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PROGRAM STRUCTURE

GLP-1 carve-out program

Explore a separately administered weight-management benefit without confusing it with primary health coverage.

Program planning • No employee health data • Final terms confirmed before launch

Employer-funded programBudget around active participation
HSA / FSA optionsCheck eligibility and documentation
A clear coverage pathwayKeep insurance and care decisions separate

QUICK ANSWER

A GLP-1 carve-out runs weight-management care outside the main health plan. Setup is four steps: define who is eligible, set the employer contribution, sign the MSA, Order Form and Plan Language, then onboard employees.

Updated by the Kindr Health team

A MORE CONNECTED MODEL

Three parts. One thoughtful benefit.

A practical structure for benefits teams, with a deliberate separation between business and clinical decisions.

01

Define the benefit boundary

Identify eligible populations, the employer contribution and the employee share before inviting employees.

02

Coordinate with your existing plan

Review the proposed structure with your broker, health plan and legal advisers. A carve-out does not replace comprehensive medical insurance.

03

Document before onboarding

The proposed launch checklist requires a countersigned MSA, Order Form and Plan Language exhibits before onboarding.

PRIVACY IS THE BOUNDARY

Useful for business. Private for people.

Employer and broker information never needs to include an individual’s diagnosis, prescription or clinical notes. Clinical assessment and treatment belong with licensed professionals.

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Business zone

Organization details, proposals and agreed program terms.

Clinical zone

Individual health information and medical decisions stay separate.

Independent decisions

No enrollment guarantee, insurance promise or employer-directed prescribing.

THE DETAILS MATTER

Good questions. Clear answers.

Is this health insurance?

No. This proposed program does not replace comprehensive health coverage.

Can we launch without signed terms?

The proposed onboarding gate requires all three contract documents to be countersigned.

YOUR NEXT STEP

Let’s shape your Benefits program.

Begin with your organization, your priorities and a realistic program budget. No employee health information required.