Preventative Care Management Program
Explore whether your workforce may fit a payroll-tax savings and employee-benefit program.
Start with employer facts — headcount, full-time mix, and existing health coverage. The Preventative Care Management Program (PCMP) is administered by 1st Capital Financial and is structured under IRC Sections 106, 125, and 105. Typical, illustrative outcomes include about $665 per employee per year in payroll-tax reduction and an 18–30% workers' compensation premium change — subject to 1st Capital review. Results are not guaranteed.
Sample estimate
Illustrative only · not a quote
$28,625
Illustrative combined annual savings
Payroll tax: $16,625 (25 × $665)
Workers’ comp: $12,000 (premium × 24%)
Workers' comp 18–30% is illustrative only; typically does not apply in North Dakota, Ohio, Washington, or Wyoming.
Requires 1st Capital review
Check My Employer's FitSee It In Action
See How PCMP Works
A short overview of how employers review payroll-tax structure while considering employee benefit options. Details and outcomes require a facts-based review.
The Problem
Payroll Taxes and Benefits Are Often Managed Separately
Employers face ongoing FICA obligations and fragmented benefits decisions. Many never review whether a coordinated Section 106/125/105 structure could apply to their workforce facts.
Payroll Taxes Are a Fixed Statutory Cost
Employers pay 7.65% FICA on every W-2 dollar, year after year. That statutory rate does not shrink on its own. Whether any program can change the employer's net position depends on eligibility, plan design, and professional review.
Benefits Programs Vary Widely in Adoption
Voluntary benefits participation depends on design, communication, and cost sharing. Low adoption can mean high administrative effort relative to workforce impact — outcomes are employer-specific, not universal.
Payroll, HR, and Benefits Often Sit in Silos
Payroll, HR, and benefits are typically managed separately. PCMP is designed as a coordinated Section 106/125/105 structure that addresses employer payroll facts and employee benefit design together — subject to provider and advisor review.
How It Works
From Employer Facts to Next Steps
Public next step is an employer-facts review. Census and enrollment happen only after fit is confirmed — off this site, through the program provider.
Share Employer Facts
Tell us W-2 headcount, full-time mix, existing major medical or MEC coverage, and your role (employer, advisor, or payroll partner).
Human Review
A person reviews your submission. We follow up within about one business day — no automated eligibility guarantee from this form.
Proposal If Fit
If the facts support a fit, you may receive a written proposal describing program structure and next steps. On-page figures are illustrative and typical; they still require 1st Capital Financial review.
Census & Enrollment Off-Site
Employee census and enrollment happen only after fit is confirmed, through the program provider — not as the public next step on this website.
Results depend on employer-specific facts including employee headcount, wages, existing coverage, and state regulations. All outcomes require professional review by 1st Capital Financial before implementation. Nothing on this page guarantees savings or enrollment.
Employer Benefits
What Employers Typically Evaluate
These figures are illustrative and based on typical program outcomes. Actual results require a custom proposal and 1st Capital Financial review — they are not guaranteed.
Per Employee / Year
Typical, illustrative employer payroll-tax reduction per qualifying W-2 employee who enrolls. Whether any reduction applies depends on eligibility, enrollment, and 1st Capital Financial review.
Illustrative. Requires professional review.
Workers' Comp Reduction
Typical, illustrative workers' compensation premium change per enrolling employee, depending on carrier and state. Timing often follows the employer's policy renewal.
Workers' compensation savings typically do not apply in North Dakota, Ohio, Washington, and Wyoming, where coverage is purchased from the state fund rather than a private carrier. A payroll-tax review can still apply.
Participation Depends on Design
Employee participation depends on plan design, communication, and provider processes. Opt-in or enrollment rates are not guaranteed and are not stated as fixed percentages on this site.
Employee Benefits
Ancillary Benefits Employees May Receive
Participating employees may receive a suite of ancillary health and wellness benefits. Specific offerings are determined by the program provider and are subject to the terms of the applicable plan documents.
- 🏥
Accident Coverage
Cash benefits paid directly to employees for covered accidental injuries.
- ❤️🩺
Critical Illness
Lump-sum payments upon diagnosis of covered serious illnesses.
- 🦷
Dental & Vision
Ancillary dental and vision coverage included in the benefits package.
- 🏨
Hospital Indemnity
Benefits for hospital stays, surgery, and inpatient care.
- 🛡️
Life Insurance
Group term life coverage for enrolled employees.
- 📅
Short-Term Disability (STD)
Income replacement for employees unable to work due to covered conditions.
Specific benefit offerings are determined by the program provider. Benefits are subject to the terms and conditions of the applicable plan documents.
Who Qualifies
Eligibility Requirements
The PCMP is not right for every employer. Here's a quick eligibility checklist. Submitting employer facts starts a human review — it is not an automatic approval.
