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Global Trends in Employee Benefits Management Presented by Wil Gaitan Senior Vice President Aon Hewitt June 1, 2017
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Page 1: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Global Trends in Employee Benefits Management

Presented by Wil Gaitan Senior Vice President – Aon Hewitt June 1, 2017

Page 2: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Content

Introduction

Global Socioeconomic Background

Global Factors Influencing Global Benefit Trends

Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study

American Benefits Institute and Aon Hewitt Global Benefit Governance Study

Open Forum

Appendix

1

Page 3: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Introduction

Page 4: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Global Socioeconomic Background

Page 5: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

A Historical Perspective of Global Economic Change

US vs. UK - 1850

Population and GDP

2328

50

60

0

10

20

30

40

50

60

70

US

Population (millions) GDP (billions, 2000 constant dollars)

UK

US vs. UK - 1950

Population and GDP

150 50

2,006

316

0

500

1,000

1,500

2,000

2,500

US

Population (millions) GDP (billions, 2000 constant dollars)

UK

4

Page 6: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

21st Century

US vs. China - 2010

Population and GDP

3081,390

14,660

5,878

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

US

Population (millions) GDP (billions, 2010 constant dollars)

China

US vs. China - 2050

Population and GDP

420 1,550

38,514

70,710

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

US

Population (millions) GDP (billions, 2006 constant dollars)

China

5

Page 8: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

2015 2050

PPP

Rank Country

GDP

(2015 USD bn) Country

GDP

( USD bn*)

1 China 19,392 China 61,079

2 United States 17,947 India 42,205

3 India 7,965 United States 41,384

4 Japan 4,830 Indonesia 12,210

5 Germany 3,841 Brazil 9,164

6 Russia 3,718 Mexico 8,014

7 Brazil 3,192 Japan 7,914

8 Indonesia 2,842 Russia 7,575

9 United Kingdom 2,679 Nigeria 7,345

10 France 2,647 Germany 6,338

11 Mexico 2,227 United

Kingdom 5,744

12 Italy 2,171 Saudi Arabia 5,488

13 South Korea 1,849 France 5,207

14 Saudi Arabia 1,683 Turkey 5,102

15 Canada 1,632 Pakistan 4,253

Global Economy Shift in Progress

Sources: IMF (2015), PWC (2050)

Emerging Market and Developing Economies

Advanced Economies

GDP Based on Share of World Total (%)

7

Page 9: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Two Key Trends Among U.S. Multinationals

Foreign affiliates of U.S. multinationals

bringing in a higher percentage of net

income relative to U.S. domestic

business

Multinational companies increasing

investment and staff counts outside the

USA

8

Page 10: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

26

North America

Western Europe

Japan & S. Korea 9

Australia &

New Zealand

Other advanced

1980 2013 profit % by region

Advanced Emerging

26

25

9

3

5

China

Latin America

ASEAN 9

India

Other emerging

14

5

1

5

6

World Company Profits - Evolution and Geographical Distribution

$2T profit

7.6% of world GDP

$7.2T profit

9.8% of world GDP

1980

2013

Net After Tax Profit

SOURCE: McKinsey Global Institute: Playing to Win September 2015

Companies from advanced economies earn more than two-thirds of global profits, and Western

firms are the world’s most profitable.

Profits are increasingly shifting from heavy industry to idea-intensive sectors

Sectors such as pharmaceuticals, media, finance, and information technology have the highest

margins

Meanwhile, margins are being squeezed in capital-intensive industries

Emerging economies now account for 40 percent of global revenue

9

Page 11: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Growth of Corporate Profits Expected to Decline

Global

NOPLAT1

profit pool by

2025

7.9%; $8.6

trillion, in 2013

dollars

Source: World Bank; OECD;

Bureau van Dijk; European

Commission AMECO database;

US Bureau of Economic

Analysis; IHS; Oxford

Economics; McKinsey

Corporate Performance

Analysis Tool; McKinsey Global

Institute

2013

100% = $7.2 trillion Other

Emerging2

5.2

31.8 Emerging

India 1.4

ASEAN 4.9

Latin America 5.7

China 14.5

Other

Advanced2

5.3

68.2 Advanced

Australia and

New Zealand

2.2

2.5

Japan 6.7

North America 26.4

Western

Europe 25.2

2025

100% = $8.6 trillion

Other Emerging2 5.3

37.7 Emerging

India 2.1

ASEAN 2.4

Latin America 6.8

China 21.1

Other Advanced2 5.1

62.3 Advanced

Australia and

New Zealand

2

1.7

Japan 7.3

North America 25.1

Western Europe 21.1

10

1 Net operating profit less adjusted taxes.

2 “Other advanced” refers to Hong Kong,

Taiwan, and Middle Eastern countries;

