ for US ACA Eligibility – January 1, 2014

Roll-Out Schedule

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