One of the biggest challenges that small employers face is attracting and retaining employees. Beginning January 1, 2020, employers who have multiple employees can offer an Individual Coverage Health Reimbursement Arrangement (ICHRA) to employees to reimburse individual insurance premiums and out-of-pocket medical expenses. These changes will make it easier for employers to provide valuable benefits. This policy is a result of Executive Order 13813. This order was issued by President Trump in 2017 to expand the availability and use of Health Reimbursement Arrangements (HRAs) and promote healthcare choice and competition.
IRS Notice 2013-54, issued in September 2013, limited the ability of small business owners to utilize stand-alone HRAs (unless they were a One Employee HRA).
In 2016, the Cures Act established the Qualified Small Employer HRA (QSEHRA). This legislation overturned guidance issued in IRS Notice 2013-54 and once again allowed employers with fewer than 50 employees to utilize HRAs as a pre-tax health and welfare benefit. The QSEHRA has many restrictions and requirements that the ICHRA does not. For example, a QSEHRA is only available to employers with fewer than 50 eligible employees and employer contributions are capped. ICHRAs are one of the accounts available on TASC’s new Universal Benefit Account platform. ###