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Walmart just announced, with much patting of their own back, that more of their employees are enrolled in their company health insurance this year. The total number of their own workers enrolled in their insurance? It is up to 54% from 52% last year. The industry standard, by the way, is 65% and many big retailers insure a much larger percentage of their workforce. Costco, for example insures 85% of its workers.

But the real news in Walmart’s announcement is that more employees are uninsured and more employees are relying on state aid. The AP reports:

The number of Wal-Mart employees with health coverage — provided by either Wal-Mart or another source — dropped from 94 percent last year to 87 percent.

Wal-Mart said 43,000 of its workers receive health coverage through a state assistance program, up from 36,000 last year.

So not only does Walmart fail to insure 644,000 of its workers, a whopping 182,000 are left completely uninsured while another 43,000 (that Walmart admits to) must rely on Medicaid and other state run programs.

David Tovar, Walmart’s spokesperson said, “We believe this is just one more indicator that our nation’s current health care system is not sustainable.” But the comment fails to understand that Walmart is a part of the problem with our nation’s current health care system. Employers have to take some of the responsibility for providing health insurance and they fail to take any.

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We’ve received many, many emails and submissions from Wal-Mart employees over the past few years. And even more have gone to our Wal-Mart Speak Out site to share their stories. It’s much more infrequent that we come across an industry professional that deals with Wal-Mart employees on a regular basis, but in today’s Baltimore Sun that’s exactly what we found. It’s a letter from a doctor, and we’ll let it stand on its own merits.

Wal-Mart is an image conscious opportunist. I have several Wal-Mart employees as my patients. I can in all honesty declare that Wal-Mart, a wealthy corporation, for years got away with providing its employees no health care coverage at all or the type of coverage from which doctors could barely eke out payments.

Out of pocket expenses for patients are outrageous with this coverage. Hand me a Wal-Mart health insurance card, and I will let out a spontaneous sigh of exasperation because I know from experience what lies ahead is a runaround for meager compensation after I have delivered all the services.

You say Wal-Mart has obtained religion and is behind Obama’s health plan? Will there be a richer bounty on my plate now for tending to my overworked and underpaid Wal-Mart flock tenderly? Somehow I doubt my sighs of exasperation will cease with this new miracle under way in the health care sector.

A fed up doc

Wal-Mart stingy with health benefits [Baltimore Sun]

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It looks like Bank of America didn’t learn from Wal-Mart’s mistakes.

Just like Wal-Mart has done in years past, BOA is now taking out life insurance policies on it employees and listing itself as the primary beneficiary in order to fund executive compensation. According to an article in today’s Wall Street Journal:

The insurance policies essentially are informal pension funds for executives: Companies deposit money into the contracts, which are like big, nondeductible IRAs, and allocate the cash among investments that grow tax-free. Over time, employers receive tax-free death benefits when employees, former employees and retirees die.

Known as “dead peasant” insurance, Wal-Mart took out Corporate-Owned Life insurance (COLI) policies on unsuspecting employees until 1995. Even thought Wal-Mart stopped taking out new policies at this time, it continued to cash in on them years later. In Texas and Oklahoma, Wal-Mart paid $15 million to settle claims it did not have an insurable interest while taking out these policies. Michael D. Myers, an attorney who has represented workers on these types of cases, had this say about employers using these policies in a July 2007 Tampa Tribune article:

Creepy’s a good word for it...If you ask the executives that decided to buy these policies and the insurance companies that sold them, they would say this was designed to create tax benefits for the company, which would use the benefits for benevolent purposes such as buying employee medical benefits.

Despite widespread condemnation and lawsuits surrounding the practice, some companies never learn. Bank of America—in perpetual hot water for its roll in the financial crisis—decided it was a good idea to cash in on some of the $400 billion in death benefits consultants believe banks will get over the next few decades.

Many people feel that companies should not profit off the death of its employees. Nevertheless, government intervention and regulation has been slow to occur:

Efforts to rein in the practice largely have been unsuccessful, including the most recent rules Congress enacted in 2006. The rules limit companies to buying life insurance to just the top third of earners, who must provide consent. But the rules don’t apply to life-insurance that employers bought before the August 2006 rules, which cover millions of current and former employees. (WSJ)

With executive compensation out of control, Bank of America should rethink taking out these policies. Not only for the positive press, but to restore a good faith relationship with its employees - who are not doing as well as the executives.

Banks Use Life Insurance to Fund Bonuses [Wall Street Journal]:

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Below, Al Norman writes on the State of Massachusetts’ multi-million dollar health care handout to Wal-Mart, also published on our Battlemart Blog:

Two years ago, Wal-Mart workers and their children cost the taxpayers of Massachusetts $7.2 million for subsidized health care. A new report released this past week shows that this tax subsidy has more than doubled to $15.5 million. In the middle of one of the worst budget crises in state history, health are welfare for large national chain stores are a drag on the state and federal taxpayer.

