A smarter way to protect your team — and your bottom line.
PGP ProfitGuard Plus pairs preventive care management with carefully selected voluntary benefits — accident, critical illness, cancer, disability, and more — into a Self-Insured Medical Reimbursement Plan that delivers meaningful coverage to employees while creating measurable payroll tax savings for employers.
How PGP ProfitGuard Plus works
Three integrated components working together inside a Section 105 SIMRP structure to enhance employee benefits and reduce employer payroll tax exposure.
Preventive Care Management
Our partnership with Attentive delivers continuous preventive care management — wellness coaching, biometric screenings, and ongoing health engagement — that produces qualifying medical expenses under IRS Section 213(d).
Targeted Voluntary Benefits
Best-in-class voluntary coverage from leading carriers — accident, critical illness, cancer, hospital indemnity, and disability — selected and structured to reinsure employees against the events they're statistically most likely to face.
SIMRP Reimbursement Engine
A self-insured medical reimbursement plan ties it all together. Employees experience minimal change to take-home pay, while employers capture FICA, FUTA, and SUTA savings on every participating paycheck.
The risks your team actually faces
Voluntary benefits aren't theoretical. The events accident, critical illness, and cancer policies pay claims on are statistically common — and they hit working-age Americans every day. Here's what the data shows.
Injury-related ER visits each year in the U.S.
Roughly 25 million of those are trauma — falls, fractures, sprains, lacerations, and sports or workplace injuries. Accident coverage triggers benefits the same day a claim is filed, helping employees with deductibles, copays, and lost income.
ER visits per year from car crash injuries
That's 11.6 ER visits per 1,000 Americans annually, with rates highest among workers ages 15–24. The economic impact exceeds $460 billion in direct costs — an outsized share borne by individuals through deductibles, lost wages, and out-of-network charges.
Lifetime probability of an invasive cancer diagnosis
The American Cancer Society projects more than 2 million new cancer cases in the U.S. in 2025 alone — about 5,600 new diagnoses every day. Critical illness and cancer policies pay lump sums that help cover everything traditional health insurance doesn't.
Cardiovascular disease remains the leading cause of death
Coronary heart disease alone accounts for nearly 40% of cardiovascular deaths in the U.S., with stroke close behind. Roughly 1 in 30 American adults has had a stroke. Critical illness coverage pays cash benefits on diagnosis — at exactly the moment a family needs liquidity.
Recordable nonfatal workplace injuries each year
Even in the safest industries, employees get hurt — and many on-the-job injuries fall into coverage gaps. Voluntary accident and disability coverage gives workers a layer of protection workers' comp wasn't designed to provide.
Working adults will face a disabling event before retirement
Most disability claims aren't catastrophic accidents — they're musculoskeletal issues, complications from illness, and mental health events. Short-term and long-term disability coverage replaces income when employees can't work, protecting families from financial freefall.
Built on a foundation of trusted carriers
PGP ProfitGuard Plus brings together best-in-class providers across preventive care and voluntary benefits.
Attentive
Our preventive care management partner delivers the ongoing wellness engagement that powers the SIMRP structure — biometric screenings, health coaching, and continuous member engagement that produces qualifying medical expenses while genuinely improving employee health.
Curated Carrier Network
We work with leading voluntary benefit carriers across accident, critical illness, cancer, hospital indemnity, and disability — selecting product structures specifically optimized for the events your team is statistically most likely to encounter.
The PGP ProfitGuard Plus pricing tool
Move the sliders below to model your potential payroll tax savings and see what PGP ProfitGuard Plus could deliver for your organization. Estimates are illustrative — your actual numbers will be confirmed during your discovery call.
SIMRP Savings Calculator
Estimate annual payroll tax savings & per-employee benefit value
Your Organization
Here's what PGP ProfitGuard Plus could deliver for your organization:
Questions employers ask
Yes. The strategy is built on a Self-Insured Medical Reimbursement Plan structured under IRS Section 105, paired with qualifying preventive care under Section 213(d) and voluntary benefits offered through Section 125 cafeteria plan rules. We work with experienced ERISA counsel and TPAs to ensure every plan we implement is fully compliant.
Most participating employees see minimal to no change in net take-home pay. The pre-tax structure offsets the cost of the voluntary benefits and preventive care services, while the SIMRP reimbursement returns qualifying expenses. The result is meaningful new coverage at little to no out-of-pocket cost to the employee.
When employees participate through the cafeteria plan structure, the participating wages are reduced for FICA, FUTA, and SUTA purposes. Those payroll tax savings flow directly to the employer's bottom line — typically 7.65% on FICA alone, plus federal and state unemployment savings. For a 100-employee group, that's often $50,000–$150,000+ in annual savings.
Coverage works exactly like any other voluntary benefit. If an employee has an accident, is diagnosed with cancer or a critical illness, or experiences a covered disability event, they file a claim directly with the carrier and receive their benefit payment. The voluntary benefits inside PGP ProfitGuard Plus are real insurance from real carriers — not a workaround.
Most implementations run 30–60 days from signed engagement to first payroll. We handle plan documents, carrier setup, employee communications, enrollment meetings (in-person or virtual), and payroll integration. Your HR team's lift is intentionally light.
The strategy guards profit on two fronts. For employers, it converts payroll tax expense into net savings. For employees, it guards household profit — protecting take-home income against the financial fallout of accidents, critical illness, and disability events that traditional health insurance doesn't fully cover.
Ready to see what PGP ProfitGuard Plus looks like for your team?
A 30-minute discovery call is all it takes to see whether the strategy fits your organization. We'll walk through your census, model your savings, and show you exactly what employees would receive.
Book Your Discovery Call →