“other emerging” refers mainly to Russia,

Eastern Europe, and Africa. NOTE:

Numbers may not sum up due to rounding

Page 12: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

World Corporate Profit Projections and Key Challenges

A more competitive world A more uncertain environment and

slower profit growth

$8.6T profit

7.9% of world GDP

2025

Many more companies fighting for market share

Volatility and swings in corporate performance

Profits shifting to idea-intensive sectors, which produce big winners

Margin pressures on capital-intensive firms

Emerging-

market

companies Tech and

tech-enabled

firms

Small and

Medium-sized

Firms

Rising cost

and war for

talent

SOURCE: McKinsey Global Institute: Playing to Win September 2015

11

Page 13: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Characteristics of Winning Firms - McKinsey

McKinsey analysis of 20,000 companies indicates that winning firms differentiate

themselves in three main ways:

Pursuing fast-growing markets

Build intellectual assets

Efficient operations

Especially in emerging markets despite initial difficulties

Non-US profits of US companies have grown twice as fast as domestic

1

2

3

Investing in R&D and more idea-intensive products

Building strong brands

Lower production costs per unit of sales

Efficiency is critical in order to sustain innovation over increasing competition

SOURCE: McKinsey Global Institute: Playing to Win September 2015

12

Page 14: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Global Factors Influencing Global Benefit Trends

Page 15: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Talent Sourcing in Emerging Markets – Challenges

Source: 2017 Aon Global Risk Management Report

Studies suggest

multinational

companies only find

10-25% of new

graduates employable

and massive skill

shortages for mid-

level management

positions

India, Brazil, China,

Mexico, S. Africa, and

Turkey are all rated

as having “severe”

employability

challenges by World

Economic Forum

Huge

Talent

Gaps

Studies suggest only

28.5% of Indians

showed “high intent”

of staying with current

company (global is

60%)

Attrition is over 20%

in China, 40% in

Brazil

Retention

is Difficult

14

Page 16: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Factors that Impair Staffing for Multinationals in Emerging Markets

Source: McKinsey

While the numbers of qualified staff are large, a multinational company would still find it

hard to match its demand for talent with available local supply due to the three main

factors:

15

1

2

3

Limited suitability:

Lack of language skills

Deficiencies in vital areas of

the education system

Lack of cultural fit

Dispersion of local labor

force (unwillingness,

inability to relocate

within country)

Domestic competition for talent

(offering better cultural fit and

career growth opportunities)

In short, on

average only

13% of

technically

qualified

university

graduates are

fit for hiring by

multinationals

Page 17: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Employee Benefits – Fundamental Pillar to Hire and Retain Employees

16

Source: Aon Hewitt Global Employee Engagement Survey

Page 18: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Multinational Company Benefits Related Challenges

Advent of Emerging Economies:

• Small skilled labor pools

• Opening of large domestic markets

• Expanding middle class Social program benefit curtailments

Spiraling benefit cost patterns particularly

medical and pension plans

Growing employee awareness and demands

for employer-provided benefits

Rising prevalence of non-communicable

diseases

Loss of employee productivity due to illness

and morbidity

Tighter government regulation of benefits

programs

Dire understaffing of benefit management

personnel

Relentless cost-containment initiatives

Global Population Ageing:

• Longer life expectancies

• Older workers

• Smaller national labor forces

• Staff more prone to illness

Declining Health Habits:

• Poor diets

• Sedentary lifestyles

• Alcohol and tobacco use

• Inadequate stress management

Macroeconomic Factors:

• Transition to a service economy

• Intense global competition

• Low interest rates

• Internet and consumerism

17

Page 19: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Projected World Population Ageing

Source: United Nations

Me

diu

m

Va

ria

nt

18

Page 20: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Global Health Trends

Per Capita Consumption of Coca Cola Products:

19

Page 21: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Lifestyle risk factors are growing globally—the global burden of NCDs is greater than

that of communicable diseases

Macro-Trends – Non-Communicable Diseases (NCDs)

Source:: U.S. Department of State; National Institutes of Health. Source: International Diabetes Federation

Number of People with Diabetes

(20–79 years old)

Country 2011

(Millions)

Country

2030

(Millions)

