Ascend Benefits offers two distinct Preventive Care Management options for small business employees — both funded through the same Section 125 / FICA tax savings mechanism, at $0 net cost. EHP delivers wellness benefits through Revive Health. WellthCare adds $0-copay care, automatic Pension contributions, and e-Store rewards on top of the same tax structure. Compare both below and choose the fit for your team.
EHP — The Employer's Choice — is a Preventive Care Management Program (PCMP) designed specifically for small business employees. It is a comprehensive, stand-alone wellness solution that pairs with any existing group health insurance plan — and can be implemented at any time, with no open enrollment or carrier change required.
Unlike traditional health benefits that cost the employer money, EHP is funded entirely through FICA payroll tax savings generated by routing the wellness program cost through a pre-tax Section 125 Cafeteria Plan using the WIMPER deduction. The result is improved health outcomes for your team — with zero net cost to the organization.
The long term impact is significant: employee health improves, everyday claims stay off your major medical plan, and the employer retains FICA payroll tax savings of up to $1,120 per enrolled employee per year. Better health benefits — funded entirely by tax savings that were already leaving your business every pay period.
Stand-alone program — pairs with any existing group health insurance
Employees do not need to be on the company health plan to participate
Employee take-home pay is unchanged — and in practice increases due to lower taxes
2,000+ employer clients | 4 million+ members enrolled nationwide
One of the most common questions employers ask is: "How is this legal?" The answer is simple: Congress built this into the law when the Affordable Care Act was passed. The ACA included a specific provision that allows employers who implement a qualifying Preventive Care Program to use a special pre-tax tax structure — the WIMPER — to fund it.
That is the only requirement to unlock the WIMPER tax structure. The moment you offer your employees access to a compliant preventive care program, the ACA permits you to run its cost through a pre-tax deduction.
That reduction lowers the employee's tax bill and lowers your FICA match as the employer. Both sides pay less to the government — legally, because the ACA says you can.
The money saved on taxes — money that was already going to the government every pay period — is redirected into health coverage and voluntary benefits like dental, vision, disability, and life insurance. The employee keeps more. You save more. Nobody pays anything extra.
The program is administered under ACA Federal Register Vol. 78, June 3, 2013, and is fully supported by IRS Office of Chief Counsel Memorandum 201703013. It complies with IRC Sections 105, 106, and 125, as well as ERISA, HIPAA, and ADA requirements. Full audit protection and compliance documentation are included at no additional charge.
EHP operates through three integrated components that work together to create tax savings for both the employer and employee while funding comprehensive wellness benefits.
Specifies all IRC 213(d)-compliant wellness benefits provided under the program — primary care, urgent care, mental health, pharmacy, and more. These are the benefits the employee receives.
Funded under IRC 106(a), enabling pre-tax deductions for eligible medical expenses. The wellness program cost is routed through this plan, reducing the employee's taxable income and generating FICA savings for both parties.
The Self-Insured Medical Expense Reimbursement Plan reimburses employees dollar-for-dollar for the WIMPER deduction after taxes are calculated — ensuring zero reduction in take-home pay. Because taxes dropped, net pay is actually higher.
Employee's gross pay is unchanged
Wellness benefit value deducted pre-tax
Lower taxable income = less FICA for both
Full WIMPER amount added back after tax
Tax savings funds Revive + voluntary benefits
EHP is designed to be as accessible as possible. Employees do not need to be enrolled in the company group health plan to participate.
Must be a W-2 employee of the participating company.
Must carry qualifying coverage — employer plan, spouse's plan, individual marketplace policy, or other qualifying insurance.
Must work 30 or more hours per week. Employer must have a minimum of 10 full-time W-2 employees to qualify.
All services delivered through the Revive Health platform — accessible 24/7 via web or mobile app. No co-pays, deductibles, or additional charges.

Nationwide access to board-certified physicians, Mon–Fri. Most consultations within 1–3 days. Covers chronic conditions: hypertension, diabetes, allergies, and cholesterol. No copay or deductible.

