SmartHealth+ in plain English
What it is, what it costs, and what to verify before you believe any of it.
The short answer
SmartHealth+ is a fully insured supplemental health benefit, fixed indemnity coverage plus a GAP layer, that sits alongside the major medical plan you already offer. Employees opt in voluntarily through pre-tax payroll under Section 125, so the payroll tax you pay goes down and nothing about your current plan changes. There is no employer premium; the flat administration fee comes out of the savings rather than on top of them.
SmartHealth+ is a fully insured health benefit: fixed indemnity coverage plus a supplemental GAP layer. It sits alongside the major medical plan you already offer. Employees opt in voluntarily through pre-tax payroll, and nothing about your current plan changes.
Coverage they can actually use.
Unlimited telemedicine with zero copay, including 150+ commonly prescribed medications.
Cash paid directly to them for hospital stays, ER visits, and ambulance rides, on or off the job.
GAP coverage that helps with the out-of-pocket costs their major medical leaves behind.
Mental health coaching, health coaching, and an annual full-panel blood test.
For an hourly workforce, this is coverage they can actually use, not a card they avoid swiping because of the deductible.
Section 125, not a new premium.
The benefit is funded through a pre-tax payroll structure under Section 125 of the tax code. When participating employees' taxable wage base goes down, the payroll tax you pay on every check goes down with it. That reduction is what funds the program. There is no employer premium, and the flat administration fee comes out of the savings rather than on top of them.
The mechanism
1. Employees opt in, pre-tax, under Section 125.
2. Their taxable wage base goes down.
3. Your payroll tax (FICA) on each check goes down with it.
4. That reduction funds the benefit. No employer premium.
Their projections, run on their payroll.
Two recent clients, one in manufacturing and one in logistics, each around 300 employees with average salaries above $45,000, penciled out to roughly $1,250 in employer payroll tax savings per employee. Those are their projections, run on their payroll data. Your number comes from yours, and that is the only version worth trusting.
About 30 days, mostly hands-off.
About 30 days from signed paperwork to live benefits: one one-hour setup call, payroll integration with ADP, Paycom, Paylocity, or Paychex, and employee education handled by the SmartHealth+ team. Your office does not run this day to day.
Have your CPA verify four things.
You are looking for the catch, and you should be. The honest version: this only works for W-2 employees on payroll who choose to enroll, and the structure has to be administered correctly. Before you sign anything, have your CPA or benefits attorney verify four things:
- 1The pre-tax structure under current IRS rules.
- 2The policy paperwork, which is fully insured through a national A-rated carrier rather than a self-funded arrangement.
- 3The payroll integration with your existing provider.
- 4The math on your own census.
If they find a hole, walk away. That is the standing offer.
ONYX Business Advisors is an independent advisory firm, not an insurance producer. Savings shown are client projections based on those clients' payroll census data and are not a guarantee of results for any other employer. Your figures depend on your own census and salary mix. Benefit availability varies by state.
See your own SmartHealth+ number.
The only version worth trusting is the one run on your census. Text MEET to 307-429-2473 or get a free audit and we'll model it.