- ✓5 or More W-2 Employees
The program requires at least five W-2 employees to implement the group plan structure.
- ✓Full-Time Employees (typically 30+ hrs/week)
Participating employees must meet the full-time threshold under the program definition.
- ✓Existing Major Medical or MEC Plan
Your company must have an existing qualifying health plan (major medical or minimum essential coverage) in place.
- ✓Standard W-2 Payroll Processing
Employees must be on a standard W-2 payroll. 1099 contractors are not eligible.
Not Sure If You Qualify?
Share Your Employer Facts
The fastest path is the fit-check form. We'll review your headcount, existing coverage, and employment structure — and follow up if a next step makes sense.
No obligation. No hard sell. Just a straightforward employer-facts review.
Check My Employer's FitFor CPAs & Advisors
Add Value to Every Employer Relationship
If you work with employers who have W-2 payroll, the PCMP is a referral opportunity that can add value to clients you already serve — subject to each client's facts and professional review.
- Refer employer clients without taking on the implementation
- Add a payroll-tax optimization conversation to your annual review
- Differentiate your practice with a coordinated benefit-structure discussion
- Works alongside existing payroll, HR, and benefits advisors
- Structured under IRC Sections 106, 125, and 105
Referral Partnership
Built for Payroll & Tax Professionals
We work with CPAs, payroll advisors, HR consultants, benefits brokers, and fractional CFOs who want to bring additional value to clients already paying significant payroll taxes.
Contact Dan Hayes →Employer FAQ
PCMP Questions Employers Should Ask
A Preventative Care Management Program touches payroll, employee benefits, and tax treatment. Careful evaluation is appropriate. Here are straightforward answers to the questions employers ask most often.
1. This sounds too good to be true. How can a company reduce payroll taxes while adding benefits?
PCMP combines qualified employee benefits with a tax-advantaged payroll structure. When eligible benefits are properly provided on a pre-tax basis, certain amounts may be excluded from taxable payroll. That can reduce employer payroll-tax expense while giving participating employees access to additional benefits.
The opportunity is evaluated using your actual employee census and payroll information. Any figures shown before that review are illustrative—not guaranteed results.
2. Is PCMP legal and IRS-compliant?
PCMP is structured using established provisions of the Internal Revenue Code, including Sections 105, 106, and 125. These provisions govern qualifying employer-provided health benefits, medical reimbursements, and cafeteria plans.
However, citing a tax-code section alone does not make every arrangement compliant. Proper plan documents, employee eligibility, elections, benefit administration, nondiscrimination testing, payroll treatment, and ongoing oversight all matter. Your company should review the final structure with its own tax, legal, payroll, and benefits professionals before implementation.
3. Does PCMP increase our risk of an IRS or Department of Labor audit?
No legitimate provider should promise that an employer will never be audited. The goal is to establish and administer the program correctly so the employer has documentation supporting its tax and benefits treatment.
During your review, you should receive information about the plan documents, compliance responsibilities, reporting procedures, and available audit-support or audit-defense coverage. Any insurance protection should be confirmed through the actual policy terms, including limits and exclusions.
4. Will participating reduce an employee's take-home pay?
The program is designed so participating employees do not experience a net reduction in take-home pay while receiving the included benefits. The exact result depends on the approved plan design, the employee's compensation and tax circumstances, and correct payroll configuration.
Before launch, the payroll calculation should be tested. Employees should also receive a sample pay-stub comparison explaining every new deduction, contribution, or reimbursement line.
5. Is PCMP really free for the employer and employees?
It is more accurate to describe PCMP as a program designed to operate at no additional net cost than simply to call it "free." Benefits and administration have costs, but the structure is intended to generate payroll-tax efficiencies that offset those costs and may produce net employer savings.
Your written proposal should clearly show program costs, estimated gross tax reduction, and projected net savings. Employees should receive equally clear information about whether they will have any premiums, copays, deductibles, or other charges.
6. Does PCMP replace our existing health insurance?
No. PCMP is generally designed to complement an employer's existing qualifying major medical or minimum essential coverage, not replace it.
The eligibility review will examine your current plan and determine whether PCMP can operate alongside it. Employers should not cancel or change existing coverage based solely on a preliminary PCMP illustration.
7. Will implementation disrupt our payroll?
Implementation requires payroll coordination, but it should not be handled as an untested change. The normal process includes gathering census information, mapping the required payroll codes, testing the calculation, obtaining employer approval, and reviewing the first live payroll.
PCMP can work with many standard payroll systems, but compatibility and the responsibilities of your payroll provider must be confirmed before enrollment.
8. How much work will this create for our HR and payroll teams?
The program is intended to be administrator-supported. The PCMP team coordinates the plan setup, enrollment process, employee communication, payroll instructions, and ongoing administration.
