Do public schools qualify for the same tax savings as private employers?
Not always. Public school payroll and retirement systems vary, and some employees are not covered by Social Security. District-specific Medicare and Social Security obligations must be confirmed. The standard savings illustration is not a promise that those amounts will apply to your district.
What do you need to prepare a district proposal?
We start with a conversation and an employee census produced by your payroll provider. Please do not upload individual employee records or sensitive information through this public form. We will coordinate an appropriate secure process if further data is necessary.
What is a Preventative Care Management Plan?
It is an employer-sponsored benefit program that combines qualified preventative care services with a Section 125 pre-tax election and a Section 105 medical reimbursement arrangement. The goal is to expand employee benefits while creating payroll tax savings.
Does this replace our current health insurance?
No. The plan is designed to complement qualifying existing district coverage and does not require replacing your current carrier, broker or payroll provider.
What does the program cost the employer?
The model is designed for zero net district cost when applicable payroll savings cover program fees. Actual economics vary by FICA coverage, employee eligibility, enrollment, payroll configuration and administrator terms; these must be verified before any cost claim is made.
What does the program cost the employee?
The 104 services offered are designed for zero net employee cost. In the standard illustration, payroll tax savings offset the $139 monthly management fee and can also increase take-home pay. Results depend on the employee’s tax situation.
Is an increase in take-home pay guaranteed?
No. Individual employee results depend on payroll tax coverage, income and withholding, elections and other factors. We do not guarantee take-home pay increases.
What size districts and schools can participate?
Districts, public charter employers and other school organizations can request a review. Feasibility depends on payroll setup, covered employees, program requirements and administrative economics rather than school count alone.
Who is eligible to participate?
Generally qualifying W-2 employees with eligible coverage, sufficient compensation and program-specific eligibility may enroll voluntarily. District-specific Social Security and Medicare participation, bargaining agreements and retirement structures also require review.
Are 1099 contractors or self-employed owners eligible?
No, but we have an Everyday Health program designed for this. Contact us to discuss the options.
Can family members use the services?
Yes. The plan covers the employee, spouse and dependents.
Can members access services nationwide?
Yes.
Is there a limit on how often services can be used?
Usage rules vary. Certain services include unlimited access, while others are annual, appointment-based or subject to clinical and vendor limits. Exact terms are included in the benefit materials.
What technology do employees need?
Most services can be accessed through a modern smartphone, tablet or computer with an internet connection. Telephone access is also available for certain counseling and support resources.
What lab testing is included?
An eligible annual chemistry panel is available through the preventative wellness visit. Other labs may be offered at a discounted cash price or billed through insurance, depending on the service and clinical need.
Are medications included?
The plan includes a tiered medication formulary. Depending on the elected tier, certain acute medications are available at $0, some chronic medications may be available at $5 and other medications may receive discounts. Exact coverage must be confirmed in the proposal.
How does the employer save payroll taxes?
Eligible pre-tax elections may reduce employer payroll taxes where applicable. Some school districts participate in Medicare but not Social Security for certain employees. Therefore the standard private-sector 7.65% illustration may not apply. We use a district census and payroll review to estimate any actual savings.
What are Sections 125 and 105?
Section 125 supports the voluntary pre-tax benefit election. Section 105 governs the medical reimbursement arrangement and related administration. Together with qualifying medical services under Section 213(d), they form the program structure.
What is IRC Section 213(d)?
Section 213(d) defines medical care for federal tax purposes. The program’s preventative care services are organized around services intended to qualify under that definition.
Who handles plan documents and administration?
The program administrator prepares and maintains the Section 125, Section 105 SIMRP and PCMP documents, coordinates enrollment and billing, and delivers services through independent vendors. The employer remains the plan sponsor.
Does this require changing payroll providers?
Programs are designed to integrate with existing payroll systems.
How does enrollment work?
Enrollment is voluntary and completed through the program’s portal using individually signed election forms. Payroll then adds separate deduction and reimbursement line items.
Does the program support audit readiness?
The program includes formal plan documents, uniform fees, signed elections and ongoing administration. These measures are designed to support consistent documentation, but no one can guarantee the outcome of an audit.
Does Black Flag sell or replace insurance?
No. Black Flag coordinates the financial opportunity and evaluation. The program is not insurance and is designed to complement rather than replace qualifying existing district coverage.
Who provides ongoing support?
Black Flag remains your point of contact during evaluation and implementation. Program and vendor teams provide enrollment, administration, member and service support after launch.