HR / Benefits review

Understand the employee experience from eligibility through enrollment.

HR review focuses on how the program may integrate with existing coverage, which employees may qualify, what benefit categories are described, and how communication and enrollment are coordinated.

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Review priorities

Questions and information to examine.

Existing benefits integration

The PCBP is described as designed to complement existing coverage rather than requiring employees to replace major medical. It may also provide preventive or MEC-related benefits where appropriate.

Support: PCBP overview and FAQ

Employee eligibility

Current program materials identify typical eligibility around full-time W-2 employees averaging 30 or more hours per week and earning at least $26,000 annually, not currently enrolled in Medicaid; final eligibility is subject to employer and program review.

Support: PCBP eligibility materials

Benefits employees receive

Current materials describe virtual primary care, 24/7 virtual urgent care, mental-health counseling, prescription benefits, and employee-only MEC features, subject to eligibility and plan terms.

Support: Employee FAQ and PCBP overview

Household access

Materials used by GoRhoades describe core virtual-care and prescription access for the enrolled employee plus up to seven additional enrolled household members. Employee-only MEC benefits are presented separately.

Support: Employee FAQ

Enrollment and communication

The program administrator coordinates guided employee onboarding, benefit communication, and payroll implementation. Once implementation is underway, setup typically takes about 2–3 weeks. The full process, from Discovery to first payroll, may take approximately 4–6 weeks, depending on employer responsiveness and documentation.

Support: Implementation process
HR / Benefits questionWhat does the employee receive, who qualifies, and how will communication and enrollment be handled?