Thread regarding Wells Fargo & Co. layoffs

Do you know this about our employee-sponsored healthcare coverage? I didn’t.

I have a friend who works for one of the top health insurance providers. She says that no matter which insurance carrier Wells Fargo (or any large company) chooses, most of the benefits employees are offered and the premiums we pay is very customizable by employers year-to-year. The people who say that we have good or bad healthcare based on who the provider is - UHC, Anthem, Human, Cigna - it isn’t really important because in the end it is the employer who decides which benefits we are offered, not the insurance company.

So yes - insurance costs overall are going higher. But when Wells Fargo infers it is out of their hands that employees must pay more for the same or less benefits, it’s not entirely true. Wells Fargo chooses whether or not to absorb more or less of the cost for their employees. Employers can also reduce benefits in ways that are not easily identifiable to cut down on costs. Wells Fargo decides our coverage options, our benefits, our deductibles and our premiums. Wells Fargo decides to add or remove benefits. Wells Fargo decides whether employees can customize their deductibles and copayments to fit their healthcare usage and financial preferences.

And let’s not forget that Wells Fargo is being sued for allegedly mismanaging its employee health plan and causing employees to pay too much for prescription dr-gs. 



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Post ID: @OP+1wen5dnK

10 replies (most recent on top)

Yup, wells fargo even picks which prescriptions they will cover. They stopped covering my son’s prescription. It used to be $20 a month, it jumped to $1200 a month. So I added my aon to my husband’s plan, exact same health insurance company with similar benefit numbers. And his prescription is back down to $20 a month. When WF say’s they care about employees and their children they are full of $hit! I can’t believe they can even support mental health month and say it with a straight face.

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Post ID: @r8+1wen5dnK

I worked for a Blue Cross plan before working here. Companies are buying two things from administrators: their network and their claims processing.

For providers to be in network they agree to the contract rates the administrator negotiates. This is in exchange for patients that are covered for the services at a price they agreed to. The only providers with leverage are specialists for the most part.

As others mentioned, large companies are self-insured so they are guaranteeing the claims will be paid according to contract coverage and rates. WFC decides how to split costs and charge premiums.

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Post ID: @gc+1wen5dnK

Yes, WF chooses the insurance coverage and the extent of that coverage. It works very hard to keep the % of the expense about the same, passing the difference to higher paid employees and employees generally through reduced benefits.

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Post ID: @1xlm+1wen5dnK

Well, since my VA Disability was recently raised to 100% Permanent & Total, my spouse and I are able to utilize CHAMPVA which costs me ZERO (except for office visit co-pay...meds are free...and a $3k out-of-pocket cap per year for catastrophic care). I can finally get rid of my WF healthcare coverage via UHG and will save just over $300 from each paycheck.

WF/UHG can s u c k it!

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Post ID: @1guh+1wen5dnK

Isn’t this common knowledge? Wells Fargo lists this as much on their website.

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Post ID: @ruf+1wen5dnK

Wf fully funds the plans, the companies like anthem only administer it for a fee

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Post ID: @ilm+1wen5dnK

Well, no surprise. My coverage is awful. It's probably because I am in a state with no hub.

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Post ID: @osj+1wen5dnK

Most large companies are self-insured with one of the major insurers as administrator.

The contracting company decides what is/isn't covered - the insurer advises them on what it will cost in terms of payouts and how to calibrate that against premiums, so that the projected premiums cover the projected claims. That's how insurance works no matter who is offering it.

Then WF decides how much of the premium they subsidize.

The administrator earns their fees by keeping claims/denials at "appropriate" levels. given the parameters above.

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Post ID: @xfs+1wen5dnK

Do they still have those rally points where they make you be monkeys for them?

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Post ID: @chn+1wen5dnK

Wf is self insured. It funds its own claims. Money stays within wf so that the bank can reinvest the money (earn interest etc.). Those insurance companies are just third party administrators.

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Post ID: @pms+1wen5dnK

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