Frequently Asked Questions
Please reach us at dan@dsuconsultingllc.com if you cannot find an answer to your question.
The Attentive Preventative Wellness and Supplemental Care Management Program (SIMRP) is an innovative self-insured medical reimbursement plan designed to help employers lower healthcare costs while providing employees with enhanced, zero out-of-pocket supplemental benefits. SIMRP integrates preventative health measures with supplemental care services such as life insurance, critical illness coverage, short-term disability, accident protection, telehealth services, and mental health support.
Instead of relying on traditional, fully insured health plans with rising premiums, employers allocate pre-tax funds to a self-funded reimbursement pool, which covers employees' eligible healthcare expenses. This structure allows businesses to save up to 30% on healthcare costs, reduce payroll tax liabilities, and ensure IRS, ACA, ERISA, and HIPAA compliance.
SIMRP is designed to provide significant cost savings to employers through tax optimization and reductions in healthcare expenses. Financial benefits include:
- Annual Payroll Tax Savings—Employers can save around $500 for each full-time W-2 employee annually, with benefits realized in every payroll cycle instead of as deferred savings at no cost while giving them top-tier preventative and supplemental benefits.
- Top-tier benefits enhance employee satisfaction and retention, reduce absenteeism, boost productivity, and make you look like a hero.
- Reduction in Workers' Compensation Costs – Workers' compensation premiums are partially determined by taxable payroll, which results in lower employer liabilities and decreased business premium obligations.
- Lower Healthcare Claims & Premium Adjustments—By focusing on preventative care and early intervention, SIMRP helps lower long-term healthcare costs, minimizing excessive claims that typically increase insurance premiums.
- Improved Business Liquidity & Capital Allocation—Companies keep direct control over their healthcare funds instead of paying inflated third-party insurance premiums, allowing for strategic reinvestment in business growth, employee bonuses, and operational enhancements.
SIMRP allows businesses to recover significant cost efficiencies through strategic financial restructuring while improving employee healthcare provisions.
Employees enrolled in SIMRP benefit from enhanced healthcare access, financial relief, and holistic wellness support, leading to:
- This initiative offers your employees access to premium preventative wellness and supplemental benefits at no expense.
- Higher job satisfaction due to zero out-of-pocket healthcare costs.
- Reduced absenteeism, as preventative care services help detect and address health issues early.
- Greater financial security, with life insurance, disability coverage, and accident benefits, provides peace of mind.
- A stronger workplace culture is needed as employees feel valued and supported by their employer.
Research shows that companies offering tax-optimized health benefits experience 25-40% higher employee retention rates
SIMRP prioritizes preventative care and holistic wellness, offering:
- Comprehensive Preventative Health Screenings
- 24/7 Telehealth with Mayo Clinic Access
- Mental Health & Addiction Recovery Services
- Weight-Loss & Chronic Disease Management Programs
- Legal & Financial Counseling
These services enhance workforce well-being and productivity, reducing long-term healthcare costs for employers.
SIMRP enhances employee well-being by offering comprehensive, zero-cost supplemental benefits, including:
- 100% Coverage for Doctor Visits & Prescriptions
- Life Insurance (ensuring financial security for employees' families)
- Critical Illness Coverage (for severe conditions such as cancer, heart disease, and stroke)
- Short-Term Disability Benefits (protecting income in case of injury or illness)
- Accident Coverage (supporting employees in case of unexpected injuries)
- 24/7 Telehealth Services (including access to Mayo Clinic specialists)
- Mental Health and Counseling Services (covering stress management, addiction recovery, and family counseling)
- Legal and Financial Counseling (to support overall employee wellness)
These benefits ensure that employees feel valued, financially secure, and supported in their health and well-being.
SIMRP differs from traditional insurance in several key ways:
- Cost Savings – Employers save thousands annually by self-funding a pre-tax reimbursement pool rather than paying high, unpredictable premiums.
- Full Compliance—Unlike some wellness plans, which risk regulatory violations, SIMRP adheres to the IRS, ACA, ERISA, and HIPAA requirements.
- No Out-of-Pocket Costs for Employees – Employees do not pay premiums, co-pays, or deductibles for the supplemental benefits provided through SIMRP.
- Customizable Benefits—Employers can customize the program to fit their workforce needs, including telehealth, mental health support, critical illness coverage, and more.
- Financial Flexibility – Any unused benefit funds are returned directly to employees as additional compensation, rather than lost to an insurance provider.
