The Attentive SIMRP Preventative Care Management Program is a standout solution in employee wellness, offering a compliant and tax-efficient approach. As a Self-Insured Medical Reimbursement Plan (SIMRP), it has been carefully structured to meet IRS regulations (IRC Sections 213(d), 106(a), 105(b), 1.105-11(i), and 104(a)(3)), as well as ERISA, HIPAA, and ADA standards. This compliance-focused model provides both preventative care and financial advantages, making it an ideal choice for employers and employees.
Essential Components and Benefits of the Attentive SIMRP Program
1. Comprehensive Wellness Integration
The Attentive SIMRP Program is designed to integrate seamlessly with ACA-approved medical plans, forming a compliant Section 105 integrated plan. This structure allows employees to access a wide array of preventative health services—including telehealth, tele-dentistry, family and financial counseling, and specialized programs for weight management and diabetes care—without any additional out-of-pocket expenses. This ensures that employees' health needs are met holistically and cost-effectively.
2. Tax Efficiency for Employers and Employees
The SIMRP Program delivers significant tax advantages by enabling pre- tax free savings deductions by IRC 106(a) and Section 125 Cafeteria Plan guidelines. This structure reduces taxable income, yielding payroll tax savings for employers and lowering employee tax liability. For example, employers save approximately $590 per employee annually in payroll taxes due to reduced taxable wages. Additionally, reimbursements for medical expenses under Section 213(d) are provided post-tax and excluded from the employee's gross income under Section 105(b), aligning fully with IRS regulations.
3. Compliance and Flexibility
The Attentive SIMRP is meticulously structured to meet all relevant regulatory requirements, including ERISA, HIPAA, and ADA standards. By adhering to these guidelines, the program offers employers and employees a compliant, flexible solution with preventative benefits valued at an average of $14,076 per employee per year. Employers benefit from simplified administrative processes, reduced costs for 941 payroll filings, and potential Workers' Compensation premium reductions in select states. This compliance-first approach ensures a legally sound wellness model, providing employers with confidence and financial advantages.
Implementation Requirements
To qualify for the SIMRP Program, employers must meet the criteria:
- Group Health Insurance: Employers must provide group health insurance.
- W-2 Employees: The program is available to businesses employing W-2 workers.
- Minimum Income Threshold: Employers must meet a specified minimum employee income threshold.
Additionally, employers must facilitate annual employee engagement with the Preventative Care Management Portal, ensuring compliance through employee login records. These implementation requirements ensure that all eligible employers and employees can effectively use the SIMRP benefits.
Paycheck Adjustments for Employees
Employees participating in the SIMRP Program will observe specific adjustments on their pay stubs:
- PCM Pre-Tax Deduction: A pre-tax deduction that lowers taxable income.
- SIMRP Post-Tax Reimbursement: Reimbursements that reflect the tax-saving benefits of the program.
- Attentive Fee: A nominal fee to maintain access to the program's services.
These adjustments are structured to reduce the employee's taxable income and lower tax withholdings without affecting net take-home pay, ultimately enhancing financial well-being.
Summary: A Comprehensive Solution for Wellness and Financial Security
The Attentive SIMRP Preventative Care Management Program combines preventative wellness benefits with substantial financial savings. This integrated, compliant model supports employee health, enhances employer financial performance, and ensures adherence to federal regulations. With the SIMRP Program, employers can provide a robust benefits package that promotes well-being, saves on payroll taxes, and reinforces confidence in a legally sound approach to preventative care.
Call to Action: Explore the transformative potential of the Attentive SIMRP Program. Schedule a free, no-obligation consultation today to learn how this program which improves health can benefit your organization.