OaceusDEEP DIVE
Your Company Benefits
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Oaceus

✓ New benefits without the spend

Benefits that build
the business.

One program designed to protect your health, income, and family.

Prepared for

Your Company

Built for the people who make Your Company run.

Designed for Compliance. Built for Outcomes. Proven Impact.
Titan Awards 100 Global Reputation Awards Pan Finance Award Winner USA Today
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Compliance first

Program Overview

Two components work together inside an IRS-compliant structure — real medical benefits, plus an economic benefit that keeps the program compliant.

1

360 Preventative Health Plan

Access to real medical benefits that are compliant with the IRS. This is not a wellness plan.

2

Universal Life Insurance

An economic benefit that keeps the program compliant — guaranteed issue, permanent, and portable.

3

Participation reward

Read a preventative health education each week — delivered by mail and email. That generates the reward in your paycheck.

4

No net out-of-pocket cost

IRC 213(d) medical benefits make the plan compliant — designed not to create the double dip.

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Comprehensive virtual healthcare

Everything the 360 PHP includes

Easy and convenient. Nationwide coverage. Works alongside your existing medical plan — not instead of it.

✓ Covers up to seven family members

Medical benefits

Primary care $0 co-pay
Urgent care $0 co-pay
Health assessment $0 co-pay
Complete metabolic profile $0 co-pay
Rx & prescription savings $0 co-pay

Medical specialists

Physical therapy $0 co-pay
Dermatology $0 co-pay
Message a specialist $0 co-pay
Care navigation $0 co-pay
Medical weight loss $249/mo

Mental health

Behavioral health $0 co-pay
Psychology co-pay
Psychiatry co-pay
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Financial security for every stage of life

Universal Life insurance, guaranteed

Guaranteed issue

No medical exams, questions, or exclusions for preexisting conditions.

Permanent and portable

No requalification while the premium is funded. You own the policy — keep funding it from your own bank account if you retire or separate from service.

Tax-free death benefit

Members receive up to $150,000 in death benefit, helping provide financial security for your loved ones.

Cash value

The policy builds guaranteed value over time. Once it does, you can take withdrawals or loans against it.

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Provided by the Oaceus 360 PHP

Living benefits

Access a portion of your death benefit during qualifying health events.

01Chronic Condition Rider — every policy

Support when a chronic condition affects daily living. Performs like long-term care, but you decide who your caregiver is.

02Accident coverage — add-on

A lump-sum cash benefit for a covered accidental injury, helping offset unexpected medical expenses.

03Hospital Indemnity Rider — add-on

A cash benefit for covered hospital stays due to illness or injury.

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For members

How can this cost me nothing out of pocket?

01Participation reward

Every week, a short preventative health education arrives in your inbox. Opening and reading it is what qualifies you for the participation reward — a reward credit on your paycheck.

02Payroll tax efficiency

The Oaceus Program contribution runs through a Section 125 cafeteria deduction, which lowers the taxable wages before taxes are calculated. Less taxable income means less federal, state, and FICA tax withheld — that's where the savings comes from.

03Benefits available

Those freed-up tax dollars fund real benefits: 24/7 virtual care with $0 copays, screenings, mental health support, and a guaranteed-issue universal life policy you own.

04No net out-of-pocket cost

The deduction comes back as the reward credit, and the tax savings cover the life insurance premium and admin fee. Your take-home pay stays exactly the same — the next slide shows it line by line.

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Before & after · weekly paycheck example

No change to take-home pay

Before the plan Current

Earnings
Regular earnings 1,938.47
Pre-tax deductions
Dental 18.59
Medical insurance 100.22
Voluntary Life / AD&D 0.46
Vision 1.93
Cafeteria Plan · Section 125 288.46
Total taxable gross wage 1,817.27
Taxes
Federal income tax 141.76
FICA 112.67
Medicare 26.35
State income tax 104.55
State SDI 19.99
Total tax deduction (405.32)
Non-taxable line items
PHP benefit reward +288.46
UL premium (54.73)
Admin fee (34.62)
Net pay $1,411.95

With Oaceus 360° New plan

Earnings
Regular earnings 1,938.47
Pre-tax deductions
Dental 18.59
Medical insurance 100.22
Voluntary Life / AD&D 0.46
Vision 1.93
Cafeteria Plan · Section 125 288.46
Total taxable gross wage 1,528.81
Taxes — lower
Federal income tax 107.15
FICA 94.79
Medicare 22.17
State income tax 75.04
State SDI 16.82
Total tax deduction (315.97)
Non-taxable line items
PHP benefit reward +288.46
UL premium (54.73)
Admin fee (34.62)
Net pay $1,411.95
BeforeWith Oaceus $1,411.95=$1,411.95 No change

Why the net pay is the same

−$288.46Cafeteria deduction
⇄
+$288.46Benefit reward credit
+$89.35Tax savings
⇄
−$89.35Pays your benefits

Benefits are available for up to 7 members per employee enrolled. The paycheck may increase slightly depending on hours worked, W-4 status, etc.

