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ICHRA / QSEHRA Health Reimbursement Arrangement

Reimburse employees' individual health premiums pre-tax — skip group insurance entirely.

Overview

Individual Coverage HRA (ICHRA, any size employer) and Qualified Small Employer HRA (QSEHRA, <50 FTE) let a business give each employee a fixed pre-tax monthly allowance to buy their own ACA marketplace plan. Employer deducts; employee excludes from W-2. Escapes annual 8–20% group-premium hikes, arbitrary carrier drops, and admin overhead. Providers: Take Command, Gravie, Thatch, Zorro.

Best fit
SMBs 2–500 employeesBusinesses hit by group renewalsRemote/multi-state workforces
Estimated impact
10–40% vs traditional group + predictable budget

Click Generate advisory deep dive for mechanics, IRC citations, a step-by-step execution plan, a worked numeric example on your profile, costs, risks, and this-week actions.

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