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By Heather Hahn*
3:00 P.M. ET July 11, 2013 | LAKELAND, Fla. (UMNS)
Starting in January 2014, the Florida Annual (regional) Conference no
longer will provide health insurance for lay employees at its local
churches and extension ministries. The decision will compel many to use
the new insurance exchange.
A web-only photo © iStockphoto.com/graffoto8.
The Florida Conference has plans to be an early adopter of the
insurance marketplaces under the new health care legislation, commonly
called Obamacare.
Starting in January 2014, the conference no longer will provide health insurance for lay employees at its local churches and extension ministries, such as campus ministries.
The decision by a conference task force will compel many lay local
church employees to use the insurance exchange. Pastors began notifying
their lay employees of the change in April.
The conference will continue to provide coverage to its full-time
employees, including laity. Churches with 50 or more full-time
employees will need to provide insurance for their lay workers starting
in 2015.
Florida is among 27 states relying on the marketplace which the U.S. Centers for Medicare and Medicaid Services will set up. Nationwide, insurance marketplaces are scheduled to be open for enrollment starting in October.
Beginning next year, all individuals will be required to have health insurance or face a federal tax penalty.
Concerns about change
The conference’s change, not surprisingly, worries some lay workers.
Among them is Pam Petersen, the office manager at the Gator Wesley Foundation, the United Methodist campus ministry at the University of Florida. She has worked with the ministry for 18 years.
“The bigger concern for me is that all of the anticipated benefits
based on the Affordable Care Act are completely unknowns at this
point,” she said. “We don’t know if there will be a savings. We don’t
know how the exchanges are going to work. …The lack of information is
what is alarming to me.”
She added that she is also concerned that the decision was made
without the approval of the full annual conference session that met June
13-15.
Because the task force’s decision does not affect clergy, it does
not require the annual conference session’s vote, said Wendy McCoy, the
Florida Conference’s director of human resources and benefits.
The Book of Discipline, the denomination’s law book, leaves it up to conferences whether to provide health benefits for lay workers who are not employees of the conference.
She said the conference’s self-funded insurance plan exists
primarily to serve clergy. The Florida Conference now provides insurance
for 1,100 employees, not including spouses or children. But McCoy does
not know how many of the individuals covered are laity.
She said the conference only offered its program to church lay
employees because the pool of people at most local churches was not big
enough for churches to pay for insurance on their own. And, most lay
people unlikely could afford insurance otherwise, she said.
“A pre-existing condition was the biggest impediment” to getting
insurance for many lay workers, she said. However, with changes under
the Affordable Care Act, that no longer will be the case.
McCoy added that many lay workers make less than $46,000 a year and
thus likely will qualify for subsidized health insurance on the
insurance marketplace. “So the same rationale for why we started (the
lay worker) program no longer exists,” she said.
She said that sending lay workers onto the insurance exchange likely
will save the conference some money. But she stressed that was not the
main reason for the decision.
“The main driver is certainly not saving money at the conference
level,” she said. “We just think it is the right thing for the churches
to do and especially for the employees to have the benefits of the
insurance exchanges and the subsidies.”
She also noted that even on the voluntary insurance plan the
conference now uses, local churches must meet strict underwriting rules
that are beyond the capacity of some congregations. For example, the
plan requires 75 percent of employees at a local charge or extension
ministry to sign on for any to participate. So, if only one of three
local church employees is interested in joining, no one can join.
McCoy said the conference’s plan for lay employees also might be too
expensive for some. It is $661 a month for a single person with a $750
deductible.
Robert Jackson, choir director at First United Methodist Church in Gainesville,
said that amount may sound like a lot but is far better than what
employees could get on their own in the insurance market now. Like
Petersen, Jackson worries it is too soon to tell whether the insurance
marketplaces will serve employees’ needs.
“Wouldn’t it have been better to wait and see before deciding to toss us out with the bathwater?” he asked.
McCoy acknowledged that no one knows whether lay church employees on
the exchanges still will be able to get roughly the same coverage for
the same or lower costs because the federal exchange isn’t set up.
While uncertainty exists, McCoy is confident that lay workers will have a better array of options on the insurance marketplace.
Hopes for the future
Jackson, for his part, is in the preliminary stages of seeing
whether Florida local church and extension ministries lay employees can
join together to buy health insurance independent of the conference.
His congregation has three full-time employees that the insurance change affects.
“If insurance companies aren’t willing to insure small groups from
individual churches, I asked our church administrator about the
possibility of calling area local churches and asking how many lay
people does this (change) affect,” Jackson said. “If we could group all
these people together and get a larger group, maybe an insurance
company will pick us up that way. Our church administrator thought it
was a great idea.”
For now, he said, his church staff-parish committee is also waiting for more information from the conference.
“Everything points to them not knowing anything until October when
enrollment begins,” he said. “We’ve got an insurance agent who is
looking into some things for us, but we’ve been instructed as employees
to do the research on our own and be ready to move on our own if we
have to.”
McCoy said she is optimistic that people will find more options
suited to their needs, especially the lay employees who have not been
able to get coverage under the conference’s plan.
She plans workshops later this summer to help churches determine
whether they need to set up their own plan or use the exchanges for lay
employees.
“Today, the plan I am able to make available to local churches is
the equivalent of a very nice Mercedes-Benz,” she said. “Most people
would like to purchase a Toyota Camry. I can’t offer that type of plan.
The exchange can offer several plan choices with a range of costs. It’s
supposed to meet people where they are and what they can afford.”
*Hahn is a multimedia news reporter for United Methodist News Service.
News media contact: Heather Hahn, Nashville, Tenn., (615) 742-5470 or newsdesk@umcom.org.