What Planstin Administration does

Planstin Administration, Inc. is a privately held third-party benefits administrator (TPA) headquartered in St. George, Utah, with operational presence in Eagan, Minnesota. Founded around 2016 and operating nationally in the United States, the company serves US small and mid-sized businesses with two or more employees, as well as a growing individual/solopreneur segment, positioning itself as a lower-cost, more flexible alternative to traditional carrier-administered benefits. Its product architecture is organized in three tiers — Preventive Health Plans (ACA Minimum Essential Coverage in Core, HSA, and Copay variants), Care+ Health Plans (ACA-compliant major medical in Direct, Copay, HSA, and Core variants), and Zion HealthShare (nonprofit medical cost-sharing) — supplemented by add-on modules including dental, vision, 401(k), life and disability, Occupational Accident, and the Give Easy worksite plans, with complimentary Care Coordination and Compliance Services bundled across the portfolio. The underlying technology stack is largely partner-assembled: Employee Navigator powers the member portal and enrollment, Rx Valet handles prescription fulfillment and discounts up to 75%, MultiPlan/PHCS provides limited network access for select plans, and a network of Direct Primary Care providers (including Primestin) anchors the membership offerings. No proprietary AI/ML, patents, or in-house data platform are disclosed.

The business model is a mix of managed-services TPA fees and recurring subscription revenue, with pricing quoted per plan, per employee count, and per age band (e.g., HealthShare memberships ranging from $138 to $383/month by age and IUA selection). Distribution is hybrid: a sales-led motion through dedicated Benefit Guides, a self-service instant quote tool on the website, an enterprise field-sales motion targeting Applicable Large Employers (50+ FTEs) with compliance-heavy needs, and a formal Broker/Advisor Channel Partner Program that offers referral incentives up to $400 per completed demo and advisor-set fixed compensation per group. Planstin advertises 30–60% employer savings versus traditional carriers and reports member-survey outcomes of 98% affordability, 93% support-staff satisfaction, and 91% willingness to recommend. The company is bootstrapped and independently owned under founder/management leadership (Nathan Udy, President and CEO; Derrick Udy, Head of Planstin Group), with no disclosed external funding, M&A, or parent-company activity. Compliance scope spans HIPAA, ERISA, ACA, Section 125, COBRA, CAA, RxDC, NSA, PCORI, and Transparency in Coverage — a regulatory surface that is both a product feature and a barrier to entry.

Name

Planstin Administration

Legal name

Planstin Administration, Inc.

Website

https://planstin.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

Planstin Administration is a US third-party benefits administrator serving small and mid-sized employers with preventive plans, ACA major medical, HealthShare alternatives, and ancillary benefits. It distributes through direct Benefit Guide sales, a broker/advisor channel, and a self-service instant quote tool.

Ownership category

akta.pro rank

Product category

Employee Benefits Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Insurance Agencies and Brokerages (524210)

SIC

Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro primary industry

Eligibility, Enrollment & Benefits Administration (HLAEALAH)

akta.pro secondary industries

COBRA & Retiree Continuation Administration (HLAEAAAJ), Level-Funded Group Health Plans (FSAIAFAC), Group Life Administration/Enrollment Platforms (TPA & Benefits Admin) (FSAIADAJ)

Keywords

• Third-party administration
• Employee benefits administration
• Self-funded health plans
• ACA compliance services
• Healthcare cost sharing

Headquarters

HQ city

Eagan

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Third-Party Administration Fees: Planstin acts as a third-party administrator (TPA) charging businesses administrative fees for managing their employee benefits programs including health plans, compliance services, and enrollment management.
2. Health Plan Administration: Administrative fees for managing preventive health plans (MEC), Care+ health plans (ACA-compliant major medical), HealthShare memberships, dental, vision, and worksite benefits.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

Planstin Administration is a third-party administrator that designs, administers, and supports employee benefits packages for U.S. businesses with 2+ employees. Its core offering bundles Preventive Health Plans (MEC), Care+ major medical plans, and Zion HealthShare cost-sharing memberships with add-on modules including dental, vision, 401(k), life and disability, occupational accident, and worksite plans. Planstin also delivers complimentary compliance administration covering HIPAA, ERISA, ACA, COBRA, Section 125, RxDC, and No Surprises Act requirements, plus care coordination services that help members locate providers and navigate benefits.

