Healthier Workforce
Industry detail

EHP preventative care plan for cities, counties, and towns.

City and county workforces look almost identical to school districts from a benefits standpoint - W-2, stable, family-oriented, and on a group plan that's getting more expensive every year.

01

Why this fits

  • Public-sector employees have stable, long-tenure W-2 employment with high health-plan enrollment rates.
  • Municipal HR budgets are typically constrained while the appetite for non-cash retention tools is high - FICA savings unlock both.
  • The program is fully ACA, ERISA, and HIPAA compliant - passes municipal procurement and legal review more reliably than indemnity competitors.
02

A real example

Case study
Mid-Atlantic county government, 287 employees

A mid-Atlantic county with 287 covered employees rolled the program out across general-fund departments in 2024. Year-one employer FICA savings net of admin fees: ~$118,000. Council redirected the savings into a public-safety retention pool and a mental health benefit expansion. 76% enrollment in year one.

Numbers are illustrative and anonymized. Actual results vary based on payroll, state, participation, and industry-specific factors. We do not share named client information without explicit, written consent.

03

The math for a typical operation

Typical organization size: 100–2,000 W-2 employees

A 250-employee municipality with average $4,700/mo pay typically nets $96,000–$118,000 in annual employer FICA savings after admin fees. Public-safety and DPW workforces tend to over-index on enrollment.

04

Common objections, answered honestly

Most municipalities classify this as a benefit-program addition under existing health-benefits authority rather than a procurement event, but legal counsel makes the final call. EHP's compliance team has worked through this with city attorneys in 30+ states; we coordinate the conversation on the discovery call.

The program does not modify the underlying health plan, premium share, or coverage levels. It is typically a permissive add. Some CBAs require notice; a small number require negotiation. Your labor counsel reviews the plan document before rollout.

05

How this integrates with what you already have

  • PERS, MERS, and county retirement systems
  • Self-funded pools and inter-local cooperatives
  • Existing wellness and EAP programs
06

Most relevant benefits for this industry

07

Other industries to compare against

Next step

Book a discovery call for municipalities.

We've walked through this conversation with dozens of cities, counties, and towns. 30 minutes is usually enough to know whether it's worth running your payroll census.