This short form allows our team to perform a professional preliminary analysis — at our own cost — to estimate your company’s potential savings under an Individual Coverage Health Reimbursement Arrangement (ICHRA).

ICHRA savings depend on two main factors:

Employee ages (which affect premium costs)
Employee income (which determine tax credit eligibility)

Your general “ages and wages” information gives us the preliminary data we need to model your potential cost savings accurately.

The result is a detailed, no-obligation savings estimate showing how much your business and employees could save by switching from a traditional group health plan.

Name

First Name

Last Name

Company Name

Email

Phone

(###)

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Hourly Ages and Wages

How many employees do you have in each age group? What are their most frequent hourly wage? 20 Year Olds: 30 Year Olds: 40 Year Olds: 50 Year Olds: 60 Year Olds:

Salaried Ages and Wages

How many employees do you have in each age group? What are their most frequent salary? 20 Year Olds: 30 Year Olds: 40 Year Olds: 50 Year Olds: 60 Year Olds:

This short form allows our team to perform a professional preliminary analysis — at our own cost — to estimate your company’s potential savings under an Individual Coverage Health Reimbursement Arrangement (ICHRA).

ICHRA savings depend on two main factors:

Employee ages (which affect premium costs)

Employee income (which determine tax credit eligibility)

Your general “ages and wages” information gives us the preliminary data we need to model your potential cost savings accurately.

The result is a detailed, no-obligation savings estimate showing how much your business and employees could save by switching from a traditional group health plan.

Location