Minimum Essential Coverage
that actually works

Minimum Essential Coverage (MEC) plans through Vitable offer a smarter, more affordable way to provide health benefits. Backed by Vitable’s Primary Care, employees get access to essential everyday care with $0 out-of-pocket costs.

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Stay ahead of ACA compliance

The Employer Mandate under the Affordable Care Act (ACA) continues to create confusion for Applicable Large Employers (ALEs) across the country. While many MEC plans technically meet compliance standards, they often fall short of providing the everyday care employees actually need.

Vitable’s Primary Care-first model helps employers meet ACA requirements through affordable, easy-to-administer MEC plans, backed by real, everyday care. Our ACA-compliant MEC plans go beyond just checking the box. They provide your team with meaningful benefits they can actually use, with $0 out-of-pocket costs for primary care.

Satisfies Part A of the ACA Employer Mandate
Low minimum enrollment requirements
Backed by Vitable’s Primary Care
Annual wellness visits
Managed IRS tax filings
Managed open enrollment periods
Flu vaccines
Women’s health exams

Stay ahead of 
ACA compliance

Many employers face steep fines each year due to preventable ACA compliance mistakes. Whether it’s failing to offer Minimum Essential Coverage (MEC), misclassifying employees, misunderstanding full-time equivalent (FTE) calculations, or missing key reporting deadlines, small oversights can lead to big penalties.

Confusion around ACA obligations

Not providing MEC to 95% of employees

Failure to properly track FTEs (full-time-equivalents)

Rapid employee growth that crosses ACA threshold

Costly ACA fines can derail you
from achieving your business goals

4980H(a) Penalty

$2,970 / employee

The 4980H(a) penalty, often called the “sledgehammer penalty” due to its pass-fail nature, is issued when employees receive a “Premium Tax Credit” to access marketplace coverage.

4980H(b) Penalty

$4,460 / employee

The IRS issues a 4980H(b) penalty when an employer offers its full-time employees coverage that is either unaffordable, does not meet MV, or both.

Once your business hits the threshold of 50 employees, failing to comply with the ACA's employer mandate 
can result in costly IRS penalties that could drastically impact your organization.

Calculate your potential IRS penalties

Failing to meet ACA requirements can result in steep IRS penalties for each uncovered employee.

Use our calculator to estimate what non-compliance could be costing your business.

ACA Penalty Calculator

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Getting health coverage
can be complicated

Providing health benefits to your team should be simple—but for many employers, it feels anything but. Rising costs, confusing regulations, low employee participation, and overwhelming admin work make it harder than ever to offer coverage that actually works—for your business or your people.

Traditional coverage is expensive and often unsustainable for growing teams. Many employers simply cannot afford it.
Employees often skip benefits they don’t understand or can’t afford, leaving them unprotected and dissatisfied.
Managing compliance, enrollment, and reporting eats up time and resources, and can lead to costly mistakes.
Understanding and meeting ACA requirements can be complex and easy to misinterpret, often leading to costly fines.

MEC plans backed by primary care

Every MEC plan through Vitable comes standard with Vitable’s Primary Care membership. For one low monthly cost paid by the employer, your team and their dependents get unlimited access to essential care, including unlimited sick visits, mental health support, prescriptions, and labs.

No copays, no deductibles, no coinsurance — just simple, reliable care whenever and wherever it’s needed.

Built-in Primary Care

Unlimited virtual visits
Same and next-day appointments
Over 1,000 free prescriptions
Annual physicals
Free dependent coverage
Preventive care
Chronic condition management
Episodic care services

Mental Health, Covered

Unlimited mental health coaching
1-on-1 counseling
Anxiety disorders
Relationship issues
Trauma & stress
Grief & loss
Anger management
Medication management

Care That Supports Women’s Health

STI/STD testing & treatment
Annual well-woman exams
Pregnancy testing
Hormone support
Cancer screening (e.g. cervical)
Discreet, judgment-free care
Treatment for common infections
Birth control & contraceptives

Essential Labs & Testing

Organ function testing
Cholesterol screening
Thyroid function test
Urinalysis
Diabetes screening
Vitamin deficiency testing
Hepatitis & HIV screening
COVID testing
Annual well-woman exams

Vitable Primary Care membership covers the everyday care your team needs. From sick visits and annual physicals to minor injuries and chronic condition management, employees and their families get access to high-quality care whenever they need it. Better care, made simple.