1. China 90.0 1. China 129.7

2. India 61.3 2. India 101.2

3. US 23.7 3. US 29.6

4. Russia 12.6 4. Brazil 19.6

5. Brazil 12.4 5. Bangladesh 16.8

6. Japan 10.7 6. Mexico 16.4

7. Mexico 10.3 7. Russia 14.1

8. Bangladesh 8.4 8. Egypt 12.4

9. Egypt 7.3 9. Indonesia 11.8

10. Indonesia 7.3 10. Pakistan 11.4

20

89%

3%7%

44%

44%

12%Non-communicable

Communicable

Injuries

2002

Low/Middle Income Countries

85%

6%9%

54%32%

14%

High Income Countries

Low/Middle Income Countries High Income Countries

Increasing Burden of

Chronic Non-Communicable Diseases

2030

Page 22: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Global Employee Regulation

Curtailed social programs

New or increased mandated benefits

Guaranteed minimum ROR on defined contribution plans

Mandated post-retirement medical plan coverage

Higher DB retirement severance

Mandatory coverage of domestic partners, same sex partners

Adverse taxation of employee benefits

Anti-discrimination, mandated broad based benefit plan coverage

Compulsory coverage of expatriates under local social programs

Special employee benefit rights upon corporate transactions

Mandated benefit communication to employees

Increase disclosure and reporting requirements to government authorities

21

Page 23: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Case Study - Occupational Medical Benefits in the USA

Provision of employer-sponsored medical plans has become mandatory in the USA

Most U.S. employers with 1,000 or more employees are self-insured

Those employers essentially become health insurers:

– Unlimited liability exposure at the individual and aggregate levels

– Company bears financial risk

– Non-profit seeking

– Compliance/legislative oversight

– Fiduciary role

– Plan administration – active and inactives

22

Page 24: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

USA - Health Care Cost Increases are a Core Business Issue

Since 2006 2016

Total Cost 52% increase Nearly $13,000 per employee annually

Employer 40% increase $8,000 average spent per employee

Employee 82% increase of out-of-pocket and

payroll contributions $5,000 average spent per year

Some estimate that health care costs will

continue to rise at 9% per year

With employee pay typically rising at 3%

per year, compare a 19% pay increase

to an 82% health care cost increase over

the past 5 years

23

Page 25: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

64%

10% 26%

56% +15%

14%

30%

61% +23%

12%

27%

USA – Benefit Costs vs. Average Employee’s Total Compensation

Total

Compensation

Benefits

Spend

Retirement

Paid Leave

Mandated

Health

Healthcare

Spend

2004 2014 2024

+25%

CPI +26% CPI +25%

As % of Total Compensation 11% 12% 15%

Employer Funded Benefits

Employee Funded Benefits

Remaining Compensation

+30%

30%

37%

18%

15% 32% (+50%)

34% (+26%)

18% (+40%)

16% +46% 35%

(+52%)

32% (+31%)

18% (+21%)

15% (+53%)

+40% +41%

Sources: Bureau of Labor Statistics: Employer Costs for Employee Compensation; Bureau of Labor Statistics:

Consumer Expenditure Survey; CBO Budget and Economic Outlook: 2014 to 2024

24

Page 26: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Highlights of Aon Hewitt 2017 Global Medical

Trend Rate Study

Page 27: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Concept of a Medical Trend Rate

• Some causes for the annual increases in

employer medical plans are easily explainable

and understandable

• Aging of the covered census

• Increases in number of covered members

in plan

• Improvements in benefit plan provisions

• Like every other good or service that we

buy, the costs of medical services obtained

through employer plans are subject to

inflation, as measured by changes in the

consumer price index

• For many years, however, the unit costs of

employer sponsored medical plans have been

experiencing systemic cost escalation well

beyond the ‘normal general’ inflation levels

• In light of this situation, plan sponsors have

come to rely on the concept of medical trend

rates as better indicators of upcoming

baseline cost increases of their plans

• Medical trend rates represent the percentage

increases in unit costs of insured and self-

insured medical plans due to:

• These factors have an additive effect on the

price increases that employers experience in

financing their medical plans

‘Regular’ price

inflation

Leveraging effect

of fixed amount

elements in plan

design

Cost shifting from

social programs

Higher cost of

technological

advances in

medical field

Community-wide

expected

increases in plan

utilization

1 3

4 5

2

26

Page 28: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

* Mexico is included as part of Latin America

About the study…

• Survey of Aon global offices under the

direction of Aon’s Corporate Chief Actuary –

Health

• Based on analysis of the portfolios of group

medical plans handled by Aon in each country

• The 2017 trend rates were prepared based on

2017 retail inflation projections published by

the IMF World Economic Outlook Database in

April 2016

• Two sets of medical trend rates are presented:

