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What Is an IRS Section 125-Based Preventive Healthcare Plan? 5 Reasons It’s a Game-Changer for Employers

  • Writer: Javier Alvarez
    Javier Alvarez
  • Jan 3, 2024
  • 3 min read

Updated: 1 hour ago

Employee benefits are more than just perks - they’re a competitive advantage. In an evolving workplace, employers are seeking smarter ways to support their teams and their bottom line. Enter Preventive Healthcare Plans (PHPs), built on the trusted framework of IRS Section 125.


If you’re not familiar with how these plans work or why they’re such a buzzword, don’t worry. Let’s break it down.


1. IRS Section 125: The Foundation of Tax Savings

IRS Section 125, often called a “Cafeteria Plan,” allows employees to allocate pre-tax dollars toward specific benefits. This lowers taxable income for employees while reducing payroll taxes for employers. It’s the rare win-win scenario in employee benefits.


PHPs take this concept further by pairing IRS Section 125 tax advantages with a suite of preventive healthcare services. Think of it as tax savings with benefits that actually benefit.


2. Immediate Financial Impact for Employers

Every employer’s favorite word? “Savings.” PHPs deliver an average of $681 in annual payroll tax savings per qualified employee. For mid-sized companies, that’s tens - or even hundreds - of thousands of dollars in savings. And here’s the kicker: these savings are visible as early as the next payroll cycle.


Employers only pay a nominal, fixed monthly fee - but only after these savings have already been achieved. Translation: zero risk, guaranteed reward.


3. Proactive, Preventive Care Is the Future

The healthcare landscape is shifting. Employers can no longer afford to react to rising healthcare costs - they need to prevent them. PHPs include:


  • Biometric screenings to identify health risks early.

  • 24/7 telehealth access for immediate care.

  • Mental health resources like therapy sessions and stress management tools.

  • Cost-saving financial tools, including pre-tax options and common medication coverage.


The result? A healthier workforce, fewer major medical claims, and long-term cost savings.


4. Employees Win, Too

PHPs aren’t just about what employers save. They’re about what employees gain:


  • Increased take-home pay through pre-tax contributions.

  • Improved access to care, from physical health to mental health.

  • Reduced financial stress, thanks to lower out-of-pocket costs and built-in savings tools.


Happier, healthier employees stay longer, work harder, and help build a stronger company culture. It’s a virtuous cycle of success.


5. Compliance? Handled.

IRS, ACA, and HIPAA regulations are enough to make anyone’s head spin. Luckily, PHPs are designed with compliance baked in. From automated eligibility checks to seamless payroll integration, these plans take the burden off HR teams and keep everything running smoothly.


Why This Matters in 2024

The start of a new year is the perfect time to evaluate your employee benefits strategy. Companies that embrace forward-thinking solutions like PHPs set themselves apart in a competitive job market. You’re not just keeping up - you’re leading.


Want to learn more about how PHPs can revolutionize your benefits program? Let’s talk.



About HealthShield by SilverPoint

HealthShield is the best-in-class Preventive Healthcare Plan (PHP) built on IRS Section 125 to deliver meaningful payroll tax savings. Employers save an average of $681 per qualified employee annually, with savings realized as early as the next payroll cycle. Designed to integrate seamlessly with existing primary medical insurance, HealthShield complements - not replaces- current coverage, adding value without disruption or out-of-pocket costs. It also helps reduce claims on primary plans, potentially lowering renewal costs and driving long-term savings.


HealthShield enhances employee benefits while improving ROI. From consultation and implementation to ongoing support, our team provides white-glove guidance at every stage. With a focus on compliance, provider alignment, and measurable results, HealthShield helps employers reduce costs, strengthen benefits, and support healthier, more engaged workplaces. Contact us today for a free, no-obligation consultation.

 
 
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