Product overview

Planstin Administration is a third-party administrator offering a comprehensive employee benefits platform combining traditional insurance products with innovative non-traditional health solutions. The portfolio includes three health plan tiers: Preventive Health Plans (MEC-compliant with Core, HSA, and Copay variants), Care+ Health Plans (ACA-compliant major medical with Direct, Copay, HSA, and Core variants), and Zion HealthShare (nonprofit medical cost-sharing). Core products are supplemented with add-on modules including Dental Plans, Vision Plans, 401(k) Retirement, Life & Disability Insurance, Occupational Accident coverage, and Give Easy Worksite Plans (Accident, Hospital, Critical Illness). Complimentary services include Care Coordination and Compliance Services. The platform is accessible via a member portal (EmployeeNavigator-based) and serves businesses with 2+ employees. A partnership with Ultrio extends coverage options to individuals and solopreneurs.

Differentiator

Problem solved

Functional benefit

Brands

• Planstin Memberships: A membership platform combining Direct Primary Care (DPC) and Zion HealthShare for individuals and families, formerly known as MemberGateway.
• Ultrio

Products and services

• Preventive Health Plans ACA Minimum Essential Coverage (MEC) preventive health plans offered in Preventive Core, Preventive HSA, and Preventive Copay variants; provide fully-covered preventive care, prescription discounts up to 75% through Rx Valet, and unlimited telemedicine with no network restrictions. Designed for U.S. employers with 2+ employees.
• Care+ Health Plans ACA-compliant major medical health plans offering comprehensive coverage for preventive care, hospitalizations, surgeries, emergencies, and prescriptions with no network restrictions; available in Direct, Copay, HSA, and Core variants for U.S. employers and members.
• Zion HealthShare Nonprofit medical cost-sharing program in which members contribute to share each other's large, unexpected medical expenses including surgeries, hospital stays, ER visits, and maternity care; offered as an alternative to traditional health insurance with $1,000, $2,500, or $5,000 IUA options.
• HealthShare with DPC Membership Combined Direct Primary Care membership and Zion HealthShare membership providing day-to-day primary care plus protection against large unexpected medical costs, with no hidden fees and simplified billing; priced by age band and IUA selection, targeted at individuals and families.
• Dental Plans Group dental coverage with access to 67,000+ providers at 220,000+ locations nationwide, featuring 100% coverage for preventive services, 80%+ for basic services, and 50% for major services; offered as an add-on to employer benefits packages.
• Vision Plans Group vision coverage with low copays for eye exams and yearly allowances of $200 for frames or contacts and $200 for vision services; copays waived at wholesale clubs, offered as an add-on to employer benefits.
• 401(k) Retirement Plan Retirement benefit platform providing employers with a 401(k) administration offering that includes a strategy builder for portfolio optimization and automated plan administration.
• Life & Disability Insurance Group insurance products providing tax-free life insurance payments to beneficiaries and disability income replacement for employees unable to work due to illness or injury; offered as an add-on to employer benefits.
• Give Easy Worksite Plans Worksite benefit plans providing fixed payments for accidents, hospital stays, and critical illness, with $2/month member donations to humanitarian causes selected by the Give Easy Association board; available as an add-on to employer benefits.
• Occupational Accident Coverage Workplace accident insurance with $1,000,000 per-accident limit and no deductible, covering accident-related medical expenses, accidental death and dismemberment, and non-occupational accidents; offered in four coverage levels as an add-on.
• Compliance Services Complimentary compliance administration covering HIPAA, ERISA, ACA, COBRA, Section 125, CAA Gag Clause Attestation, RxDC reporting, NSA, TIC, and PCORI; includes plan document preparation, IRS reporting, COBRA notices, and Form 5500 preparation for employer clients.
• Care Coordination Service Complimentary care coordination helping members find providers that work well with their benefits, schedule appointments, and navigate healthcare; coordinators help negotiate rates and support members across preventive, Care+, and HealthShare plans.
• Ultrio Membership Healthcare membership options for individuals and solopreneurs providing access to routine care, virtual care, prescription benefits, and assistance with unexpected medical bills, distributed via Planstin's partner channel.

Quantifiable outcome

• 98% of members rate Planstin as affordable
• +4 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature4 records

Partnerships

Nine partnerships are on record, tiered core, supporting and minor.