Taxes owed before… (405.32)
Taxes owed after… (315.97)

Savings with Oaceus… $89.35

This funds your Guaranteed Universal Life policy and the admin fee. ↙

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Qualifying and enrolling

Frequently asked questions

How does an employee qualify for the Oaceus 360 PHP?

Full-time benefit-eligible employees working a minimum of 30 hours a week. We analyze paycheck details and W-4 status and confirm tax savings are generated — then the employee is qualified.

What if an employee is full time but doesn't qualify?

Enough tax savings must be generated to fund the benefits, so it may be due to the employee's tax elections or deductions. HR can review the details with them.

Can an employee purchase the benefits?

Yes — they can sign a salary reduction agreement to fund the benefits out of their paycheck.

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For employers · value created

A stronger business, layer by layer.

The 360° PHP installs inside the payroll you already run — tax costs step down, and every other measure of the business steps up.

YOUR COMPANY WITHOUT OACEUS WITH TAX COSTS CARE + COVERAGE WORKFORCE VALUE ENTERPRISE VALUE

Tax costs

Modeled FICA savings — approximately $650–$900 per participating employee per year — lower your payroll tax line. Varies by workforce composition, salary distribution, and election rates.

Care + coverage

A full preventative health plan — $0-copay care, labs, mental health — plus guaranteed-issue Universal Life with living benefits, funded through the existing plan structure.

Workforce value

A richer package for recruiting and retention — and preventive care modeled to lower claims, especially if you self-insure.

Enterprise value

Modeled savings flow to EBITDA — and EBITDA carries a multiple at exit.

Charts are illustrative, not to scale. FICA figures are modeled; actual results vary by workforce composition, salary distribution, and election rates. Claims impact modeled, not guaranteed.

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For employers · model it with your numbers

Employer FICA savings

Modeled average savings: approximately $650–$900 per participating employee per year — varies by workforce composition, salary distribution, and election rates.

The mechanism: employer FICA responsibility is 7.65% of gross wages. Single W-4 elections allow a $950 monthly wage adjustment, elections with dependents $1,250 — the $30/employee/month admin fee is paid from the savings.

Single W-4 election · per employee
Monthly wage adjustment$950.00
Employer FICA saved · 7.65%$72.67
Oaceus admin fee− $30.00
Net savings per month$42.67
$512.04/ yr · × 12 months

Applies to 4,500 of your enrolled employees.

Dependents W-4 election · per employee
Monthly wage adjustment$1,250.00
Employer FICA saved · 7.65%$95.63
Oaceus admin fee− $30.00
Net savings per month$65.63
$787.56/ yr · × 12 months

Applies to 4,500 of your enrolled employees.

Total annual FICA savings
4,500 single × $512.04$2,304,180
4,500 w/ dependents × $787.56$3,544,020
$5,848,200

9,000 preventative health plans offered · net of admin fees, enrolled employees only

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The 360° PHP as an acquisition tool

Turn FICA savings into enterprise value

The savings count as profit (EBITDA), and buyers pay a multiple of profit. So $5,848,200 a year in modeled savings becomes about $35,089,200 of company value at a 6× multiple.

$23.4M
4×
$29.2M
5×
$35.1M
6× · your exit
$40.9M
7×
$46.8M
8×
81%

Lower absenteeism

23%

Higher profitability

18%

Higher productivity

18–43%

Lower turnover

Healthy, engaged teams grow the profit the multiple is applied to. Source: Gallup Q12 Meta-Analysis, 10th Ed. (2020); SHRM.

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How we compare

Compliance first, healthcare prioritized

Several programs claim the same code sections. The difference is what each one can substantiate — mixed-in wellness, after-the-fact reimbursements, and inflated net pay all break under scrutiny.