Support your team’s mental wellbeing with care that’s built in. Vitable’s Primary Care includes access to mental health coaching, licensed therapy, and more. Our programs are designed to boost productivity, reduce burnout, and help employees feel their best, in and out of work.

When women are healthy, families, communities, and workplaces thrive. From reproductive care to hormonal support, Vitable helps women navigate care that’s often overlooked or hard to access. It’s personalized, discreet, and built into the care your team already receives.

Vitable’s Primary Care includes access to routine labs and diagnostic testing, helping employees catch issues early, manage ongoing conditions, and stay on top of their health. It’s proactive care that empowers your team to take action, without paying for a doctor’s visit, deductible, or lab fees.

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MEC plans that actually deliver care

Most MEC plans meet the minimum—but don’t do much more. Vitable’s MEC plans are different. Backed by Direct Primary Care, they give your team access to real, everyday care with $0 out-of-pocket costs, while helping your business stay ACA-compliant and in control of costs.

basic

Vitable MEC

Compliance against ACA part A fines

Coverage for essential preventative care services

Includes direct primary care for employees and their families

Annual vaccines & wellness visits

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PLUS

Vitable MEC Plus

Compliance against ACA part A fines

Includes everything in the MEC plan

Includes direct primary care for employees and their families

Specialist visits & pediatric care

X-Rays

Urgent care

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Vitable MEC plans vs. other MEC plans

Other MEC plans
Affordable Part A compliance
Low minimum enrollment requirements
Managed open enrollment periods
Managed IRS tax filings
Custom plan designs
Mental health support
Primary care coverage with $0 copays or deductibles
Ongoing benefit support for employees
Employer dashboard for easy benefit management

Frequently
Asked Questions

Minimum Essential Coverage (MEC) is the baseline level of health coverage required under the Affordable Care Act (ACA). It includes preventive services such as annual checkups, screenings, and immunizations. Employers offering MEC plans can meet ACA requirements and avoid costly penalties.

An Applicable Large Employer (ALE) is a business or organization that has an average of at least 50 full-time employees or full-time equivalent employees (FTEs) based on the preceding year. An applicable large employer may be a single entity or may consist of a group of related entities.

If there is a group of related entities, these are referred to as ALE members. ALEs are subject to specific provisions of the Affordable Care Act (ACA), including employer shared responsibility rules and reporting requirements.

To calculate full-time equivalents (FTEs), add the total hours worked by part-time employees in a month and divide by 120. Combine that number with your full-time employee count (those working 30+ hours per week).

If you have 40 full-time employees and 20 part-time employees who each work 60 hours in a month, you'd calculate:

(20 employees × 60 hours) ÷ 120 = 10 FTEs

40 full-time employees + 10 FTEs = 50 FTEs total

In this case, your business would be considered an Applicable Large Employer (ALE) under ACA rules.

Vitable’s MEC plans include access to Direct Primary Care, so employees can get essential care for sick visits, mental health, prescriptions, labs, and more—all with $0 out-of-pocket costs. For broader coverage, MEC plans can be bundled with options like Minimum Value Plans, ICHRAs, and ancillary benefits such as vision and dental.

Minimum Essential Coverage (MEC) plans meet Part A of the ACA employer mandate by satisfying the requirement to offer coverage to eligible employees. However, to meet Part B—which requires the coverage to be affordable and provide minimum value—employers must offer a Minimum Value Plan (MVP) alongside or in place of a MEC plan.

Vitable offers both MEC and MVP options, giving you the flexibility to build a compliant, affordable benefits package that fits your business needs.

High-quality health plans that
just make sense.

Vitable helps employers provide better healthcare to their employees and dependents by improving accessibility, cost, and quality.