Preventive Care Management Program (PCMP)
Benefit Overview
The Preventative Care Management Program (PCMP) offers employees the chance to enhance their benefits package with an Affordable Care Act (ACA) compliant wellness program while simultaneously reducing tax liabilities for both employers and employees.
Key Plan Benefits
PCMP allows employers to lower payroll taxes while providing employees with valuable wellness and supplemental benefits—all at no net out-of-pocket cost to either party.
Employer Features
- Annual payroll tax savings of $650 per participating employee.
- Improved employee retention, loyalty, and productivity.
- Immediate positive impact on financial outcomes.
- Reduction of claims costs, averaging $1,400 over three years.
- Fully operational within 30-45 days with a seamless, automated process.
Employee Features
Wellness Benefits
- 24/7 access to telehealth services, including doctors, nurses, health coaches, addiction recovery specialists, and counselors—all with no co-pays.
- Wellness programs developed by the Mayo Clinic.
- A Personal Health Dashboard to support healthier lifestyle choices.
Supplemental Insurance Benefits
- Coverage options including Universal Life, Short-Term Disability, Accident Coverage, and Critical Illness Insurance Coverage.
Program Qualifications
- Open to employers with at least 20 full-time, W-2 employees.
- Part-time or freelance workers are not eligible.
PCMP Compliance
The Preventative Care Management Program (PCMP) is a unique and fully compliant solution that combines a Section 125 Cafeteria Plan with a Self-Insured Medical Expense Reimbursement Plan (SIMERP). The program aligns with IRS regulations, specifically focusing on 213(d) benefits, enabling employees to receive tax-advantaged reimbursements for qualified medical expenses.
PCMP is meticulously designed to adhere to tax guidelines, maximizing savings for both employers and employees. It includes necessary documentation, a Section 125 Plan, and a SIMERP to ensure compliance and effectiveness. The program has been rigorously vetted by CPAs and ERISA attorneys to guarantee adherence to regulatory standards.