SIMERP is a self-insured medical expense reimbursement plan. It is not major medical insurance, and it does not replace the health plan, broker, or payroll provider you already have. It sits alongside them.
The plan combines three things: an employee's pre-tax Section 125 election, a reimbursement structure tied to actual medical care, and access to additional medical services. Those services include primary and urgent care, mental-health support, pharmacy support, and physician-supervised weight-health services.
For participating employees, the benefit can extend beyond the employee: they may enroll up to six legal dependents at no additional cost. That gives a family another way to reach care when they need it.
When the arrangement is appropriate and correctly implemented, the same structure may reduce the wages subject to certain payroll taxes. That is a potential employer benefit of the plan, not the definition of the plan.
The specialist assessment confirms current services, eligible dependents, plan terms, payroll treatment, program cost, and fit for your organization.