• Zion HealthSharecoreStrategic or Co-development PartnerZion HealthShare is a nonprofit medical HealthShare program that provides an organized structure for members to contribute toward each other's medical costs. Planstin offers Zion HealthShare as an alternative to traditional health insurance for unexpected medical expenses like hospitalizations, surgeries, and maternity care. Members select IUA options of $1,000, $2,500, or $5,000.
• Give Easy AssociationcoreStrategic or Co-development PartnerPartnership to create Give Easy worksite plans that help fill coverage gaps. The plans include accident, hospital, and critical illness coverage with members donating $2/month to humanitarian causes selected by the association's board.
• Rx ValetsupportingTechnology or IntegrationPrescription benefit partner providing access to affordable medications including specialty drugs. Preventive plans include prescription access through Rx Valet with discounts up to 75% off select drugs and many routine generics available for no more than $15.
• Employee NavigatorsupportingTechnology or IntegrationMember portal platform for benefits enrollment, document access, and plan management. Used for login and account management for plan participants.
• Direct Primary Care (DPC) ProviderssupportingStrategic or Co-development PartnerNetwork of Direct Primary Care providers offering personalized, membership-based primary care services. Members can choose from available DPCs or nominate their own provider.
• Primestin Health CaresupportingStrategic or Co-development PartnerDirect Primary Care clinic partner providing accessible healthcare services. Members report same-day appointments and efficient care experiences at Primestin locations.
• UltriocoreChannel Partner/ Reseller/ DistributorPartner connecting individuals and families with affordable, flexible healthcare options including HealthShares. Ultrio serves individuals between jobs, self-employed, and those seeking alternatives to traditional insurance.
• Make a Wish UtahminorOthersCommunity partnership where Planstin joined forces with other tech companies to grant wishes for children through Make a Wish Utah, raising $72K to fulfill wishes for 12 Southern Utah children.
• MultiPlan/PHCSsupportingTechnology or IntegrationFor a limited number of plans, Planstin may use the MultiPlan/PHCS Specific Services network for provider access. Most health plans are open network.

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Gusto: Gusto is a leading SMB-focused HR, payroll, and benefits administration platform serving businesses of similar size to Planstin's target market. It offers traditional group health insurance alongside HR/payroll, competing for the same employer buyer and benefits-administration wallet.
• Justworks: Justworks is a PEO providing payroll, benefits (including health insurance administration), and compliance services to SMB and mid-market employers. Its bundled PEO model directly competes with Planstin's TPA-plus-advisor approach for similar-size employer customers.
• Paylocity: Paylocity is a cloud-based HR, payroll, and benefits administration platform serving SMB and mid-market employers with integrated benefits enrollment. It overlaps with Planstin in benefits administration workflow and employer target market, though at significantly larger scale.
• Zenefits: Zenefits is an SMB-focused HR platform with integrated benefits brokerage and administration. It serves a very similar employer size segment to Planstin and competes for both direct employer customers and broker partnerships.
• TriNet: TriNet is a PEO providing HR, payroll, benefits, and compliance services primarily to SMB and mid-market employers. Its bundled benefits offering and focus on compliance complexity directly parallels Planstin's TPA-plus-compliance positioning.
• OneDigital: OneDigital is a national insurance brokerage and benefits consulting firm that places and administers group benefits for employers of all sizes. It competes with Planstin on the broker-channel side, serving many of the same mid-market and SMB employer customers.
• PlanSource: PlanSource is a benefits administration technology platform used by employers, brokers, and TPAs to manage benefits enrollment and billing. It is a close functional analog to Planstin's enrollment stack and competes for similar employer and broker relationships.

Broad incumbents

• ADP (ADP TotalSource / ADP Workforce Now): ADP is the largest incumbent in payroll, HR, and benefits administration in the US, serving SMB through enterprise via Workforce Now and the TotalSource PEO. It overlaps with Planstin's benefits administration functionality but as part of a much broader HCM portfolio.
• Paychex: Paychex is a large incumbent provider of payroll, HR, and benefits administration primarily targeting SMB employers. Its benefits administration and PEO (Paychex PEO) offerings serve a very similar buyer to Planstin but at substantially greater scale and brand recognition.

Others

• Employee Navigator: Employee Navigator is the benefits administration platform provider that powers Planstin's member portal. While a technology partner rather than a direct competitor, it also sells directly to brokers and TPAs, so it sits at the same layer of the stack and can disintermediate TPAs that do not own their enrollment technology.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/Planstin

Compliance10 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Planstin Administration