What is a Health Reimbursement Arrangement (HRA)


What is a Health Reimbursement Arrangement (HRA)?

A Health Reimbursement Arrangement (HRA) is a health benefit plan funded by employers to reimburse employees for certain eligible medical expenses. Unlike traditional health insurance plans, HRAs are not insurance plans themselves, but rather employer-funded arrangements that provide tax advantages for both employers and employees.

How Health Insurance HRAs Work

Under an HRA, employers set aside funds that employees can use to pay for eligible healthcare expenses, such as deductibles, copayments, and other qualified medical costs. The employer determines the amount of money available in the HRA and sets the rules for how the funds can be used. Importantly, employees cannot contribute their own money to an HRA; it is entirely employer-funded.

Types of HRAs

There are several types of HRAs, each with its own set of rules and eligibility requirements. Some common types include:

Individual Coverage HRA (ICHRA)

The ICHRA allows employers of all sizes to reimburse employees for individual health insurance premiums and other qualified medical expenses. This provides employees with more flexibility in choosing health insurance plans that meet their individual or family needs.

Qualified Small Employer HRA (QSEHRA)

Designed for small businesses with fewer than 50 employees, the QSEHRA enables these employers to offer tax-advantaged reimbursements for healthcare expenses. This helps small businesses provide valuable health benefits to their employees without the complexities and costs often associated with traditional group health insurance plans.

Excepted Benefit HRA (EBHRA)

The EBHRA is used to reimburse employees for specific health expenses, such as vision and dental care, COBRA premiums, and short-term health insurance. This type of HRA is often offered alongside other health plans to provide additional coverage for specific healthcare needs.

Advantages of Health Insurance HRAs

HRAs offer several advantages for both employers and employees. For employers, HRAs provide a tax-deductible way to offer health benefits, and the employer retains control over the funds. Additionally, HRAs can be less expensive than traditional group health insurance. For employees, HRAs offer tax-free reimbursements for eligible medical expenses, and they provide flexibility in choosing healthcare providers and services.

Conclusion

Overall, HRAs can be a valuable tool for employers looking to provide health benefits to their employees in a tax-efficient manner. By understanding the different types of HRAs available, employers can choose the option that best fits their needs and the needs of their workforce.