Introducing The CHAMP Plan™

The origins of Champion Health trace back to about 10 years ago, following a personal tragedy experienced by our founders. They were deeply affected by the loss of a loved one, which led them to frequently ponder whether the outcome could have been different—could something have been done to prevent or at least slow the progression of that health issue? It’s a question many of us find relatable.

A pivotal moment came a year later when Michael, our President, was dealing with his daughter reaching driving age. Their insurance company offered an app to monitor her driving habits, promoting safety and potential savings. The first report wasn’t great; it highlighted issues like sudden braking and following too closely, sparking necessary conversations about her driving behavior.

However, improvement was noticeable by the next report—a couple of months later—which showed significant positive changes, with three green check marks and two yellows. This experience demonstrated how tracking behavior could lead to positive changes.

This realization inspired our founders to think about how a similar concept could be applied to healthcare. The idea that monitoring and proactive engagement could drive better health outcomes was the seed from which the first versions of the Champ Plan grew.

The Champ Plan™ - A Comprehensive Healthcare Management Platform:

• The Champ Plan™ leverages pretax benefits under IRC Section 125, a well-established tax law that has been in place since 1978 and is widely recognized by businesses across the country. This strategic use of Section 125 provides substantial economic benefits to both employers and employees, enhancing their financial well-being through effective tax management.
• The Champ Plan™ utilizes Predictive Medical Modeling platform taking a proactive approach to healthcare management. This platform identifies potential health risks and provides guidance based on the health and wellbeing of each individual employee. 
• The Champ Plan provides the company with a fixed savings of $573.60 per employee per year. The Plan is self-funded by the employees, creating substantial savings on the companies 7.65% FICA match (6.2% Social Security, 1.45 % Medicare)
• The Employees net take home pay is increased by an average of $1,500.00 per year ($125.00 per month)    

                  The employees self-fund the claims bucket, reducing their tax liability, they then receive claims benefits each pay period    

                  increasing their net take home pay. 

 Here's a simplified explanation of how a typical paycheck statement might appear for a participant enrolled in the Champ Plan:

The process involves designating $1,200 of an employee’s existing gross pay as a qualified Section 125 Pretax premium, similar to an employee’s contribution to their group medical or 401(k) plan. This arrangement results in the employee's money being used as pretax dollars for contributions while also having a post-tax claim payment made. As a result, there is an increase in the employee’s net take-home pay. On average this equals about $1,500.00 per year or $125.00 per month increase in take home pay. 

To qualify for the monthly Champ Plan benefit of $1,010.00, the employee must engage in a qualifying medical activity at least once per month. This could involve choosing an item from a provided health services menu and completing the activity. You will notice a reduction in the employee’s payroll taxes on their paycheck, reflecting these adjustments. This overview should help clarify the changes you’ll see on the payroll statement due to participation in the Champ Plan.

 As demonstrated, the $47.80 saved on FICA taxes per employee per month ($573.60 annually) translates into a fixed net savings for the employer. For a company with 100 employees, this results in an annual increase of $57,360 to your bottom line. Importantly, this also positively impacts your EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization), effectively enhancing the company's valuation by implementing the Champ Plan.

Furthermore, the Champ Plan helps to mitigate some of the claims experience. Nationally, we have observed an average savings of about $720 per employee from reduced claims. When combined with the payroll tax savings, this amounts to approximately $1,300 in total savings per employee per year. This variable savings further underscores the financial benefits of the Champ Plan.

Here's what's in it for the employees, as outlined above: 

• Extensive Coverage through First Health Network: Leveraging the First Health Network's over 800,000 healthcare professionals, The Champ Plan ensures broad access to medical providers, with 99% of physicians across the network participating in the Plan.  This network includes physicians across the country, providing extensive healthcare access to participating employees.
• Unlimited Prescriptions: Covers 487 of the most commonly prescribed drugs, ensuring essential medications are readily available.
• Personal & Mental Health Support: Comparable to having a therapist at your fingertips 24/7 without the extensive wait times otherwise associated with scheduling a mental health care appointment. We've observed significant increases in the utilization of this benefit month over month, highlighting its value to participants. The National Council for Behavioral Health noted that average wait times could range from several weeks up to three months or more. 

These comprehensive benefits elevate your offerings to the level of a Fortune 500 company's benefits package.

Imagine highlighting in your job postings that you offer Unlimited Primary Care, Preventative Care, Urgent Care, Prescription Drugs, Telemedicine, and Mental Health services—all with ZERO copay. This positions you as the employer of choice, standing out in a competitive job market.