Connect with a provider from anywhere in the U.S. at any time. Eliminates costly ER visits for non-emergency needs.
90%+ of consults within 3 minutes
24/7 access to master's-level clinicians, matched within 5 days. Includes the Revive & Thrive app with live group sessions, AI coaching, and self-assessments.
88% first-session attendance vs. 30–40% for EAPs
Physician-supervised weight management with GLP-1 medication access, personalized coaching, and FitOn fitness content. Oral GLP-1 from $85/first month; Injectable Semaglutide $90–$210; Tirzepatide $155–$400.

1,000+ maintenance and 70+ acute formulary medications delivered to the home at no cost. Discount card for off-formulary medications. Pharmacist consultations included.

Monthly Virtual Clinic Reports with utilization rates, savings data, venue redirection metrics, satisfaction scores, and top diagnosis trends.
The money that funds EHP is not new money. It is tax dollars already leaving the employee's paycheck — redirected to create better benefits. Select your pay frequency below.
Illustrative Example Only. Figures below are based on a hypothetical employee earning $44,460/year in Virginia, filing single, with $500/month in health insurance. Every employee's actual savings will differ based on salary, state, filing status, and existing deductions. A customized proposal with real figures for your group is available at no cost.
| Weekly Paycheck | Without EHP | With EHP |
|---|---|---|
| Gross Pay | $855.00 | $855.00 |
| Health Insurance (Pre-Tax) | −$115.38 | −$115.38 |
| WIMPER Deduction (wellness benefit value) | — | −$281.54 |
| Taxable Income | $739.62 | $458.08 |
| Federal Withholding | −$88.75 | −$55.93 |
| VA State Withholding | −$43.00 | −$26.82 |
| Social Security (6.2%) | −$45.86 | −$28.40 |
| Medicare (1.45%) | −$10.72 | −$6.64 |
| Total Taxes | −$188.33 | −$117.79 |
| SIMERP Reimbursement (added back after tax) | — | +$281.54 |
| Net Take-Home Pay | $551.29 | $622.37 ↑ |
| Increase in Net Pay (Tax Savings) | — | +$71.08 / week |
| Bi-Weekly Paycheck | Without EHP | With EHP |
|---|---|---|
| Gross Pay | $1,710.00 | $1,710.00 |
| Health Insurance (Pre-Tax) | −$230.77 | −$230.77 |
| WIMPER Deduction (wellness benefit value) | — | −$563.08 |
| Taxable Income | $1,479.23 | $916.15 |
| Federal Withholding | −$177.50 | −$111.86 |
| VA State Withholding | −$86.00 | −$53.64 |
| Social Security (6.2%) | −$91.72 | −$56.80 |
| Medicare (1.45%) | −$21.44 | −$13.28 |
| Total Taxes | −$376.66 | −$235.58 |
| SIMERP Reimbursement (added back after tax) | — | +$563.08 |
| Net Take-Home Pay | $1,102.57 | $1,244.73 ↑ |
| Increase in Net Pay (Tax Savings) | — | +$142.16 / bi-weekly |
When the WIMPER deduction reduces an employee's taxable income, your FICA tax match is reduced by the same proportion. As the employer, you pay 6.2% Social Security and 1.45% Medicare on each employee's taxable wages. When taxable wages drop, so does your matching obligation.
That difference is money you no longer owe the government — and it adds up quickly across your workforce.
| Employer FICA Savings | Per Employee | 10 Employees |
|---|---|---|
| Per Paycheck — Weekly | $21.54 | $215.40 |
| Per Paycheck — Bi-Weekly | $43.08 | $430.80 |
| Per Month | $93.33 | $933.30 |
| Per Year | $1,120.00 | $11,200.00 |
The employees are — using money that was already leaving their paychecks as taxes. The employer contributes nothing additional.
The dollar value of the wellness benefits is applied as a pre-tax deduction before taxes are calculated — reducing how much the employee and employer both owe the government.
Money that was going to the IRS every pay period is now available to cover the Revive Health platform fee and fund voluntary benefit elections — dental, vision, disability, life insurance.
The employer does not contribute any additional dollars toward those benefits. The employer's role is to run the payroll structure correctly. The tax code does the rest.
Money that was going to the IRS is redirected into benefits — and both sides save. The employee keeps more take-home pay. The employer keeps the FICA savings. Nobody pays anything extra. The tax code is working exactly as Congress designed it.
Once the Revive Health fee is covered by the employee's tax savings, the remaining reserve funds voluntary supplemental coverage — with no reduction in take-home pay and no additional cost to the employer.
| Voluntary Benefit | Sample Monthly Cost | What It Covers |
|---|---|---|
| Short-Term Disability | $26.87 | Bridges gap to 72% income replacement if unable to work |
| Critical Illness / Cancer | $9.78 | $10,000 lump sum on diagnosis — guaranteed issue |
| Hospital Indemnity | $30.50 | $2,000 admission + $200/day confinement benefit |
| Accident Insurance | $18.11 | 24/7 on/off-job coverage; $2,000 hospital + $500/day ICU |
