How a MERP works

1. The employer chooses a high-deductible health insurance plan from the insurance company of their choice.

2. The employer helps the employee pay part of the deductible and/or co-insurance if and when the employee needs to used the health insurance plan.

3. The insurance company pays covered claims in excess of the deductible and co-insurance.


A Sample MERP Plan in Action

This employer chose a high-deductible health insurance plan with a $2,000 deductible and co-insurance up to $10,000 of expenses

Then, through RP Riley Management Group, the employer offers a MERP plan to help employees offset the expense of the higher deductible, including:

  • A much lower deductible of $250
  • After the $250 deductible is met, the employer reimburses 80% of expenses up to $1,750
  • The employer requires and office co-pay of $15, but reimburses the balance of expenses for office visits up to $1,400
  • After the $2,000 deductible of the health insurance plan is met, the employee splits the expenses with the insurance company 80/20

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