‒ Trend rates gross of domestic general inflation

‒ Trend rates of domestic retail inflation rates

• Our trend rates do not consider any mitigation

initiatives by plan sponsors to fight trend

2017 Aon Hewitt Global Medical Trend Rate Study

Report covers 91 countries

2* North America

21*

Latin America

29 Europe

22

Middle East/Africa

17

Asia/Pacific

27

Page 29: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Rising Cost of Healthcare – A World-Wide Challenge

• For 2017, the average global medical trend rate is 8.2%, which is 5.4% higher than average global general

inflation of 2.8%

• According to our surveys, high levels of medical premium inflation have been sustained for many years:

4.34% 4.23% 4.00%

2.90% 2.80%

10.14% 10.34% 10.15%

8.10% 8.20%

0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

2013 2014 2015 2016 2017

General Inflation Medical Trend Rate

28

Page 30: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

2017 Global and Regional Average Medical Trend Rates Highlights

2016 2017

Annual General

Inflation

Rate (%)

Annual Medical Trend Rates Annual General

Inflation

Rate (%)

Annual Medical Trend Rates

Region and Country Gross (%) Net (%) Gross (%) Net (%)

Global 2.9 8.1 5.2 2.8 8.2 5.4

North America 1.5 6.0 4.4 1.6 6.3 4.7

Latin America &

Caribbean 6.4 13.6 7.2 6.0 14.2 8.2

Europe 1.6 5.9 4.2 1.6 5.7 4.1

Middle East & Africa 6.3 11.6 5.3 6.7 14.3 7.6

Asia 3.2 9.4 6.3 2.9 8.9 6.0

Notes:

The average Global, Latin America and Venezuelan medical trend rates for 2016 have been recalculated due to the exclusion of Venezuela in

2017 as an outlier

The US trend rate incorporates the cost of prescription drugs

29

Page 31: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Cardiovascular

Cancer

Respiratory

Identifying the Root Causes of Adverse Medical Claim Experience

• Regional Peculiarities:

– Obesity in Latin America, and Smoking in Europe and some Asian countries figure among the top

3 risk factors

– Infectious diseases and gastrointestinal issues continue to be an important medical condition in all

regions

– The cost of clinics and labs are among the top 3 most important medical claim elements in Asia

Pacific and Europe

Top 3 reported global risk factors

Top 3 most impactful elements of

global medical plan costs

reported:

Top 3 reported global medical

conditions

High Blood Pressure

High Cholesterol

Physical Inactivity

Hospital

Physician Services

Prescription Drugs

Source: Aon Hewitt 2017 Global Medical Trend Rate Survey Report

HIGH

30

Page 32: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Mitigation Initiatives

Source: Aon Hewitt 2017 Global Medical Trend Rate Survey Report

Top 3 global mitigation initiatives to control medical plan cost escalation:

Cost Sharing

Provider Networks

Plan Changes

65

43

13

41 35

85 75 77 74 75

0102030405060708090

Detection Education

Programs

Coaching

Programs

Wellness

Interventions

Advanced

AssessmentPrograms

Commonly Provided across all Employers

Provided by Progressive Employers

At a strategic level, employers are making increasing use of Wellness initiatives

“Progressive Employers” were defined as employers of choice in each territory

Wellness interventions by category

Detection Employer

wellness Education

Advanced

assessment

Physical

check-up Quit smoking

General health

communication Heart health

Vision

screening

Employer

Assistance

Web based

information

Advanced

check-ups

Mammograms Physical

activity Wellness kits Nutrition

31

Page 33: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Conclusions

Having a healthy workforce will become a business imperative for

sustain corporate success

Medical plans and wellness programs will form an integral part of

total rewards required to attract and retain employees

Medical plan costs will continue to escalate and long tail liabilities will

continue to inadvertently emerge

Deep financial acumen and targeted wellness and prevention

initiatives will be required to control costs and avoid/mitigate

liabilities

HR function will play a more critical role in ensuring adequate staffing,

a productive workforce at affordable costs Optimal Economic

Impact

32

Page 34: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

American Benefits Institute and

Aon Hewitt Global Benefit Governance Study

Page 35: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Global Benefit Governance

“Governance is the act of governing. It relates to

decisions that define expectations, grant power, and

verify performance”

“In the case of a business, governance relates to

consistent management, cohesive policies, guidance,

processes and decision-making authority for a given

area of responsibility”

Page 36: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Global Benefits Management in Practical Terms

What do I

offer?