| Whole Life Insurance | $112.68 | Guaranteed issue life to age 95; builds cash value |
| Dental | $30.50 | 100-80-50 coinsurance; $1,000–$2,000 annual maximum |
| Vision | $13.78 | VSP network; frames, contacts, and Rx savings card |
| Example: STD + Critical Illness + Hospital Indemnity + Whole Life | ~$179.83/mo | Covered entirely by tax savings — no change to paycheck! |
All figures are examples only. Actual costs vary by age, plan design, coverage amount, and state. Individual quotes provided during enrollment.
$0 net cost to implement
Saves ~$1,120 per enrolled employee per year in FICA taxes
No disruption to existing health plan
Can start any time — no open enrollment required
Reduces major medical claims by shifting everyday care to Revive
Fewer claims = lower risk of premium increases at renewal
Full compliance documentation and audit protection included
Payroll integration handled by EHP
Net take-home pay increases — taxes dropped
Free primary care with no copay or deductible
24/7 urgent care — connect in under 3 minutes
Mental health support available around the clock
1,000+ prescriptions delivered to their home at no cost
Access to weight management and GLP-1 medications
Tax savings reserve funds supplemental insurance elections
Coverage does not require enrollment in company health plan
EHP's onboarding process gets employers and employees up and running fast, with dedicated support at every step.
We walk through the program, demonstrate FICA savings potential, and show how voluntary benefits can provide comprehensive coverage at no net cost — typically up to $1,120 per employee per year.
EHP's in-house CPA team assists with collecting the employee census via email and phone outreach — completely hands-off for the employer.
Within 24 hours of receiving the census, EHP presents employer FICA savings and individual employee tax allocations with real numbers tailored to your group — at no cost.
Flexible enrollment options — virtual, onsite, or self-enrollment — with EHP managing all employee education and communication to achieve 85–90% participation.
EHP's onboarding team coordinates the launch date, ensures seamless payroll integration, and confirms all plan documents and policies are in place.
Continued customer service, mid-year employee additions, and monthly reporting so you always know the program is performing.
WellthCare is a patent-pending Health-to-Wealth™ benefit system built around a pre-tax payroll deduction. A wellness benefit deduction is taken from each paycheck before taxes are calculated, lowering taxable income for the employee and the employer's FICA match. That deduction is then reimbursed back to the employee after taxes through a SIMERP (Self-Insured Medical Expense Reimbursement Plan) — so take-home pay doesn't change.
Here's what makes WellthCare different: that reimbursement isn't handed back as cash. Each time an employee completes a wellness check through the WellthCare app, their reimbursement for that period is deposited into a personal WellthCare e-Store balance — money they can spend on health and wellness products, from name-brand over-the-counter items to bigger purchases like a Tempur-Pedic mattress, essentially anything you'd find at a Walgreens or CVS. That balance is the employee's money — it never expires and rolls over every month and every year. If an employee leaves the company or retires, their remaining e-Store balance moves into an investment account.
Separately, the employer's FICA tax savings generated by that deduction is invested directly into the employee's Pension, 401(k), or similar retirement account — building long-term wealth automatically, on top of the day-to-day health benefit. Employees are also supported by nurse practitioners and a dedicated care team; hospital bills for WellthCare members are reduced by an average of 70%.
$0 net cost — funded entirely through the pre-tax wellness deduction and employer FICA savings
e-Store balance never expires — it's the employee's money, rolling over every month and year
Works with or without major medical — fits employers who can't afford traditional insurance too
Zero disruption to any existing healthcare or retirement plan
HR handles zero care or billing questions — WellthCare's team manages it directly
Traditional healthcare pays only after people get sick. High deductibles cause employees to delay care until it's more expensive. WellthCare flips that incentive — rewarding preventive action before claims happen.
Employees use $0-copay care first instead of avoiding it or triggering major medical claims later.
Fewer, cheaper claims mean less waste and, over time, better renewal outcomes on the major medical plan.
