Wellness Plan
Many employees are unaware that medical care costs can differ by as much as 90% among providers. Empowering your employees with access to valuable data can result in substantial annual savings, potentially saving them thousands of dollars in medical expenses. Our exclusive data platform facilitates connections for employees, offering affordable pricing options for a wide range of procedures, encompassing imaging, outpatient surgery, maternity care, labs, and much more.
A Compliant Wellness Program Tailored for Your Needs
The Engage Wellness Plan is a meticulously designed Self-Insured Medical Expense Reimbursement Plan. It has been purposefully crafted, extensively researched, and is fully compliant with IRS 213(d), 106(a), 105(b), 1.105-11(i), and 104(a)(3) codes, as well as all relevant IRS memos, ERISA regulations, HIPAA, and ADA requirements.
Offers Pre-Tax Deduction Eligibility
The IRS Codes, specifically under section 106(a), provide explicit guidelines regarding the deduction of plan costs from an employee’s gross wages. This code establishes the framework for how employers can legally and appropriately deduct expenses associated with employee benefit plans, such as healthcare or wellness programs, from an employee’s pre-tax earnings. This approach not only promotes financial transparency but also contributes to the overall well-being and satisfaction of employees, as they can potentially reduce their taxable income by participating in these plans.
Reimbursements Under the Post-Tax Program
Under the program, any reimbursements or payments for qualified medical expenses, as defined by IRS Section 213(d), are explicitly excluded from an employee’s gross income in accordance with IRS Code 105(b). Additionally, the provisions of Code 1.105-11(i) and 104(a)(3) are applicable in this context. Detailed reimbursement guidelines can be found in the comprehensive SIMERP (Self-Insured Medical Expense Reimbursement Plan) plan documents provided by Engage Wellness. These documents serve as a valuable resource, offering a clear and thorough explanation of the program’s rules and procedures, ensuring employees have access to the necessary information to make informed decisions about their healthcare benefits.
Employee Requirements:
In order to maintain compliance with all government regulations governing our Wellness Program, participants are required to engage in a minimum of one Wellness Activity per quarter. We offer a diverse range of activities that qualify for compliance, ensuring flexibility and convenience for our participants, including:
Medical and Dental Visits
Regular check-ups with healthcare providers, including doctors and dentists.
Telemedicine Visits
Regular check-ups with healthcare providers, including doctors and dentists.
Completing a Risk Assessment
One-on-one coaching sessions accessible through our personalized health dashboard.
Coaching Visits via the Personal Health Dashboard
One-on-one coaching sessions accessible through our personalized health dashboard.
Accessing the Medical Library
Utilizing our comprehensive medical library to access valuable health information and resources.