The PCMP Wellness program offers tax savings for your business, while providing wellness benefits and boosting employees’ take-home pay.
Group Advisors has developed a streamlined and efficient process to help you through the PCMP implementation.
Group Advisors collaborates with your company to gather basic payroll information and creates a Census.
Census data is analyzed and a no-obligation savings estimate is created for your company.
Educational campaign is deployed to inform employees about the upcoming wellness program.
The wellness program is carefully tested with your payroll provider to ensure seamless integration and accuracy.
The program goes live, allowing the business and employees to begin realizing savings, with employees also gaining access to the available benefits.
The Preventive Care Management Program (PCMP) is a forward-thinking workplace strategy designed to enhance employee benefits through an Affordable Care Act (ACA)-compliant wellness program. It also provides tax advantages by reducing both employer and employee tax liabilities.
The PCMP helps employers reduce payroll taxes while offering valuable wellness and supplemental benefits to employees—without additional out-of-pocket expenses for either party.
An average net reduction of $650 per employee, per year in payroll taxes for each participating employee.
Increased employee retention, loyalty, and productivity.
Immediate financial benefits for the company’s bottom line.
Streamlined implementation within 30-45 days, minimizing administrative workload.
24/7 access to Telehealth services, including consultations with doctors, nurses, health coaches, addiction recovery support, and counseling—without any co-pays. Employees also gain access to Mayo Clinic wellness programs and a Personal Health Dashboard to support healthier lifestyle decisions.
Government agencies can realize significant advantages by promoting wellness programs in the workplace and across communities. Here's how:
By encouraging wellness initiatives, the government helps employees and citizens adopt healthier lifestyles, potentially reducing the prevalence of preventable diseases and health conditions. Healthier individuals tend to be more productive, take fewer sick days, and require less frequent medical care, which in turn reduces healthcare costs for both the government and the general public.
As wellness programs contribute to the overall health and well-being of workers, employees are more likely to remain in the workforce, remain productive, and help drive the economy. Healthy workers are less likely to face long-term disability or early retirement due to health issues, resulting in a more engaged and stable workforce. This leads to a more robust tax revenue base, as a healthier population contributes to tax earnings through sustained employment and improved earning capacity.
Available to employers with 20 or more full-time employees. Eligible employees must be full-time, W-2 workers (part-time or freelance employees are not eligible).
The PCMP integrates a Section 125 Cafeteria Plan and a Self-Insured Medical Expense Reimbursement Plan (SIMERP) to meet IRS regulations, specifically Section 213(d) of the tax code. Employees can be reimbursed for qualified medical expenses on an after-tax basis, optimizing tax savings for both the employer and employees. To stay compliant and effective, the program requires a formal plan document, a Section 125 Plan, and a SIMERP. The PCMP has undergone thorough reviews by CPAs and ERISA attorneys to ensure legal compliance and operational effectiveness.
When you're looking to implement a Preventative
Care Management Program (PCMP) that is both compliant and effective, Group Advisors stands out
for its unmatched expertise and support.
Here's why partnering with us is the best decision for your company and its employees:
Unmatched
Compliance with IRS Standards
Our PCMP adheres strictly to IRS regulations,
including the essential Section 125 Cafeteria Plan and its related sections. This ensures
that your wellness program is not only tax-efficient but also fully compliant with all legal
requirements. We collaborate closely with top tax attorneys to ensure compliance and have
secured opinion letters from trusted legal professionals to validate our approach. With
Group Advisors, you can rest assured that your program is built to meet the highest legal
and operational standards.
Proven
Success with U.S. Health Center
We have been in a successful partnership with U.S. Health Center, who has been delivering
fully compliant PCMPs for over 12 years. Their deep expertise and longstanding success in
the industry guarantee that the program you implement will be both effective and legally
sound. This enduring collaboration provides you with the confidence of working with a
company that deeply understands both regulatory compliance and the nuances of program
management.
Comprehensive Errors and Omissions Coverage
Group Advisors provides robust Errors and Omissions (EO) Insurance for both businesses and
employees. This added coverage protects you against any potential claims related to the
program, offering additional peace of mind and security throughout the process.
The PCMP is funded through tax savings, meaning there are no out-of-pocket costs for either the employer or employee. Savings are achieved via pre-tax deductions, lowering FICA and income taxes, which increases take-home pay.
Yes, the PCMP is fully compliant. It operates as a Section 125 plan and is self-funded by employees through pre-tax payroll deductions. Claims, such as preventive exams or medications, are paid from a custodial account managed by a third-party administrator. These claims are non-taxable and do not count as income for employees.
Unlike traditional healthcare plans, the PCMP can be implemented at any time, without waiting for open enrollment or specific qualifying periods.
The PCMP does not affect existing insurance. It’s recommended that employees maintain their current health coverage. The program helps divert healthcare utilization from primary insurance plans, which can reduce overall healthcare costs while still providing faster and more affordable care.
The PCMP was created as part of the Affordable Care Act (ACA) of 2010, combining elements of the ERISA Act (1974), HIPAA (1996), and the government’s focus on improving employee benefits post-COVID-19.
The PCMP complements existing Section 125 plans and can be implemented alongside them. Employees will receive PCM benefits in addition to their current Section 125 plan offerings.
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