e-Store rewards and Pension contributions turn preventive health behavior into visible, tax-advantaged financial security — without increasing employer costs.
"WellthCare™ is fully compliant and unique. It addresses medical care needs not covered under traditional coverage and it includes wealth accumulation features."
— Darcy L. Hitesman, Founder, Hitesman Law, P.A. · Co-author, ERISA Compliance for Health & Welfare PlansWellthCare is a third-party Health-to-Wealth™ benefit platform, administered through a pre-tax Section 125 Cafeteria Plan and SIMERP reimbursement structure. Program features and figures on this page reflect WellthCare's published program materials; a personalized proposal with real numbers for your group is available during your consultation.
Every pay period, a pre-tax wellness deduction lowers taxable income and is reimbursed back after tax — but instead of landing in the employee's pocket as cash, it lands in their e-Store the moment they complete a wellness check in the app. Here's how the pieces fit together.
A wellness benefit deduction is taken from the paycheck before taxes are calculated, lowering taxable income for the employee and the employer's FICA match — at $0 net cost to either side.
A SIMERP (Self-Insured Medical Expense Reimbursement Plan) reimburses that deduction back after tax, so the employee's take-home pay doesn't change.
When the employee completes a wellness check through the app, that reimbursement is deposited into their personal e-Store balance. It never expires and rolls over monthly and yearly.
The employer's FICA tax savings from the deduction is invested directly into the employee's Pension, 401(k), or similar retirement account — separate from the e-Store, growing every pay period.
Pre-tax deduction taken each pay period
Amount calculated for reimbursement after tax
Done right in the WellthCare app
Reimbursement deposits into the employee's e-Store
Employer's FICA savings funds the retirement account every pay period
Each pay period, a pre-tax wellness deduction lowers taxable income, then that amount is reimbursed back after tax — with zero change to take-home pay. Select your pay frequency below to see how it flows.
Illustrative Example Only. Figures below are based on a hypothetical employee earning $44,460/year in Virginia, filing single, with $500/month in health insurance. Every employee's actual numbers will differ based on salary, state, filing status, and existing deductions. A customized proposal with real figures for your group is available at no cost.
| Weekly Paycheck | Without WellthCare | With WellthCare |
|---|---|---|
| Gross Pay | $855.00 | $855.00 |
| Health Insurance (Pre-Tax) | −$115.38 | −$115.38 |
| Pre-Tax Wellness Deduction | — | −$281.54 |
| Taxable Income | $739.62 | $458.08 |
| Federal Withholding | −$88.75 | −$55.93 |
| VA State Withholding | −$43.00 | −$26.82 |
| Social Security (6.2%) | −$45.86 | −$28.40 |
| Medicare (1.45%) | −$10.72 | −$6.64 |
| Total Taxes | −$188.33 | −$117.79 |
| SIMERP Reimbursement (added back after tax) | — | +$281.54 |
| Net Take-Home Pay | $551.29 | $622.37 ↑ |
| Increase in Net Pay | — | +$71.08 / week |
| Bi-Weekly Paycheck | Without WellthCare | With WellthCare |
|---|---|---|
| Gross Pay | $1,710.00 | $1,710.00 |
| Health Insurance (Pre-Tax) | −$230.77 | −$230.77 |
| Pre-Tax Wellness Deduction | — | −$563.08 |
| Taxable Income | $1,479.23 | $916.15 |
| Federal Withholding | −$177.50 | −$111.86 |
| VA State Withholding | −$86.00 | −$53.64 |
| Social Security (6.2%) | −$91.72 | −$56.80 |
| Medicare (1.45%) | −$21.44 | −$13.28 |
| Total Taxes | −$376.66 | −$235.58 |
| SIMERP Reimbursement (added back after tax) | — | +$563.08 |
| Net Take-Home Pay | $1,102.57 | $1,244.73 ↑ |
| Increase in Net Pay | — | +$142.16 / bi-weekly |
When traditional insurance isn't affordable, WellthCare delivers healthcare and retirement benefits employees will actually use — without BUCA-level cost.
$0 copay, $0 deductible urgent care, primary care, prescriptions, labs, and mental health support
Automatic Pension contributions for every enrolled employee
Free money in the WellthCare e-Store™
Zero out-of-pocket — a real hiring edge without a BUCA plan
When premiums keep rising, WellthCare works alongside your existing plan with no disruption — capturing the everyday care employees currently avoid.
$0-copay care gets used first — instead of delayed until it becomes a major medical claim
Leads to fewer claims, less waste, healthier employees, and better retention
Over time, Readiness Index™ data shows real savings and whether switching plans makes sense
"80% of physicians report patients delay or refuse care due to cost" — Physicians Advocacy Institute
Personalized care plans, supported by nurse practitioners, plus the e-Store balance and retirement contributions that make prevention pay off.

