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How the estimate works (methodology)

The math follows an actual provider proposal for a 1,533-employee employer (anonymized; no names, IDs or wages are published). For each employee row in your census:

1. Annual wages = gross wages per pay period × pay periods per year (weekly 52, biweekly 26, semi-monthly 24, monthly 12). If you give annual wages or an hourly rate and weekly hours instead, we convert.
2. Basic screens. Only W-2 employees can take part pre-tax. Employees earning under about $240 a week are excluded (Elysian's part-time screen).
3. Plan tiers. The proposal uses four tiers with an annual pre-tax premium of $19,200 (Premium), $14,400 (High), $10,800 (Mid) and $7,200 (Low), which is $800, $600, $450 and $300 per semi-monthly paycheck. The proposal's claim column shows a fixed indemnity benefit payment each pay period equal to 83.33% of the premium; we use the same assumption. Actual benefit payments depend on the policy's terms.
4. Employee take-home change = income and payroll taxes saved because the premium is taken pre-tax, minus the 16.67% of the premium not offset by that benefit payment. We pick the largest tier that raises the employee's take-home pay. If no tier raises take-home pay, the employee is shown as "does not qualify." That's why lower earners often land in a smaller tier or don't qualify.
5. Employer payroll-tax savings = 7.65% employer FICA × the annual pre-tax premium.
6. Employer net savings = 50% of that FICA savings. In the proposal, net savings are exactly half of the gross FICA savings; the rest goes to program costs.
7. EBITDA impact. Net savings lower payroll-tax expense, so they flow straight to EBITDA. EBITDA per employee = total net savings ÷ qualified employees.
8. Valuation impact (optional). EBITDA increase × the multiple you enter. This is an illustration, not an appraisal.

Assumptions we had to make

• Taxes saved are estimated with a simplified 2026 withholding model (federal brackets for a single filer, Social Security up to the wage base, Medicare, state income tax, and California SDI). The provider uses each employee's actual payroll withholding, so individual results will differ.
• The federal deduction in our model is calibrated so that, run on the sample census, total net employer savings come within 0.1% of the proposal. On that same census our model counts more employees as qualified (1,092 vs 967), so per-employee EBITDA comes out lower ($621 vs $701), and average take-home is within about 2.5%.
• Census rows without a pay frequency use the company pay frequency you select. Rows without wages or a two-letter state are skipped and counted.
• Gross wages are treated as one regular paycheck and annualized. Bonuses, partial years and unpaid leave aren't modeled.
• Your real numbers come from a full census review by the provider.

Estimate only. Illustration based on an actual provider proposal. Not a guarantee. Results depend on your actual census, payroll, plan design, enrollment and how the tax rules apply to you.

Elysian's proposal disclaimer: nothing in this estimate is intended to provide legal, financial, accounting, tax or health advice, and you should not rely on it for such advice. The provider is not in the business of providing legal, financial, accounting, tax or health advice. Before considering or purchasing the plan, consult and rely on your own legal, financial, accounting, tax and healthcare professionals. The provider does not guarantee, and expressly disclaims guaranteeing, any employee health or wellness benefits or tax savings, and any employer cost savings or tax savings.