Thatch members documentation

Your employer has partnered with Thatch to give you more control, clarity, and flexibility when it comes to your healthcare.

As a member, Thatch is where you:

1. Set up your account.
2. Compare plan and benefit options.
3. Enroll in coverage.
4. Spend your Thatch balance (if enabled by your employer)
5. Manage your plan options and changes during open enrollment or after qualifying life events (QLE).

Docs for Thatch members

These are the docs for Thatch members: employees whose employers provide health benefits through Thatch. If you manage benefits for your company, see employers. If you integrate Thatch into your product, see platforms.

You, your employer, Thatch, and your insurance companyinsurance company The company that provides insurance coverage. Also called an insurance provider.

With Thatch, your employer provides you a monthly pre-tax allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses. to spend on individual health insurance and other healthcare costs. This program is called an Individual Coverage Health Reimbursement ArrangementIndividual Coverage Health Reimbursement Arrangement An employer-funded arrangement that reimburses employees tax-free for individual health insurance premiums and qualified medical expenses, instead of the employer offering a group health plan. Also called a CHOICE Arrangement., or ICHRA for short.

At a basic level, Thatch changes how your health insurance is paid for. But it also empowers you to make the best financial healthcare decisions for your situation.

You can choose from any individual, ACA-compliant health insurance plan available in your region. This gives you greater control over the doctors you can visit, the prescriptions covered, and the amount you pay.

Your health insurance plan is yours, not your employer's.

Thatch	Your insurance companyinsurance company The company that provides insurance coverage. Also called an insurance provider.
Knows your employer, monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses., and enrollment choices	Issues your health plan
Helps coordinate payments and reimbursements	Issues ID cards
Presents all your Thatch benefits	Processes healthcare claims, including how each visit or service was covered

Use your Thatch allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses.

Through Thatch, your employer gives you a monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses.. After you select your health insurance plan, Thatch pays your monthly premiumspremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. from this allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses..

If the premiumspremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. exceed your monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses., the remaining premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. amount becomes a pre-tax deduction from your paycheck.

If the premiumspremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. are less than your monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses., you may have a Thatch balance, if your employer enables this feature.

Here's how the math might work:

Thatch balance enabled

Your monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses.	Your monthly premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month.	Difference
$300	-$250	+$50 to your Thatch balance
$300	-$400	-$100 from your paycheck monthly

Thatch balance disabled

Your monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses.	Your monthly premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month.	Difference
$300	-$250	$50 unused and unavailable
$300	-$400	-$100 from your paycheck monthly

Spend your Thatch balance

If your employer enables a Thatch balance, and your premiumpremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. costs less than your monthly allowanceallowance The amount an employer makes available to help employees pay for coverage or eligible expenses., you will have additional dollars to spend on:

• Other eligible benefits such as dental and vision coverage
• Qualified medical expensesqualified medical expense A type of healthcare cost that counts as eligible for specific plans or accounts. (QME), including prescriptions, copays, procedures, sunscreen, allergy medicine, and more
• The Thatch Marketplace, a virtual store of Thatch-exclusive discounts, high-quality products, and additional services

With this in mind, you decide the strategy that works best for you when choosing a plan. For example, you may want a plan with lower premiumspremium The monthly amount paid to maintain health insurance coverage, regardless of whether any services are used that month. but intend to spend more on QME.

Need help?

When you onboard to Thatch, you can use the Ask Thatch tool for help or to set up a call with licensed advisors.