WIMPERWellness Integrated Medical Plan Expense Reimbursement
SIMRPSelf-Insured Medical Reimbursement Plan
Other Preventive Health ProgramsCopycat structures
Oaceus 360° PHP360° Preventive Health Program
Structure
✓A Section 125 wrapper holding qualified and non-qualified benefits — most of the benefits are non-qualified.
✓Section 125 — allowable, like an HRA.
✓The same Section 105 / Section 125 structure.
✓A self-insured Section 105 medical plan, funded via a Section 125 cafeteria plan — medical, qualified benefits throughout.
Benefit depth
✕213(d) medical care commingled with wellness.
✕Reimbursements come after the medical cost is incurred — paid with taxed money, then reimbursed pre-tax.
✓Section 213(d) medical care.
✓Section 213(d) medical care only. No wellness commingling.
Audit posture
✕Cannot substantiate the pretax deduction.
✕Cannot substantiate the reward payment every single month.
✕Increases net pay — double dipping, an IRS red flag.
✓A supplemental medical benefit under Section 125 — a triggered event generates the reward credit, and the economic benefit of the universal life policy keeps net pay the same.
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For HR and payroll teams · Autopilot

Autopilot — the administrative lift without the work

A new benefit usually means enrollment meetings, forms, payroll edits, and a quarter of HR's time. This one doesn't. Autopilot runs eligibility, enrollment, deductions, and verification end to end, through direct payroll integrations or a file pipeline for systems without one.

1

Enrollment without the paperwork

Every employee is qualified automatically against real paycheck data: wages, W-4 status, existing deductions. Nothing for HR to collect, chase, or review.

2

Payroll, reconciled for you

Autopilot reads each actual paycheck back and checks it against the model, every cycle. Exceptions go to Oaceus — not to your team.

3

Continuous audits, built for compliance

Every check, enrollment, and change is recorded as it happens. When someone asks, the file already exists — no one has to assemble it.

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Qualifications

Company eligibility

1

Company size

A minimum of 50 full-time employees.

2

Health insurance

Employers must offer an ACA-approved health plan. Employee enrollment in it is not required.

3

Employment type

At least 30 hours a week, considered full-time. Part-time and seasonal employees automatically do not qualify.

4

Program qualification

Determined by tax withholdings — gross wages, payroll deductions, and W-4 status. Eligibility can vary with the tax savings generated; non-qualified employees can purchase the benefits.

Serving the American workforce

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Everything you get

Real healthcare, real savings, real value.

A full preventative health plan, a permanent life policy, and the economics that fund them — one program.

360° Preventative Health Plan

Primary & urgent care $0 co-pay
Labs & health screenings $0 co-pay
Mental health support $0 co-pay
Physical therapy & dermatology $0 co-pay
Rx savings & care navigation $0 co-pay

Guaranteed-Issue Universal Life

Tax-free death benefit — up to $150,000
Living benefits — chronic condition rider
Accident & hospital indemnity add-ons
Cash value — withdrawals and loans
Permanent and portable — you own it

Every role, satisfied

Employee
$0-copay care + up to $150K life
Take-home pay unchanged by design
HR
75–90% adoption across industries
Autopilot runs it
CFO
≈$650–$900 modeled / employee / year
$5.8M modeled annual savings
CEO
$35.1M modeled enterprise value at 6×
Attracts and keeps talent

Savings and outcomes are modeled; results vary, and not all employees qualify. Adoption rates assume opt-out enrollment executed with full communications support. Universal Life products are subject to state availability.

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Oaceus
Better healthFinancial protectionPeace of mind

Join us on your preventative
health journey

Open enrollment can start the 1st of any month — no waiting on your annual benefits window.
Savings generate with every payroll run. Each month you wait leaves ≈$487K modeled on the table.
Lock in your enrollment date →

First-of-month start · Autopilot implementation · enrollment supported end to end

Assumptions & disclosures: Employer FICA rate 7.65% of gross wages. Wage adjustments of $950 (single) / $1,250 (with dependents) per W-4 election; $30/employee/month employer admin fee. Example assumes 12,000 benefit-eligible employees at 75% enrollment (9,000 plans, even single/dependent split) and an illustrative 6× EBITDA multiple; actual multiples vary by industry, size, and deal. Savings apply only to benefit-eligible employees enrolled in the program. Paycheck examples are illustrative and not a guarantee of specific outcomes. This material is for informational purposes only and is not tax, legal, or investment advice; consult your own advisors. Universal Life Insurance products are subject to state availability. Oaceus Insurance Services · License NV 3808765. © Oaceus. All rights reserved.