- SIMRP is thoughtfully designed to work alongside traditional employer-sponsored health insurance. It does not require businesses to replace their existing coverage but enhances their current healthcare framework by providing supplemental benefits that eliminate employee out-of-pocket expenses.
- Employees retain their primary health insurance while accessing SIMRP's no-cost mental coverage, which addresses critical gaps in co-pays, deductibles, and limited-benefit exclusions. This hybrid approach ensures that employees receive comprehensive healthcare support without requiring disruptive changes to their employer's insurance.
No, employees do not face any deductions from their net take-home pay. Unlike traditional voluntary benefits, which require employees to pay premiums out of their salary, SIMRP functions as an employer-funded program, ensuring:
- No direct payroll deductions for employees.
- - No out-of-pocket expenses for covered supplemental benefits.
- Return of Unused Benefit Funds – Any unutilized benefit allocations are reintegrated into the employee’s paycheck, effectively acting as a financial incentive akin to a salary increase.
This structure enhances financial security and employee satisfaction, making SIMRP an appealing workplace benefit.
SIMRP streamlines claims and reimbursements through automated systems and dedicated claim support teams. The process involves:
- Employees submit eligible healthcare expenses.
- Claims are processed promptly through the SIMRP system.
- Reimbursements are issued directly to the employee.
- Unused funds are reintegrated into payroll, ensuring no wasted resources.
This hassle-free claims management enhances both employee experience and employer oversight.
SIMRP is structured to comply with key regulatory frameworks, ensuring legal protection for employers and employees.
- IRS Compliance – The program follows strict tax code requirements for self-insured medical reimbursement plans, making employer contributions pre-tax eligible.
- ACA Compliance – SIMRP aligns with the Affordable Care Act’s non-discrimination and minimum essential coverage guidelines.
- ERISA Compliance – The program meets Employee Retirement Income Security Act standards for employer-sponsored health benefits.
- HIPAA Compliance – All employee health data is handled securely, adhering to confidentiality and privacy laws.
Employers can implement SIMRP confidently, knowing they operate within the legal framework for tax-efficient healthcare benefits.
SIMRP is highly versatile and scalable, making it applicable to businesses across multiple industries, including:
- Corporate Enterprises – Companies with 500+ employees seeking scalable, tax-efficient wellness solutions.
- Small and Medium-Sized Businesses (SMBs) – Employers aiming to reduce healthcare overhead while enhancing benefits.
- Healthcare Providers – Clinics and hospitals focused on preventative wellness and cost-effective patient care.
- Educational Institutions – Schools and universities managing faculty health benefits and financial efficiencies.
- Manufacturing & Construction – Industries looking to decrease workers’ compensation liabilities and boost employee wellness.
SIMRP’s flexibility and tax advantages make it an attractive solution for organizations of all sizes and sectors.
For Employees:
- Must be a full-time W-2 employee of a participating employer.
- Must be eligible for employer-sponsored benefits.
- Participation in preventative healthcare initiatives (e.g., screenings, telehealth) is required.
- No out-of-pocket costs for employees enrolled in the program
For Employers:
- Must be a legally registered business with full-time W-2 employees.
- Must comply with IRS, ACA, ERISA, and HIPAA regulations.
- Should integrate SIMRP into their corporate wellness or benefits program.
- Must implement payroll integration for tax savings.
SIMRP is designed for seamless and rapid implementation, typically within 30-45 days. The process includes:
- Initial Consultation – Reviewing the employer’s current healthcare challenges and cost structures.
- Plan Design – Customizing SIMRP to align with workforce demographics and company objectives.
- Employee Enrollment & Onboarding – Providing educational sessions and training materials to maximize employee engagement.
- System Integration – Ensuring smooth payroll adjustments and compliance documentation setup.
With expert support from DSU Consulting and its partners, businesses can start realizing savings from the first payroll cycle.
Employers interested in SIMRP can schedule a consultation with DSU Consulting to explore:
- Tailored implementation strategies
- Projected cost savings and benefits analysis
- Regulatory compliance guidance
- Onboarding and employee engagement planning
To get started, businesses can contact Dan at DSU Consulting and Partners at 516-448-3173 or info@dsuconsultingllc.com
By adopting SIMRP, companies can unlock a more innovative, cost-effective approach to healthcare, ensuring financial efficiency and employee well-being.
Just ask a question, and I’ll sprinkle some wisdom your way!
DSU Consulting LLC
P.O. Box 405 East Meadow NY 11554
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