Urgent care, primary care, prescriptions, labs, and mental health support — personalized care plans supported by nurse practitioners.

The employer's FICA tax savings from the pre-tax wellness deduction is invested directly into the employee's retirement account — growing automatically every pay period.

Every time an employee completes a wellness check in the app, their pre-tax reimbursement is deposited into their e-Store — spendable on health & wellness products, from name brands to a Tempur-Pedic mattress. Never expires; moves to an investment account if the employee leaves or retires.

Transparent, pass-through pharmacy pricing with home delivery and no spread pricing — no PBM middlemen.
Typically 20–40% lower than traditional PBM pricing
Personalized care navigation from a dedicated clinical team — WellthCare handles care and billing questions so HR doesn't have to.

When hospital care is needed, WellthCare's navigation and bill-review process reduces the resulting bill.
70% average reductionDeposited every time an employee completes a wellness check in the app, spendable on health & wellness products. Never expires — rolls over and moves to an investment account when an employee leaves or retires.
Converts real employee usage data into a report on when — and if — switching or adding plans makes sense.
Lets Medicare-eligible employees keep their e-Store rewards and Pension while the employer sheds high-cost, high-risk lives from the group plan.
An optional, fully integrated self-funded alternative to BUCA — available once Readiness Index™ data supports the move. Typically 30–45% lower cost vs. BUCA.
WellthCare's onboarding is designed to prove value before asking for anything to change.
We walk through how WellthCare fits your current plan (or fills the gap if you don't have one), with personalized e-Store and retirement account projections for your group.
No open enrollment disruption — employees get access to $0-copay care, e-Store rewards, and Pension contributions right away.
Once real usage data is in, WellthCare shows you exactly what you're saving — and whether Medicare, Pharmacy, or Complete make sense for your group next.
To learn more, visit WellthCare's website.
Visit WellthCare's Website