Case Study — Manufacturing
$127,000 Saved in Year 1
A Midwest manufacturer with 200 employees across 3 facilities cut healthcare costs while giving workers access to free prescriptions and telehealth.
The Challenge
This Ohio-based manufacturer operates 3 production facilities with roughly 200 full-time employees. Like most manufacturers, they faced a brutal trifecta:
- Healthcare premiums rising 10-12% annually — eating into already thin margins on raw materials and labor
- High turnover on the production floor — experienced operators leaving for companies with better benefits packages
- Employees skipping prescriptions — high-deductible plans meant workers were choosing between medications and groceries, leading to more sick days and workers' comp claims
Their HR director described it bluntly: "We were spending more every year and our people were getting less. Something had to change."
The Solution
Optiv Health implemented a Section 125 supplemental health plan that stacked on top of their existing major medical coverage. No disruption, no carrier change, no confusion.
The rollout included:
- Pre-tax premium deductions reducing the company's FICA tax burden by 7.65% on every contributed dollar
- Free prescriptions — 1,000+ generic medications at $0 copay, covering the most common medications their workforce needed (blood pressure, diabetes, pain management)
- 24/7 telehealth access for employees and dependents, eliminating unnecessary ER visits for non-emergency issues
- Online enrollment portal — employees enrolled in under 15 minutes during a single lunch-and-learn session
The Results
Financial Impact
| Metric | Before | After | Impact |
|---|---|---|---|
| FICA Tax Savings | — | $18,360/yr | New savings |
| Claims Costs | $840K/yr | $672K/yr | -20% |
| ER Visit Costs | $95K/yr | $57K/yr | -40% |
| Total Annual Savings | — | — | $127,000 |
Employee Impact
- 94% participation rate — nearly every eligible employee enrolled
- Medication adherence up 67% — when prescriptions are free, people actually take them
- Sick days down 22% — healthier workers mean more consistent production schedules
- Turnover dropped 18% — experienced operators stopped leaving for marginal pay bumps at competitors
"The FICA tax savings alone paid for the entire program. Everything else — the claims reduction, the lower turnover, the happier employees — that was pure profit. I wish we'd done this five years ago."
— VP of Human Resources
Timeline
- Week 1: Initial consultation and savings analysis
- Week 2: Plan design and compliance review
- Week 3: Employee enrollment (lunch-and-learn sessions at each facility)
- Week 4: Benefits active — employees filling free prescriptions on Day 1
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