Your HR and payroll teams will still have defined responsibilities, such as providing accurate census information, approving payroll configuration, reporting employee-status changes, and reviewing periodic reports. Those responsibilities should be documented before your company proceeds.
9. Will employees understand what is happening to their paychecks?
Employee education is an essential part of implementation. Before the first affected payroll, employees should receive a plain-English explanation of:
- What the program provides
- How participation works
- What will appear on their pay stubs
- Whether take-home pay will change
- How to access their benefits
- Where to get help
A sample pay statement and a live or recorded employee orientation can prevent most confusion.
10. Are these benefits employees will actually use?
The specific benefit package is determined by the program provider and applicable plan documents. Depending on the approved package, benefits may include services or coverage related to preventive care, telehealth, dental and vision care, accident protection, critical illness, hospital indemnity, life insurance, or short-term disability.
Employers should review the complete schedule of benefits, eligibility rules, exclusions, limitations, provider access, and claims procedures—not just a summary list—before deciding whether the package is valuable to their workforce.
11. Are the projected tax and workers' compensation savings guaranteed?
No. Savings depend on factors such as employee eligibility, participation, compensation, program costs, payroll configuration, workers' compensation classifications, carrier practices, and state rules.
A proposal should separate projected gross savings from program expenses and estimated net savings. Payroll-tax results can then be measured after implementation. Any potential workers' compensation reduction should be confirmed with the employer's carrier or broker rather than assumed.
Workers' compensation savings typically do not apply in North Dakota, Ohio, Washington, and Wyoming, where coverage is purchased from the state fund rather than a private carrier. A payroll-tax review can still apply.
12. Could the payroll change affect employees in other ways?
Potentially. Reducing taxable wages may affect amounts used in calculations involving Social Security and Medicare wages, unemployment benefits, wage-based retirement contributions, disability benefits, lending documentation, or other compensation-related programs.
The effect varies by employee and by plan. These considerations should be disclosed and reviewed with the employer's payroll, retirement-plan, tax, and benefits professionals before implementation.
13. What if our CPA, benefits broker, or payroll company has concerns?
They should be included in the evaluation. A credible PCMP review should welcome questions from the employer's existing advisors.
We can provide the proposed structure, savings assumptions, payroll instructions, plan information, and administrator contacts needed for their review. Final approval should come only after the employer and its advisors are comfortable with the program.
14. How is employee information protected?
Implementation may require employee census, payroll, eligibility, and benefits information. Before sharing data, the employer should understand:
- Exactly what information is required
- Who will receive or access it
- How it will be transmitted and stored
- How long it will be retained
- What privacy and security agreements apply
- How employee health information is separated from ordinary employment records
Only the information necessary to evaluate and administer the program should be collected.
15. How do we know whether our company qualifies?
PCMP is not suitable for every employer. Eligibility can depend on the number of W-2 employees, hours worked, compensation, existing health coverage, ownership status, payroll consistency, employee locations, union arrangements, and other factors.
The first step is a no-obligation eligibility review. If your organization appears to qualify, the next step is a written, census-based proposal showing the program structure, estimated costs, projected savings, implementation requirements, and benefit package.
Program details, eligibility, and outcomes require review by 1st Capital Financial and appropriate professional advisors. Results depend on employer-specific facts.
Still Have Questions?
You do not have to decide whether to implement PCMP during the first conversation. We will begin by reviewing your workforce, current health coverage, and payroll structure. If there appears to be a fit, you will receive a written proposal that you can review with your CPA, attorney, payroll provider, and benefits advisor.
Request a No-Obligation PCMP Eligibility ReviewGet Started
Check My Employer's Fit
PCMP is administered by 1st Capital Financial and structured under IRC Sections 106, 125, and 105. Our first step is always an employer-facts review — not a promised proposal or calendar booking from this form.
Fill out the form or email us. We'll follow up within about one business day to review headcount and coverage. A written proposal is offered only if the facts support a fit.
Employer Fit Check
Submitting this form creates no engagement or professional relationship. PCMP is administered by 1st Capital Financial. Do not submit employee census, health details, or payroll credentials here. One-line privacy note: we use your work contact details only to respond to this fit-check request.
Important Disclosures: This website does not constitute tax, legal, or benefits advice. Nothing on this page guarantees payroll-tax savings, workers' compensation premium changes, employee participation rates, or enrollment outcomes. Results depend on employer-specific facts including headcount, compensation, existing health plan structure, workers' compensation carrier, and applicable state regulations. Results are not guaranteed and require professional review.
PCMP is administered by 1st Capital Financial. Program structure, eligibility, and outcomes require provider review. Employers should consult with their CPA, legal counsel, and benefits advisor before implementing any employer benefit program.