The SIHRA® - Spousal Incentive Health Reimbursement Arrangement
We help dramatically reduce the burden of health care costs on the business by transferring risk to the non-employee spouse's plan. The SIHRA® plan is voluntary and is designed to cover any elevated out of pocket expenses creating a zero dollar plan for your employee and their family members.
We are compensated based solely on the savings achieved by the business so there is no cost to implement the SIHRA® plan. This is a winning proposition that must be explored and understood.
Note: The SIHRA® plan is for employers with 500 employees or more.
The ALICE Challenge
41%
Below ALICE Threshold
Americans who are Asset Limited, Income Constrained, Employed
18%
Budget Impact
Average cost of health insurance as a share of household budget
60%
Delayed Care
Adults who have delayed or skipped healthcare in the last year
How SIHRA® Works
Enroll in Spouse's Plan
Employees and dependents are encouraged to enroll in their spouse's health plan
100% Coverage
Participants receive 100% coverage with no out-of-pocket expenses
Premium Reimbursement
Participants can be reimbursed for premium differences if alternate coverage costs more
Employer Benefits
Immediate Savings
Organizations realize immediate savings through reduction in number, frequency, and severity of claims
No Benefit Reduction
Instead of shifting costs or reducing benefits, a new 100% coverage tier option is added
Maintain Current Offerings
Current benefit offerings remain undisturbed while adding valuable new options
Cost Comparison
Example: For a $20,000 surgery - Traditional plan: Employer pays $16k + Employee pays $4k in OOP costs. With SIHRA®: Spouse's plan pays $16k + employer funds the $4k OOP cost. The SIHRA® participant pays nothing.
SIHRA® Savings in Action
More than 250 organizations are experiencing substantial savings with the SIHRA® program. Here's a breakdown of a few actual results across a variety of environments: