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ICHRA

Individual Coverage Health Reimbursement Arrangement

An Individual Coverage HRA gives employers of any size a smarter way to offer health benefits.

ICHRA individual coverage health reimbursement arrangement — employer looking at ICHRA options
ICHRA Overview

What is ICHRA?

ICHRA stands for Individual Coverage Health Reimbursement Arrangement. It is an alternative to traditional group health insurance that allows employers of any size to provide more flexible and cost-effective health benefits to their employees.

Unlike a traditional group health plan, an ICHRA doesn’t require your company to select, negotiate, or manage a single insurance policy on behalf of your workforce. Instead, you set a monthly allowance, and each employee uses it toward the plan that fits their own life.

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Looking for a solution designed specifically for small businesses with fewer than 50
employees? A QSEHRA (Qualified Small Employer HRA) may be a better fit.

How ICHRA Works

Step 1
Employer Sets a Monthly Allowance

The employer decides how much to contribute each month toward each employee’s healthcare costs. (Amounts are based on local individual market plans.)

Step 2
Employees Choose Their Own Coverage

Employees select an individual health insurance plan that fits their needs. With ICHRA, employees can shop, compare and enroll in plans right on our BEN360 platform.

Step 3
We Enroll and Set Up Recurring Payments

Once employees enroll, we process everything behind the scenes and set up their monthly payments—so coverage stays active and everything runs smoothly without extra work on your end.

Step 4
Ongoing Administration and Support

It’s easy to manage all your day-to-day changes in BEN360. From new hires and terminations to qualifying life events, everything is handled in one place with reliable support, year-round.

Why Employers Choose ICHRA

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Meet BEN360: Our ICHRA Platform

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BEN360 is Benafica’s in-house ICHRA administration platform, built specifically to handle the compliance, reimbursement, and reporting demands of a well-run ICHRA.

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ICHRA FAQ

AVAILABLE IN ALL 50 STATES
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Employers of any size can offer an ICHRA. You must have at least one W-2 employee.

Employees receive a set monthly allowance that they can use to get reimbursed for qualified health insurance premiums and other eligible medical expenses. They select and enroll in individual health plans that fit their unique needs, rather than relying on a one-size-fits-all group plan.
No, you don’t have to wait! Employers switching to ICHRA qualify for a Special Enrollment Period (SEP). Be sure to check the terms of your group plan if you’re switching.

To ensure a smooth transition to ICHRA, it’s essential to partner with a knowledgeable administrator like Benafica. We offer transparent, hands-on support to assist employers and employees with plan setup, communication, compliance, enrollment, and address any questions throughout the year. Our comprehensive approach ensures that all aspects of the ICHRA are managed effectively, providing a seamless experience for your organization.

Pricing

Instead of Picking a Plan, Set a Budget

Option 1
Age-based

This strategy ensures greater equity across your workforce.

Option 2
Flat-dollar

This strategy can be simpler to understand but it can disadvantage older employees and those living in areas where insurance is more expensive.

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Latest ICHRA Articles

medicare webinars blog

Free Webinar: ICHRA 101 – A Modern Health Benefit Strategy for Today’s Employers

As healthcare costs continue to rise, many employers are rethinking how they offer benefits. If you’ve found yourself questioning whether traditional group health insurance is still the right fit, you’re not alone—and there are alternatives worth exploring.
Mid-Year ICHRA starts blog

Yes, You Can Start an ICHRA Mid-Year. Here’s How.

Wondering if you can start an ICHRA mid-year? You can. Learn how notice periods work, how a special enrollment period is triggered, and how to transition from group coverage without disrupting your employees’ benefits.
ICHRA tax compliance blog

ICHRA and End-of-Year Tax Compliance [CHECKLIST]

Tax season is when ICHRA compliance gets tested. Use our benefit compliance checklist to stay organized, meet key filing requirements, and keep your ICHRA program compliant and audit-ready.

Ready to Offer Better Benefits?

Talk to Benafica about setting up an ICHRA or QSEHRA for your business.

We’ll help you choose the right HRA type, design employee classes, and handle all the administration.

Call us at 651-287-3253 or fill out the form below.