We recognize that healthcare costs are unlikely to decrease anytime soon. However, we offer a unique approach to help manage and control these expenses while providing significant benefits to a workforce in need. Here’s how:

• Direct Savings on Routine Care: Instead of utilizing traditional group plans that often require copays and deductibles, our plan allows employees to visit their primary care doctor with zero copay for various ailments.
• Front-Line Defense: The plan serves as a proactive defense for your group medical plan. It helps reduce the overall claims experience, which is crucial for controlling future insurance rate increases or self-funded plan contributions. 
• Proven Cost Absorption: We've collaborated extensively with a carrier that has confirmed our plan absorbs approximately $720 in direct claims per participant.

This strategy results in dual benefits: immediate cost savings for both the company and its employees, and reduced health insurance premiums in the future. This effective cost management enhances employee satisfaction and financial health for the company.

The Champ Plan offers a range of unique benefits that enhance business operations and go beyond traditional Section 125 Plan mechanics. Here are some of the distinctive services included:

• Veterinary Consultations: 
  • Access to a board-certified veterinarian online to evaluate your pet’s health issues, such as rashes, dental concerns, or unusual symptoms.
  • Determine the necessity of an in-person vet visit from the comfort of your home.
• Augmented Reality Physical Therapy

                    o Transform physical therapy with our Augmented Reality platform, offering real-time feedback and accurate movement. 

                    o analysis using 111 body data points, no special hardware needed.

• Champ Shield Legal Advisory: 
  • Provides preliminary legal consultations for workplace issues that could lead to legal claims, including wrongful termination, sexual harassment, discrimination, or Family Leave Act violations.
  • Facilitates early discussions between involved parties to potentially avoid the high costs of legal proceedings, with typical attorney fees averaging $700 an hour.

These features are designed to help your business run more efficiently, accelerate growth, and increase profitability, all included within the Champ Plan.

The advantage of our technology lies in its advanced face scanning capabilities. Utilizing patented, FDA-registered technology, employees can simply use the front-facing camera on their phones to gain insightful health metrics. Thanks to the translucent nature of skin, our technology captures data with remarkable precision, including heart rate, breathing rate, blood pressure, potential risk of stroke or heart attack, stress levels, body mass index, hip-to-weight ratio, and even skin age.  

 The core idea behind Champion Health is to enhance the overall well-being of employees by improving their health. By utilizing their advanced Predictive Med Modeling, The Champ Plan™ boosts participants' health awareness and facilitates access to medical professionals without the common financial hurdles of deductibles or co-pays typical in many healthcare plans. The technology operates much like a safe driver discount in car insurance encourages safer driving through incentives and recommendations, Champion Health employs similar strategies for health management. Our goal is to prevent major health claims and manage smaller claims more effectively through this plan. This proactive approach not only improves employee health but also contributes to significant cost savings in health insurance.  

The real value comes from the comprehensive life score generated by this technology. With millions of data points collected over several years, we have observed a direct correlation: higher life scores typically lead to lower health insurance expenditures for employees, both annually and over their lifetimes. This innovative tool not only enhances individual health awareness but also contributes to reduced healthcare costs for both the employer and employee.   

Accessing the benefits of the Champion Health program doesn't require any financial investment from employees, and participation is completely voluntary. For those who choose to engage, the process begins simply by the employee creating a profile.

Once registered, employees receive prompts through text messages, phone calls, or emails to take proactive, preventative steps towards better health. These actions are tailored to improve lifestyle habits and may include quitting smoking, improving sleep quality, or losing weight. We also incorporate biometric screenings, which offer participants insights into their health progress over time, from month to month and year to year.

These activities are prescribed by a healthcare provider who ensures that each action not only contributes to the employee’s overall well-being but also aligns with medical standards. Each prescribed action corresponds to a legitimate medical event, substantiated by CPT codes or ICD-10 codes, underscoring the medical validity of the activities. For example, an employee might complete a health risk assessment for stress or undergo a new patient evaluation.

The dual goals of these activities are clear: first, to catch potential health issues before they develop into serious problems, and second, to provide tangible, medically validated steps that employees can take to improve their health, all within the supportive technology framework of Champion Health.

An Explanation of Benefits (EOB) is an important document provided by health insurance companies to the insured individuals under plan after they receive medical services or items. This statement details the treatments or services rendered, the dates they were provided, and outlines the costs associated with each service.

Since the plan is an indemnity type, the EOB will also confirm that no out-of-pocket costs were incurred by the insured. It will list the total charges for the services, the amount paid by the insurance, and reassuringly show a zero-balance due from the patient. This document is essential as it helps patients understand how their benefits were applied, verify that all services are accurately recorded and paid for by the insurance, and ensure transparency in the handling of their medical claims. Additionally, it provides details on how to contact the insurance company for disputes or misunderstandings regarding the coverage of services.

Champion Health Plan partners with companies like ADP, PAYCHECX, Allstate and Paylocity to name a few.   

Champion collaborates with nearly every payroll provider worldwide, enabling us to streamline your setup process making the entire procedure exceptionally straightforward.