Reimbursing Staff for Well being Insurance coverage


Can a enterprise reimburse an worker for medical health insurance premiums? It is a frequent query that many enterprise house owners ask, which leads them to the Take Command web site. So, we’re glad you’re right here and blissful to clarify the considerably complicated medical health insurance recreation.


Worker Well being Insurance coverage Reimbursement

So can a enterprise reimburse an worker for medical health insurance? The fast reply is “no”, at the least not tax-free with out some critical tax penalties. If your small business reimburses staff for medical health insurance and not using a structured program, the IRS will deal with the employer reimbursement of medical health insurance as revenue and demand that the employer pay payroll taxes and the workers acknowledge revenue tax. 

Nonetheless, you’ll be able to reimburse staff for medical health insurance on a tax-advantage manner via packages like well being reimbursement preparations. A Well being Reimbursement Association (HRA) is an employer-funded plan that reimburses staff for medical bills, together with insurance coverage premiums and drugs. An HRA provides companies a tax-free technique to contribute to their worker’s well being protection.

So what do you must find out about reimbursing staff for medical health insurance (in an IRS-friendly manner)? 

Reimbursing Staff for Well being Insurance coverage

Because you’re right here studying this weblog, you’re doubtless contemplating an HRA since you need to decrease your well being plan bills and supply your staff with high-quality well being advantages. An HRA will give staff monetary help to cowl their certified medical bills. With varied plan design choices, you’ll be able to determine which HRA plan works for you, how a lot you need to reimburse, and find out how to design the pre-tax well being profit plan that works finest for you and your staff. 

HRAs are versatile device that permits staff to decide on a healthcare plan that works finest for them and nonetheless take pleasure in the advantages of healthcare help.

Many trendy firms are shifting away from conventional group plans that may be inflexible and unpredictable and towards new methods of providing advantages like HRAs. 

When you’ll be able to work with an HRA administrator like Take Command to simplify the entire course of, why not select the simpler path to reimbursing staff for medical health insurance? 

Certified Small Employer Well being Reimbursement Association

Employers are shifting towards a brand new manner of providing well being advantages that permits them to supply tax-free well being protection with out the restrictions of conventional group insurance coverage. While you join an HRA for your small business, you’ll give your staff the liberty to decide on the medical health insurance plan that works finest for them as a substitute of being caught with a one-size-fits-all group insurance coverage plan most firms provide. 

With an HRA, your small enterprise can present tax-free reimbursements for certified healthcare bills, together with premiums and coinsurance funds. HRA directors, like Take Command, provide two primary HRAs: Certified Small Employer Well being Reimbursement Association (QSEHRA) and Particular person Protection Well being Reimbursement Association (ICHRA). Every has a selected set of advantages that match several types of companies. 

What’s a QSEHRA?

A QSEHRA permits small employers to supply non-taxed reimbursement of sure well being care bills, like medical health insurance premiums and coinsurance, to staff who keep minimal important protection.

QSEHRA Guidelines:

What’s an ICHRA? 

ICHRA is a company-funded well being profit that reimburses staff for healthcare bills. In contrast to a QSEHRA, the ICHRA is obtainable for companies of any dimension.

ICHRA Guidelines:

  • ICHRA doesn’t have firm dimension limits.
  • ICHRA can work alongside a gaggle plan.
  • ICHRA doesn’t have reimbursement limits.
  • ICHRA permits employers to designate completely different reimbursement quantities to several types of staff (seasonal, part-time, distant).
  • There are not any most ICHRA advantages or contribution limits, so employers can determine to construction their ICHRA nevertheless they like. 

Try our full ICHRA information that covers advantages, necessities, reimbursement guidelines, setup, administration, and faqs. What’s ICHRA? All the pieces to find out about Particular person Protection HRAs. A sensible handbook for employers, brokers, and advantages professionals relating to the brand new Particular person Protection HRA. 

{Try our demo and see for your self the way it works.} 

Particular person Protection Well being Reimbursement Association

When your small business presents an HRA to staff, you’ll work along with your HRA administrator to find out the most effective match on your particular wants. Whichever choice you select, the Take Command crew will assist your staff choose the most effective particular person (or household) medical health insurance plan for his or her scenario and perceive find out how to use their new HRA.

This tax-advantage resolution is a essentially new manner of providing advantages and permits employers of any dimension to reimburse their staff for medical health insurance fairly than shopping for it for them.

Let your staff select what works finest for them. They know their scenario finest. 

Ask our experts which HRA is best for your business

Well being Reimbursement Association FAQs


Q: What’s a well being reimbursement association?

A: A well being reimbursement association (HRA) is an worker reimbursement plan funded solely by the employer. This association helps staff get monetary savings by on out-of-pocket well being care bills (like premiums, deductibles, copays, and different certified medical bills like prescriptions or different drugs). Staff submit claims to the HRA administrator, and the employer points a examine for reimbursement. HRA funds are tax-deductible for employers and worker. 



Q: What’s a well being reimbursement association? 

A: There’s rather a lot to cowl on this, and the reply varies relying on the precise kind of HRA you selected. Try this weblog publish that takes a deeper have a look at the HRA guidelines for insurance coverage reimbursements. 


Q: How does medical health insurance reimbursement work?

A: Employers put aside a specified quantity of pre-tax {dollars} of their HRA account that pays for worker healthcare bills. An HRA is funded solely by the employer, and staff submit claims for reimbursement to the HRA administrator, like Take Command, which makes it straightforward for employers to supply well being advantages. 


Q: Can an employer reimburse an worker for medical health insurance in 2023?

A: Sure! Nevertheless it must be via a structured program like an HRA. You probably have a medical reimbursement plan, you’ll be able to reimburse your staff’ healthcare bills along with your HRA. An HRA is designed to satisfy your well being advantages wants and suit your price range. Try our blogs that define the 2023 ICHRA affordability charges and 2023 QSEHRA affordability charges. 



Q: Is medical health insurance reimbursement taxable?

A: No, medical health insurance reimbursement shouldn’t be topic to payroll tax, revenue tax or employer tax. There’s a tax profit for you as an employer as a result of you’ll be able to deduct the quantities paid out of an HRA. 


Q: Is there a tax profit for my staff?

A: Sure, HRA funds are contributed to staff on a pre-tax foundation, so they’re omitted when calculating taxable revenue.


Q: Can I reimburse my worker for medical health insurance premiums?

A: Medical insurance premiums are among the many listing of issues an employer can reimburse for via an HRA like ICHRA and QSEHRA. 

→ Try this whole listing of medical bills that may be reimbursed with an HRA.


Q: How a lot can an employer contribute to their staff’ prices? 

A: Employers can determine how a lot they need to contribute towards their staff’ protection HRA for every 12-month plan 12 months. Learn extra about this in our employer HRA contributions information.


Q: Can staff take cash out of the HRA account? 

A: Since there isn’t any pre-funding of accounts and it is merely an “association,” you can not take funds out of the HRA account. Staff submit claims for certified medical bills, and the employer reimburses them from the pre-funded HRA account. An HRA is employer-funded with pre-tax contributions, whereas a well being financial savings account (HSA) is employee-funded with pre-tax {dollars}. 

Ready to learn how much you can reduce benefits cost?

Get Began With Reimbursing Staff for Well being Insurance coverage 

For extra sources, take a look at our HRA Information, QSEHRA Information, ICHRA Information, or ICHRA FAQ Web page. Our crew of HRA specialists is able to stroll you thru your choices. Get in contact immediately! 

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