2006 President Bush Support Consumer Driven Health Plans HSAs 8 Industry Leader in BenefitsIndustry Leader in Benefits
9 In March 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act (ACA), into law. The law makes preventive careincluding family planning and related servicesmore 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.
10 Shareholders Corporate Leadership Franchisees Industry Retail Peers Stakeholders
11 Approach Education Data Analysis Solution Design
Medical Benefits/Legal Impact Systems Integration Implications Franchisee Communications Education 12 Learning CurveLearning Curve
Data AnalysisData Analysis 13
Data AnalysisData Analysis 14 Bridging the GapBridging the Gap Manual Reporting Process Disparate Data Time Consuming
Vendor Solutions? Labor Scheduling/Timekeeping Solution? Oracle HCM Internally Designed Solution? Solution DesignSolution Design 15 What is the right fit for Wendys?What is the right fit for Wendys?
Not fully baked Eligibility solutions only sold bundled with Benefits Administration Gap in reporting needs Solution DesignSolution Design 16 Vendor SolutionsVendor Solutions
Multiple solutions to manage the data Gap in reporting needs Operational Reporting vs. Benefits Reporting Solution DesignSolution Design 17 Labor Scheduling/Timekeeping SolutionLabor Scheduling/Timekeeping Solution
System of record-No one knows our data better than us Bridge the gap while solutions/laws stabilize Accommodate complex reporting requirements Solution DesignSolution Design 18 Oracle HCM Internally Designed SolutionOracle HCM Internally Designed Solution
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 19 OAB LiteOAB Lite Benefits Administrator Receive and process Census file Send communications to eligible employees Manage employee enrollment Send Wendys inbound file with enrollment selections
New Hire Military Leave Jury Duty FMLA Promotion Demotion Rehire Termination Reverse Termination Benefit Program Change 20 OAB Lite – Life EventsOAB Lite – Life Events
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 1 st Anniversary Segment 9 - Total Hours Enrollment Year Segment 10 - Total Hours Enrollment Hours 21 OAB Lite – SITOAB Lite – SIT
10 Eligibility Profiles 6 Plans 14 Fast Formulas Reporting 22 OAB Lite – Other SetupsOAB Lite – Other Setups
August 2013 ACA On Hold!? 23
OSB/OAB cannot exist in the same installation Several configuration opportunities Leverage existing OSB setups with a Life Event to enable OAB 24 Oh, Canada!!!Oh, Canada!!!
Canadian OAB – November 15, 2013 OAB Lite for US ACA Eligibility – January 1, Roll-Out ScheduleRoll-Out Schedule