EMPLOYEE BENEFITS
Group health plans your people will actually use.
Medical, dental, and vision from national and regional carriers, compared side by side, with fully insured, level-funded, and self-funded options.
- FUNDING
- Fully insured, level-funded, self-funded
- CARRIERS
- National and regional
- ENROLLMENT
- Online, synced to payroll
- PRE-TAX
- Section 125 included
FUNDING OPTIONS
At 50–500 employees, you have more choices than a fixed premium.
- FULLY INSUREDFixed premium, no surprises.
The carrier takes all claims risk. Little visibility into how your plan performs.
Best fit50–150 employees - LEVEL-FUNDEDMOST CHOSENPredictable payments, money back.
A flat monthly cost with stop-loss protection. If claims come in low, you share the surplus.
Best fit100–400 employees - SELF-FUNDEDMost control, most data.
Pay claims directly with stop-loss above a threshold. Full plan design and pharmacy flexibility.
Best fit300+ employees
SECTION 125 INCLUDED
Employee premiums run pre-tax: you skip 7.65% FICA on every dollar.
WHAT'S COVERED
- 01Medical. PPO, HMO, and HSA-eligible HDHP options.
- 02Dental. Preventive, basic, and major services.
- 03Vision. Exams, frames, and contacts.
- 04HSA and FSA. Pre-tax accounts run through payroll.
COMMON QUESTIONS
- What's the minimum participation?
- Most carriers require 50–75% of eligible employees to enroll, not counting those with other coverage.
- When do we start shopping?
- We begin marketing your plan 120 days before renewal and model every funding option.
- Can I bundle this with other coverage?
- Yes. One application covers every line we quote, with one renewal calendar and one advisory team.
- Does Worklio payroll help?
- If you run payroll on Worklio HCM, we pre-fill company details, headcount, and payroll data. We also work with any other payroll provider.
WHAT AFFECTS YOUR PRICE
- 01Ages and home ZIP codes of enrolled employees
- 02Plan design: deductibles, copays, networks
- 03Funding: fully insured, level-funded, or self-funded
- 04Participation and employer contribution
HOW WE QUOTE IT
APPLICATION
Employee census + group application
WHAT TO HAVE READY
- Employee census
- Current plan summaries (SBCs)
- Current rates and renewal
- Quarterly wage report
On Worklio HCM? Payroll and headcount data are pre-filled.
WHO USUALLY CARRIES IT
- Senior careRECOMMENDED
- HealthcareRECOMMENDED
- Behavioral healthRECOMMENDED
- Dental + veterinary groupsRECOMMENDED
- ManufacturingRECOMMENDED
- ConstructionRECOMMENDED
- Auto dealer groupsRECOMMENDED
- Franchise groupsRECOMMENDED
- StaffingRECOMMENDED
- Professional servicesRECOMMENDED
- Education + childcareRECOMMENDED
- NonprofitsRECOMMENDED
- $35+ BillionPAYROLL AND TAXES PAID
- 23+ MillionACH TRANSACTIONS
- 4.3+ MillionW-2S / 1099S PROCESSED
- 2.8+ MillionEMPLOYEES PAID
TRUSTED BY PARTNERS INCLUDING