Traditional model assumptions: 30% of premium goes to broker commission (~10%), insurance carrier margin (~12%), and admin/claims overhead (~8%). Remaining 70% reaches healthcare costs. ·
Zemma model: Flat 3% platform fee + 3.15% payment processing on health contribution + $240/yr flat insurance per employee (group Travel & Catastrophic). No pooling. Every dollar contributed flows directly into your personal spending account. ·
Sources: Canadian Life and Health Insurance Association (CLHIA), industry broker commission data.