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Proactive Health Management Programs

What is a Proactive Health Management Program?

A Proactive Health  Management Program is a thorough health initiative designed to address potential issues before they become problematic. This program offers a complete range of benefits that emphasize preventive care, management of chronic conditions, mental health support, and overall wellness for employees.

What Health Benefits are Included the Program?

Members have access to a robust suite of benefits and can customize which ones are of importance to them. Family members also get access to all benefits through their own personal login.


Examples:

Telemedicine

Virtual Urgent Care

$0 Copay Meds

Mental Health

Wellness Coaching

Addiction Recovery Program



What are the Benefits for a Business?

When workers participate in a proactive health management program, a healthier workforce is created. Employers can leverage these health-focused programs to attract and retain employees while displaying a genuine care for the employees' personal well-being. This also may result in tax savings for the company via a SIMRP (Self Insured Medical Reimbursement Program) or WIMPER plan, enhancing its profitability in addition to potentially fully funding the cost of the program.

What are the Benefits to Employees?

Employees can utilize a range of tools and resources related to diet and nutrition, physical activity, stress management, goal setting, and more. All programs are offered to eligible employees and their family members funded through tax savings. Access to program benefits and resources is available through a customized portal on a laptop, tablet, or mobile phone. Participation in the program may create a tax savings that allows eligible employees to participate in extra, enhanced benefits, including savings-based insurance programs, without decreasing their net pay. 

Tax Compliance

 The Proactive Health Management program may be implemented with a Self-Insured Medical Reimbursement Plan (SIMRP). This program has been purposely created, fully researched, and found compliant with IRC 213(d), 106(a), 105(b), 1.105-11(i) and 104(a) (3) codes, and all applicable IRS memos, ERISA regulations, HIPAA, and the ADA. The program can be paired with an ACA approved medical plan to make an integrated 105 plan. 

Link to The CPA Journal Article

20 Questions about Establishing a Health & Wellness Program
Access Article

Federal Register / Vol. 78, No. 106 /Rules and Regulations

Download PDF

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