• Initial Benefit

Inventory

• Continuous

maintenance

MNL Global

?

Is it

compliant?

• Compliance

Review

• Legislative

Tracking

MNL Global / Local

?

Does it meet

my

objectives?

Alignment with:

• Local objectives

• Global policies

MNL Global / Local

?

Can I achieve

better

financial

value?

• Local financial

basis/pricing

• Aggregation

tools for global

leverage

MNL Global / Local

?

What is the

employee

experience?

• Benefit value

• Transactional

services

MNL Local

?

Key Responsible Party within MNL

Who is Doing it Systematically

35

35

Page 37: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Aon’s Global Benefit Governance Study

About the study…

Second of an ongoing study

conducted by American Benefits

Institute and Aon Hewitt.

In-depth analysis of how

companies make and execute

strategic benefits design, financial

and operational decisions.

Focused on following key areas of

corporate benefits governance

and operations

– Drivers of corporate oversight

and control

– Effectiveness of governance

and operations

– Correlation between business

outcomes and best practice

Participant profile

205 participants headquartered in

– North America: 58%

– Europe: 35%

– Rest of the world: 7%

Worldwide employees

– 100,000 or more: 23%

– 25,000 – 100,000: 31%

– Less than 25,000: 37%

Operational complexity

– 40% with more than 7 business lines

– 44% operate in more than 50

countries

– Almost all have 50% or more

employees outside HQ country

Most respondents are HR leaders with

responsibilities for managing benefits in

HQ country and international locations

36

Page 38: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Which Business Issues Are Your Company Facing?

Active cost management and cost cutting

Reengineering operating model to better serve customers and address competitive pressures

Flat or sluggish organic growth

Ageing population

Growth due to mergers and acquisitions

Workforce diversity

Reengineering business/expanding into new products and services

Restructuring/divesting/spin-offs

Talent shortage

Investing for growth

Increased focus by regulators and credit rating agencies

Workforce contraction/lay offs

Significant organic growth

Low engagement and productivity/undesired employee turnover

Negative growth

Significant hiring/workforce expansion

77%

60%

55%

54%

48%

46%

44%

40%

40%

36%

31%

24%

18%

15%

15%

11%

42%

40%

12%

9%

47%

31%

33%

17%

46%

64%

16%

5%

48%

14%

3%

24%

Emerging markets

Mature markets

Aon Hewitt Latest Global Benefit Governance Study

37

Page 39: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Aon Hewitt Latest Global Benefit Governance Study

What are the most important benefit plan issues you are facing?

38

Page 40: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

What Actions Will You Take To Tackle

Key Employee Benefit Issues?

53%

42%

52%

41%

8%

15%

10%

20%

52%

38%

12%

18%

45%

24%

28%

10%

31%

27%

31%

57%

51%

60%

49%

42%

56%

37%

29%

67%

44%

12%

42%

67%

26%

31%

27%

21%

56%

37% Improve compensation programs and long-term incentives to attract

and retain talent

Redesign benefits to promote individual responsibility and flexibility of

choice

Provide/improve supplementary or private health insurance

Address age-related aspects of benefits (eg, longevity issues, elder care,

coverage for aging parents etc.)

Provide/improve risk benefits such as life insurance and disability benefits

Provide/improve retirement benefits to improve employees' financial security

Implement health/wellness strategies

Implement financial wellness strategies

Provide/improve other benefits such as allowances

Improve work environment and career development benefits

Improve communications of benefits and employee education

Review benefits for non-unionized workforce

Negotiate benefit plan changes/reductions with employee representatives such

as unions, works council

De-risk pension plans

Settle pension risks via actions such as lump sum payments or buy-out/ins

Finance benefits through captives, multinational pools, etc.

