Why Us?

This sounds too good to be true.
It would be almost too good to be true if it were free. Although there is a cost associated with the program, we’ve managed to cover it through our tax efficiency program. This is a tax qualified plan that uses tax provisions under the IRS section 125.

How does the standardized claim payment work?
By using the platform, our health screening benefit can be applied after taxes. Utilization includes various forms such as calling into the program, receiving text messages, newsletters, and guidance from medical staff. This will be recorded as a ledger entry on the pay stub.

How does the employee see the extra money in their paycheck?
When we apply the pre-tax deduction, it lowers their taxable income. Adding the health screening benefit then frees up the tax savings to cover the cost of the program. Any remaining amount will be added to their paychecks.

Is the indemnity benefit taxable?
Indemnity benefits paid directly to an employee are typically not considered taxable income. These benefits are meant to compensate for losses or damages, rather than to replace wages or salaries, which is why they usually aren't taxed.

Who determines the indemnity benefit received by the employee?
The benefit amount is based on the employees’ gross wages. Therefore, employees with higher incomes will receive larger benefits compared to those with lower incomes.

Is there a cost for the employer?
Yes, the employer pays a $40 administrative fee per employee each month. However, the employer saves approximately $80 per month in FICA taxes, resulting in a net benefit of about $40 per month, or around $500 per year, per employee.

What is triple indemnity?
Under our agreement, we fully indemnify the Employer against any potential claims from the IRS for back taxes, fines, or penalties. Our policy provides coverage for the Employer from the very first dollar in such cases.

Can I keep my current medical plan?
Absolutely.  Implementing this program does not require any changes to your current benefits.  If you have a currently medical plan…keep it, and  we will ‘bolt-on’ right along side of it.  If you do not currently offer medical, than we will provide an outstanding set of benefits for your employees.

Our Company is self-insured, will this still work?
Absolutely.  In fact, in addition to the tax savings, we can help reduce your expenses by:

• Reducing emergency room visits by more than 40%

• Eliminating more than half of all urgent care visits

• Intercepting many specialist visits that can be treated by our program.

How do you reimburse in the same paycheck?
This is achieved by employees being active and participating in our health management program through various programs including monthly wellness emails, health coaching and more.
The mechanics of the program premium, and the claim payments are handled in your payroll system.  This allows for both aspects to occur within the same payroll cycle.

What can my employees use the money for?
Based on the most recent tri-agency ruling dated April, 2024 the IRS, Employee Benefits Security Administration and the Health and Human Services Department ruled that funds could be used for non-medical expenses including rent and mortgage.

How long have these plans been around?
Wellness plans have been around since the passing of the Affordable Care Act, which opened the door to structure these plans in their current format.