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Healia

Modern health insurance for dual income families

Our product allows employers to pay for the out of pocket costs for any employee that enrolls in their spouse's health insurance plan. This saves our customers $10k per enrollee while providing an incredible employee perk: 100% coverage of a family's health costs. We handle setup, employee education, and claims reimbursement. Our technology can even help employees who don't have a spouse understand their insurance options.
Healia
Founded:2022
Team Size:2
Location:
Group Partner:Surbhi Sarna

Active Founders

Priyang Shah, Founder

Priyang is a founder with 10 years of experience in healthcare, insurance, and software development. He was the 15th employee at Root Insurance (1st PM), and helped scale it to 1,500 employees and a $6.5B IPO. Previously, he was the 20th employee at Olive AI ($4.5B valuation).
Priyang Shah
Priyang Shah
Healia

Company Launches

Tl;dr

Our employee benefit allows companies to cover expenses on a spouse's health insurance. This saves our customers $10k per family while providing an incredible employee perk: 100% coverage of a family’s costs. We handle setup, employee education, and claims reimbursement.

Hey everyone! I’m Priyang and I’m building Healia. We’ve launched 14 customers in 11 states with $206k in ARR and counting.

😱 The problem: Dual-income health insurance is a lose-lose for companies and families

There are 41 million dual-income families in the country and they all have the same problem: whether they choose their plan or their spouse’s, they still have thousands in premium contributions and out-of-pocket costs.

Companies face a similar challenge: either employees enroll in their insurance and incur exorbitant costs ($17k/year/family) or the employee misses out on the largest employee benefit available, hurting the company’s recruitment and retention efforts.

✨ The solution: Both companies “split” coverage

Our product lets employers pay for the out-of-pocket costs (and premiums) of any employee who enrolls in their spouse's plan. There is no need for complicated coordination between employers. Employees just opt out of our customer’s plans and join their spouse’s. We then reimburse any eligible expenses on the spouse’s plan. This saves our customers $10k per enrollee and boosts recruitment and retention with an awesome perk.

💡 How it works (in three easy steps)

  1. Account Creation: We set up individual accounts for enrollees, funded by employers for eligible expenses ($6k-10k on average).
  2. Enrollment: Employees access the funds when enrolled in their spouse's plan, using them to cover healthcare costs
  3. Unused Funds: Any unused funds revert to the employer, ensuring expenses remain capped while employees get the safety of knowing they have thousands of dollars of additional coverage.

💻 Our technology is so powerful that we even sell it separately

We created a tool for employees that lets them compare costs between their employer's plan and their spouse's. Employees can upload a PDF of their spouse’s benefits guide, and our LLM will process the data, allowing families to see all of their options modeled out (see image below). This feature has been so popular that companies like GoFundMe, Stew Leonard’s, and Sectigo use our technology just to educate employees on what plan to choose.

🚀 14 customers launched across 11 states with $206k in ARR

Initially, we thought only white-collar companies would be interested, but half of our customers have been in traditional industries like manufacturing, food and beverage, and retail. We're helping businesses across all geographies and industries lower costs and make healthcare more affordable.

👋 Ask: Connect us with:

  1. Health insurance brokers that need innovative solutions for clients.
  2. HR leaders and CFO’s that want to lower costs while improving employee retention
  3. Or, just give us feedback! founders@healiahealth.com

Hear from the founders

How did your company get started? (i.e., How did the founders meet? How did you come up with the idea? How did you decide to be a founder?)

I started the company after choosing the wrong health insurance plan myself. Even with a decade of experience in health insurance, I misinterpreted my company's benefit guide and ended up with a significantly more expensive plan. I realized that existing tools to address this problem were either too cumbersome (like complex Excel files), overly simplistic, or required extensive time to complete.We created a tool that solved those problems and could be launched for an employer in less than an hour, rather than the days or weeks typically required. As we gained traction, we identified another critical need: most families are dual-income, so helping employees understand their employer’s plans isn’t enough. To fix this, we integrated an LLM to analyze your spouse’s plan, making it really easy for an employee to upload their spouse’s benefits guide with another employer to see all their options in one place (for the first time ever!).Despite our success, I realized we were only solving part of the problem for dual income families. I kept wondering why there wasn’t a simpler, more economically efficient solution where both employers could pay for an insurance policy. That’s how Healia today was born. Our product allows employers to pay for the out of pocket costs for any employee that enrolls in their spouse's health insurance plan. This saves our customers $10k per enrollee while providing an incredible employee perk: 100% coverage of a family's health costs.

What is your long-term vision? If you truly succeed, what will be different about the world?

Our long-term vision is to create our own health insurance plan for dual income families. Imagine an insurance policy that traveled with you to every new place you or your spouse worked. Every employer would offer the Healia plan, so you never had to worry about new plan rules or deductibles, and your costs would always be covered 100% (half by your employer and half by your spouse’s).This would also make health insurance significantly cheaper for employers as they would only pay for half the costs. Healia could then use its size to negotiate better rates from providers and its technology to lower costs.