Implement stricter oversight and control at corporate level for design

changes or when establishing new plans

Implement stricter oversight and control at corporate level for financial decisions

such as investments and funding of plans

Leverage global purchasing scale to reduce cost of operations

Emerging

markets

Mature markets

Source: Aon’s Global Governance Study 2016

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Page 41: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Current and expected future level of centralization in benefit management

Locally maintained

A web-based common technology

platform for local countries and

corporate

Local management/HR has

complete autonomy

Corporate provides specific and

prescriptive guidelines

Locals do not seek approvals

when making decisions

Corporate provides clear

guidelines on when and how to

seek approvals for decisions

Local country benefits

department

Shared services or Centre of

Excellence (COE) approach

Locals make all purchasing

decisions

Global providers with global

master service agreements

(where available)

Local responsibility

for compliance

Corporate audits and control

processes to ensure compliance

with company policies

Defined only by fiduciary

requirements

Formal governance is established

with corporate and local

committees

-24%

-12%

-28%

-11%

-21%

-5%

-34%

-15%

-39%

-13%

-26%

-19%

-40%

-13%

22%

40%

31%

32%

35%

31%

19%

35%

21%

53%

25%

48%

23%

49%

10%

36%

26%

54%

34%

62%

20%

37%

11%

28%

12%

24%

17%

36%

-43%

-13%

-15%

-3%

-11%

-2%

-27%

-14%

-28%

-6%

-36%

-9%

-19%

-3%

How is data on benefit plans maintained?

Who is responsible for making strategic benefits decisions?

What is the approval process for making employee benefits related decisions?

What is the current staffing model?

How are purchasing decisions made for employee benefits service providers?

How is the management of employee benefit plans audited?

What is the governance model?

Somewhat like A Very much like A Somewhat like B Very much like B

Current

+3 years

Current

+3 years

Current

+3 years

Current

+3 years

Current

+3 years

Current

+3 years

Model A Model B

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Page 42: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Key Conclusions

Drivers of

Centralization

Key

Challenges

Best Practice

Senior management and corporate finance primarily concerned about

costs/risks

Corporate HR primary concerns more diverse: increasing demand and lack of

appreciation of benefits plans and health wellness of employees

We expect financial concerns, regulatory risks, and lean benefits staffing will drive

greater centralization of managing all benefit programs that first started with

defined benefit pensions

Knowledge management: companies struggle to have access to data and

market information, and insights into risks and opportunities

Execution of strategy: companies often don’t employ disciplined governance

protocols and don’t have the necessary infrastructure to execute their benefits

strategy

Effectiveness across all measures of governance and adoption of formal

governance protocols categorically drive better business outcomes

Best Practice companies report effective oversight of their compensation and

benefits plans, and alignment of benefits with broader organizational and

workforce corporate objectives

Best Practice companies have higher confidence levels in managing design,

financial and operational risks of their global benefit programs

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Page 43: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Key Conclusions - Five Measures of Good Governance

1 Corporate HR and finance functions have the requisite data and information on their global benefit programs

2 Companies are aware of benefit costs and risks, and the opportunities to manage them

3 Companies have defined specific plan design and risk management policies to reduce risks that they believe are important to manage

4 There is an operating model with roles and responsibilities allocated at corporate, regional and local levels to execute the company’s strategies

5 Companies monitor such risks on an ongoing basis and report to corporate functions

Kn

ow

led

ge

Man

ag

em

en

t

Stra

teg

y a

nd

Execu

tion

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Page 44: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

Open Forum

Page 45: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

? Questions

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Page 46: Global Trends in Employee Benefits Management · Senior Vice President – Aon Hewitt June 1, 2017 . Content ... Highlights of Aon Hewitt 2017 Global Medical Trend Rate Study American

About the Author

Wil Gaitan

• Wil is an International Consulting Actuary and a Total Rewards Consultant.

• He has been in the consulting field for nearly 40 years and has extensive experience working with

corporate HQ’s of multinationals as well as delivering on-site advice in 60 countries to subsidiaries

and local companies on five continents – Asia, Europe, Middle East, Africa, North America and

South America.

• Wil has been based in New York and Chicago in the Americas for 20 years, in Europe for 10 years

and in Asia for 7 years providing advice to multinational and domestic entities and managing the

operations of five consulting offices on these continents

• He has been a lecturer at Roosevelt University in Chicago, at the Ateneo Graduate School of

Business in the Philippines, and at Marquette University in Wisconsin on actuarial mathematics and

insurance topics

• Wil is a frequent public speaker and has written many articles and essays on employee

compensation and benefit topics in globally circulated publications. His research has been cited in

the Wall Street Journal, New York Times, Forbes Magazine, Bloomberg, Yahoo Finance and other

financial publications.

200 E Randolph Street, Chicago, IL 60601

Office: 312-381-5008

Mobile: 312-961-4375

[email protected]

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