On February 12, 2007, Sprawl-Busters reported that an annual report released by the Massachusetts Division of Health Care Finance and Policy, revealed that state taxpayers in the Commonwealth spent $7,223,580.77 to provide subsidized health care insurance for Wal-Mart workers—the highest cost any employer shifted to the state. The study, “The Use of Public Health Assistance in Massachusetts in FY 2006: Employers Who Have Fifty or More Employees Using MassHealth or the Uncompensated Care Pool,” is the third such analysis of employers who have 50 more workers using public health assistance. A state law passed in 2004 requires the state to produce such studies. The report released in 2007 covered the period July 1, 2005 to June 30, 2006.

The analysis estimates that in FY 2006, a total of $234.2 million in public funds were spent on health care for employees and their dependents working for employers who had 50 or more employees subsidized by two major state health care programs: Medicaid and the Uncompensated Care Pool. The state reports estimates that a total of 6,070 Wal-Mart employees and dependents are costing state taxpayers $7.223 million a year. Of that total, 1,038 Wal-Mart employees used the Uncompensated Care Pool, 2,079 Wal-Mart employees were on Medicaid, and 2,953 dependents of Wal-Mart employees, mostly children, used benefits paid for by Medicaid. The cost of Wal-Mart dependents alone came to $4,328,155. According to Wal-Mart, the retailer had 10,785 employees in Massachusetts. Using the FY 2006 figure of 3,117 Wal-Mart workers on Medicaid and UCP, that means at least 29% of Wal-Mart’s workforce in the Baystate received their health care subsidized by the public.

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Wal-Mart’s health care issues obviously go back quite some time. Nationally, 64% of workers in very large firms (5,000 employees or more) receive their health benefits from their employer. And Wal-Mart? Wal-Mart typically covers only 50% of its employees. Twenty-five states have tracked and reported the number of employees and dependents that the largest employers within their borders have enrolled in state-funded health care programs. Where does Wal-Mart rank in those states? Across the board Wal-Mart is at the head of the line for public assistance.

Despite these negatives, Politico says Wal-Mart is looking to throw its economic might into the health care ring:

Wal-Mart is ramping up its Washington activity to push for comprehensive health care reform, and the world’s largest retailer says it is ready to use its economic muscle to get out in front and influence the discussion.

That’s probably a good thing, as anything but the status quo would be a positive development. And we know Wal-Mart and its employees are familiar with using public health care. Michael Hicks, an economist at the Air Force Institute of Technology at the Wright-Patterson Air Force Base in Ohio, conducted a study analyzing state Medicaid data from 1978 to 2003 - he found that Wal-Mart causes an increase in state Medicaid spending by as much as $898 per person. That sounds extreme, yet consider the example from Wal-Mart’s home state of Arkansas, where 3,971 of Wal-Mart’s 45,106 employees are on public assistance. That’s basically one in eleven employees taking advantage of public assistance, so no wonder the costs to taxpayers are high.

Still, Politico argues that Wal-Mart has made some gains recently - including offering a broader range of lower-cost insurance options and pushing for electronic health records - and notes that SEIU could be moving towards cautiously optimistic status:

“As the largest private corporation, they do have the ability to set a standard to providing good jobs with good health care,” said SEIU spokeswoman Lori Lodes. “Right now they are at the table, and they have a very strong commitment to reforming our health care system.”

Whether the reform Wal-Mart ultimately seeks ends up being a positive will remain a HUGE question mark for a while. In the meantime, Wal-Mart has announced that only 3 percent of the company’s employees are now on state assistance. So, only about 45 THOUSAND employees nationwide. So, you know...just a few.

Wal-Mart lends muscle to health reform [Politico]

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In the most recent report from Policy Matters Ohio, Wal-Mart tops the list of Ohio employers with the most employees receiving government health care assistance. According to Wal-Mart, these rankings are “notoriously unreliable” and hard to verify. However, when you consider that Wal-Mart tops the list in every state where the information is available, they start to look reliable. Why do taxpayers have to pick up Wal-Mart’s health care tab?

With high deductibles and coverage limitations, Wal-Mart’s health care is inadequate.
The Wal-Mart average for full-time workers to qualify for benefits is six months, compared to the retail average of three months. Part time employees must wait a full year before receiving benefits. Since the majority of workers do not stay a year, the majority never get health care.

Wal-Mart workers often earn too little to afford health care.
To get a plan with a $700 deductible and $4000 out-of-pocket medical expenses still costs $7000 a year and the average Wal-Mart employee makes approximately 20,000 a year.

Ohio is not unique; Wal-Mart workers in other states must use public assistance programs to meet their health care needs.
In states that have released data on companies with employees receiving state-funded health care, Wal-Mart tops the list. Twenty-four states have tracked and reported the number of employees and dependants that the largest employers within their borders have enrolled in state-funded health care programs, and in those states, Wal-Mart is at the head of the line for public assistance. In all states that have released such data - Alabama, Arizona, Arkansas, California, Connecticut, Florida, Georgia, Illinois, Iowa, Maine, Massachusetts, Montana, Nebraska, New Hampshire, New Jersey, Ohio, Pennsylvania, Tennessee, Texas, Utah, Vermont, Washington, West Virginia and Wisconsin - Wal-Mart tops the list.

Click here to download “Wal-Mart’s New Health Plan: Medicaid”