Health Insurance Insider – September 25, 2025
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Individual Coverage Health Reimbursement Arrangements, or ICHRAs, are a new approach to employee health benefits that give employers a tax-advantaged way to provide flexible health coverage. For small businesses, ICHRAs offer an alternative to traditional group health plans, which can often be expensive and difficult to manage.
So, how does an ICHRA work? Instead of offering a specific group plan, employers give employees a set amount of tax-free money to spend on a health plan they choose themselves. The employer saves money on premiums, and the employees get to select a plan that fits their needs and their family’s needs. It’s a win-win.
One of the biggest advantages of an ICHRA is the flexibility it offers. You can set different contribution amounts for different classes of employees, such as managers and salaried workers, as long as the plan doesn’t discriminate. Plus, since the money is a tax-deductible business expense, both the business and the employees save money.
Key Takeaways About ICHRAs
💰Tax-Advantaged: Contributions are a tax-deductible expense for employers and are not considered taxable income for employees.
🧑 Employee Choice: Employees can choose a health plan that best fits their specific needs, including their preferred doctors and hospital networks.
🤸 Flexibility: ICHRAs are a great option for businesses with a distributed workforce in different states, as they can be used to accommodate varying state health insurance markets.
As the health insurance landscape continues to evolve, staying on top of new options like ICHRAs is essential for small businesses. We’ll be here every week to keep you informed.