Employer Plans and Section 125

Summit Health Benefits sets up and administers Section 125 cafeteria plans that cover every W-2 employee, full-time or part-time. The $35 per enrolled employee monthly administration fee is paid from the employer FICA savings the plan creates, so employers typically net $56 to $101 per enrolled employee per month.

What employees get

• Virtual Urgent Care: Talk to a licensed clinician any hour of the day, for the issues that can't wait.
• Virtual Primary Care: A dedicated virtual primary care provider who knows your history and follows up.
• Prescription Program: Generic medications covered, and up to 80% off brand and specialty drugs.
• GLP-1 & Weight Management: Clinician-guided GLP-1 and weight management support at member pricing.
• Mental Health Counseling: 24/7 crisis tele-counseling plus access to ongoing mental health support.
• Message a Specialist: Send your questions to a specialist and get clear answers without an appointment.
• Dental & Vision: Discounted dental and vision services you can add to any membership.
• Procedures & Surgeries: Up to 50% off procedures and surgeries through the member network.
• Specialist Visits: Up to 35% off in-person specialist office visits across the network.
• Lab Tests: Up to 60% off bloodwork and lab tests at network labs nationwide.
• Imaging: Up to 75% off X-rays, MRIs, CT scans, and other imaging.
• HealthShare: Hospitalization and ER protection with a $2,500 out-of-pocket cap per need. No annual or lifetime limit on eligible expenses.

Next steps

Build your Section 125 plan, estimate your payroll tax savings, or schedule a consultation with a Summit benefits expert. Learn how plans are run on our Section 125 plan administration page.