ACA-COMPLIANT MEDICAL COVERAGE

DescriptionAffordable Healthcare That Actually Covers Care

The Innovation:

Our ACA-compliant Minimum Value Plans (MVP) were engineered specifically for employers with large hourly workforces. Unlike traditional group plans or marketplace exchange options, these plans provide first-dollar copays instead of deductibles, making healthcare immediately accessible when employees need it most.

Why This Matters:

When hourly workers face a $5,000 deductible, they simply don’t seek care. They skip preventive visits, ignore warning symptoms, and delay treatment until minor issues become major emergencies. Our plans eliminate this barrier by providing fixed, affordable copays from day one.

Key Features:

  • ACA-Compliant – Meets both Part A & Part B Affordable Care Act requirements
  • 50-State Availability – Same rates and designs nationwide
  • Guaranteed Issue – No medical questionnaires or underwriting
  • First-Dollar Copays – Predictable, budgeted costs instead of impossible deductibles
  • National PPO Network – First Health Network (Aetna subsidiary) with extensive provider access
  • ERISA Self-Funded Structure – No employer claims liability, no experience rating on renewals
  • Accessible Entry Point – Minimum 4 covered employees, starting at $500/month single rate

Target Markets:

  • Restaurant groups and quick-service franchises
  • Hospitality, hotels, and catering operations
  • Auto dealers and retail operations
  • Manufacturing, warehouse, and distribution
  • Security services and hourly workforce industries
  • Trade organizations, franchises, and purchasing cooperatives
  • Religious organizations seeking national benefit programs

The Employer Value:

Enable workforce retention with affordable contribution levels while meeting healthcare reform requirements. Give employees coverage they’ll actually use, improving health outcomes and reducing absenteeism.

The Employee Value:

Real healthcare coverage without the fear of $2,000-$6,000 out-of-pocket exposure. Visit a doctor when sick, not when it’s too late.

Overview Statement

“Prime Benefit Group has developed three proprietary product lines that address the specific gaps in today’s healthcare marketplace. Each product is fully operational, licensed in all 50 states, and actively serving employers nationwide.”

Take the First Step Toward Affordable Healthcare Today

Connect with Prime Benefit Group to explore healthcare solutions that reduce costs, improve employee access to care, and help your organization offer benefits employees can actually use.

Get Started

Schedule a Benefits Consultation with Our Experts

Consultation Hours

Our benefits advisors are available to discuss healthcare solutions and help you build affordable coverage options for your workforce.

Monday
9AM - 5PM
Tuesday
9AM - 5PM
Wednesday
9AM - 5PM
Thursday
9AM - 5PM
Friday
9AM - 5PM
Saturday
1PM - 8PM
Sunday
10AM - 4PM
24*7 Emergency Care Open
Testimonials

Employer and Partner Experiences That Speak for Themselves

    John Doe
    John Doe

    Patient

    Partnering with Prime Benefit Group allowed us to finally offer healthcare benefits our hourly employees can afford and actually use. Enrollment improved, employee satisfaction increased, and healthcare costs became more predictable for our organization.

      Goe Bloggs
      Goe Bloggs

      Patient

      Prime Benefit Group helped us introduce affordable medical and prescription programs across multiple locations. Employees finally feel supported, and we’ve seen improved retention and engagement within months.

        Jane Adams
        Jane Adams

        Patient

        The consultation and rollout process was smooth, and the savings on pharmacy costs alone made a major impact. Our workforce now has access to real healthcare without overwhelming expenses.