Required federal noticeFixed indemnity insurance
IMPORTANT: This is a fixed indemnity policy, NOT health insurance
This fixed indemnity policy may pay you a limited dollar amount if you're sick or hospitalized. You're still responsible for paying the cost of your care.
- The payment you get isn't based on the size of your medical bill.
- There might be a limit on how much this policy will pay each year.
- This policy isn't a substitute for comprehensive health insurance.
- Since this policy isn't health insurance, it doesn't have to include most Federal consumer protections that apply to health insurance.
Looking for comprehensive health insurance?
- Visit HealthCare.gov or call 1-800-318-2596 (TTY: 1-855-889-4325) to find health coverage options.
- To find out if you can get health insurance through your job, or a family member's job, contact the employer.
Questions about this policy?
- For questions or complaints about this policy, contact your State Department of Insurance. Find their number on the National Association of Insurance Commissioners' website (naic.org) under "Insurance Departments."
- If you have this policy through your job, or a family member's job, contact the employer.
Estimated results
Employees expected to qualify—
Employer FICA rate applied—
Estimated employer FICA reduction / year—
Less program fees / year (as entered)—
Estimated net / year—
Employee take-home, if Elysian's ~$140/mo average held (all qualified employees, per year)—
Estimate only. Not guaranteed. Not tax advice. Assumes claim payments are not treated as wages — the point the IRS disputes.[51, 58]
Get your real numbersEvery assumption, labeled
| Input / rule | Value used | Where it comes from |
|---|---|---|
| Qualification rate | 63% default (editable) | Elysian-stated case data: 60–63% (967/1,533); proposal 3,019/3,785.[43] |
| Weekly wage floor | Warning if average < $240/week | Elysian-stated screening floor.[43] |
| Monthly premium | $600 default (assumption) | Lowest tier on one client's published form.[30] |
| Employer FICA | 7.65% if average wage ≤ $184,500; otherwise 1.45% | SSA / IRS 2026 rates (simplified: uses the average wage, not each employee).[40] |
| Program fee | $0 default — results shown before fees | No fee figure published; requested from Elysian.[34] |
| Employee take-home | $140 × 12 × qualified employees | Elysian-stated average; individual results vary.[37, 38] |
| Not included | FUTA/state unemployment, CA workers' comp, income-tax effects on the employer side | Kept out to stay conservative.[42] |
| Tax treatment | Assumes claim payments are not wages | Elysian's counsel position; the IRS has published a different view for activity-based payments.[33, 58, 60] |
Held back from this site
The numbers by headcount, the IRS-line checklist, and 20 questions to ask any vendor.
Work email and company name. We email you a link to confirm it's really you, and the link unlocks the PDF.[41, 58, 69]
The risks are not gated: the federal notice, the IRS positions and every source stay free to read.
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