360 Advantage Compliance WELLNESS

Our 360 Advantage Plan is a total approach to living a healthier lifestyle and is the industry's "best of breed" and compliant solution for employers and employees.

The 360 Advantage Plan is a Self-Insured Medical ReimbursementPlan (SIMRP) and was purposely created, fully researched, and found compliant with IRS 213(d), 106(a), 105(b), 1.105-11(i) and  104(a)(3) codes, and all applicable IRS memos, ERISA regulations, HIPAA, and the ADA.

The 360 Advantage SIMRP™ plan is always paired with an ACA approved medical plan to make an integrated 105 plan.

The deduction of plan cost from an employee's gross wages is addressed by IRS Codes 106(a). The Office of Chief Counsel Internal Revenue Service Memorandum (Number: 201703013, Dated:

1/20/2017) states: "The value of coverage by an employer provided wellness program that provides medical care (as defined under §213{d)) is generally excluded from an employee's gross income under §106(a). The pre-taxing of this deduction made possible under a Self-Insured Medical Reimbursement Plan and a Cafeteria Plan (§ 125) creates the reduction of taxable income, generating a savings for the employee and the employer.

Any reimbursements or payments for medical care (as defined under§213(d)) provided by the program is excluded from the employee's gross income under §105(b)." Also, Code 1.105-11(i) and 104(a)(3). Reimbursement guidelines are spelled out in the SIMRP plan documents provided by the administrator.

 Allowable pre-taxing and reimbursement amount based on Dept. of Health and Human Services report (July, 2016) and national average cost total for monthly value of benefits. Amounts allowed are also

based upon fair market value of benefits provided through the wellness program for preventative services that are 213(d) compliant. All regulations and guidelines of the Self-Insured Medical Expense Reimbursement Plan, SIMRP are used for the wellness benefits and are paired with a Section 125 Cafeteria Plan. SIMRP must be paired with medical insurance for an integrated 105 plan.

Wellness

IRS §106(a) -

ERISA

IRS §213(d) - ADA

IRS §105(b) HIPAA

IRS §125

IRS§105.11

IRS §104(a)(3)

Medical

IRS §213(d)ACA

Pre-Tax

IRS §213 (d)

IRS §106(a)

IRS §125

Post-Tax

IRS §213 (d)

IRS §105 (b)

1.105.11(i)

104(a)(3)

1.105.11(k)(1)

1.105.11(k)(2)