What is SIMRP?
A self-insured medical reimbursement plan (SIMRP) is a separate written employer plan, which reimburses employees for medical expenses that are not provided by either an accident and health insurance policy or a prepaid healthcare plan (e.g., an HMO) that is regulated under federal or state law.
What are the benefits to a business for providing a SIMRP plan with a Preventative Care Management Program to their employees?
The value to the employer is the ROI that comes from a Section 125 Cafeteria Plan that results in an average FICA savings of 600.00 dollars per year per wellness participant. There is also a 1-2% reduction in total expenditures from a decrease in claims from employees using the wellness benefits. This translates into 1,400 dollars per participant over a three-year period derived from mitigating population health risk management. Results drive reduced claims—68% of callers to our doctors, RNs, and health coaches result in a reduced level of services saving time and money; alternative care includes self-care options 29% of the time avoiding all costs; 72 percent of likely ER visits were mitigated by more appropriate care. A healthier population with less sick days, reduced benefits costs and more flexibility to be creative with savings (contributions to 401k) all add value to attracting and retaining employees.
The value of the Attentive wellness program to the employee is a superior wellness program that offers medical care along with the ability to buy valuable supplemental benefits without lowering their take-home pay. A wellness reserve is created by pre-taxing the wellness plan according to IRS regulations. The result is a tax saving called a wellness reserve. The reserve averages 150 dollars per month or 1,800 dollars per annum to purchase ancillary products such as whole life with a cash value, GAP insurance, critical illness, accident, short-term disability, hospital, cancer, GAP covering high deductibles, or other value-added benefits after tax. The preventative reimbursement is according to IRS guidelines for medical care reimbursement. Participation is incentivized by the allowable reimbursement and supplemental benefits available from compliant participation.
Strong incentives motivate individuals to be accountable for their health. Statistical reduction in claims, reduced health risk management costs and healthier outcomes result in healthier and happier employees.
Incentivized benefits without the need to reduce take-home pay attract quality employees and less turnover. The employer saves on FICA taxes, has reduced claims, and provides increased benefits.
Strong incentives motivate individuals to be accountable for their health. Statistical reduction in claims, reduced health risk management costs and healthier outcomes result in healthier and happier employees. Incentivized benefits without the need to reduce take-home pay attract quality employees and less turnover. The employer saves on FICA taxes, has reduced claims, and provides increased benefits.
Why Have We Partnered With Attentive To Provide This Program?
The Attentive Preventative Care Management Program improves the employer’s benefit package for employees. The plan enhances the benefits offered to employees by providing a superior Preventative Care Management program with incentives for participation, retention and compliance.
Participation in the Attentive Program results in tax savings that fund the employee’s after tax allotment account. The employee can then use the allotment to elect additional ancillary insurance products.
Attentive has made a commitment to partner with employees to become healthier and more educated about health decisions they make on a daily basis. We are also committed to help employers make informed decisions about the significance of costs and loss of productivity due to illness and lack of physical health. We focus on educating and guiding employers through the process of how to implement and maintain a successful SIMRP with a preventative care management focus.
How It Works?
Insurance Licenses held for RRS
By: Duward L Baker - MO/TN
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