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Introducing ICHRA Health Insurance for Small Business

ICHRAs: Empowering your employees to be able to choose the healthcare that fits, while we handle the rest. Click below to get a consult on how you can integrate ICHRA health insurance into your small business offerings!


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ICHRAs: Your Health, Your Choice, Our Support.

ICHRAs are a type of employer funded HRA provided to employees as a means to purchase individual health insurance rather than offering a group health plan. Employees can shop for affordable, more personalized individual/family health insurance plans through The CBC Health Insurance Marketplace for Costco members and use their ICHRA funds to pay for part or all of their health insurance premiums. ICHRAs can be offered by employers of any size, to all or a subset of employees based on defined classes and class rules. There’s no limit on how much an employer can contribute. They were introduced at the beginning of 2020 as a response to regulations within the Affordable Care Act (ACA), which when signed into law in 2010 placed limits on the use of Health Reimbursement Accounts (HRAs). These limits included preventing employers from integrating their accounts with individual health coverage. ICHRAs specifically address that by allowing HRAs to be integrated with individual health insurance.



The CBC Health Insurance Marketplace for Costco members is your resource for everything ICHRA:

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ICHRA Setup Assistance

Setting up an Individual coverage Health Reimbursement Arrangement (ICHRA) can be complex, but our ICHRA setup assistance and support services simplify the process. We provide step-by-step guidance, from plan design to managing compliance, ensuring a seamless implementation.
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ICHRA Administration

Our sister company, Control Source administers your ICHRA and will assist you in managing or making changes to your ICHRA Health Insurance offerings, making it easy to unlock the full potential of your ICHRA benefits. 

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Enrollment Assistance

We work with each of your eligible employees to help them pick and enroll in an individual/family health insurance plan that best fits their needs. Our expert team is here to answer questions, offer personalized advice, and support both employers and employees


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How do ICHRAs work?


  1. Determine eligible employees
    Would your employees (or subsets of them) benefit by offering an ICHRA rather than group health insurance? Or are you looking for a way to support employees, such as part-time or seasonal hires, who would not otherwise be covered by your group health insurance? Evaluate your subsets of employees and decide who will be offered the ICHRA and who, if any, can receive group health coverage.

  2. Set contribution limits
    Determine how much you are willing to reimburse your employees for annually. Employer contributions are typically made on a monthly basis.

  3. Choose complimentary employee benefits
    You can build an ICHRA so your employees are eligible to participate and receive the pre-tax advantages of HSAs and FSAs. Before designing your plan, now is the time to determine if you’d like to include other employee benefits with your offering.

  4. Notify employees
    You generally have to notify your employees of an ICHRA at least 90 days prior to the start of a plan year. Please note: For new hires and for employees who are newly eligible during the plan year, the ICHRA must provide notice no later than the date on which the ICHRA first takes effect for the participant.

  5. Design the plan
    Now, you can determine a number of the other customizable options with your ICHRA, including what the contribution limit is, when the ICHRA’s plan date begins and what expenses are eligible.

  6. Have your employees contact The CBC Health Insurance Marketplace to find an individual/family health insurance plan that fits their needs.
    Once your ICHRA’s plan year is underway, your employees can start seeking reimbursement for premiums paid for eligible individual/family health insurance. For each reimbursement, they must attest to having individual health insurance when the expense was incurred.

  7. Capture employee attestation
    In order to utilize ICHRA funds, employees must attest annually to having individual health insurance coverage.

  8. Claims/Premiums are reimbursed
    With an ICHRA, you’re reimbursing claims/premiums paid for eligible individual/family health insurance as they’re incurred rather than funding the account up front (like you would with an HSA or FSA). Our sister company, Control Source, will be the administrator and will make it easy for your employees to submit claims and receive fast reimbursement.

 

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Why ICHRAs are a winning solution for employees


  • Choices: How many people make use of everything their health insurance covers? Offering an ICHRA means your employees will shop for personalized, individual coverage that meets their needs through the CBC Health Insurance Marketplace for Costco members.
  • More can be covered: The percentage of private-sector employers who offer group health insurance has been declining in recent years. ICHRAs give those employers an opportunity to support employees who may otherwise be uninsured.
  • Portability: Employees can retain their individual health insurance, even if they change employers.

 

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ICHRA Health Insurance

 

 

ICHRA Health Insurance FAQs


  • What is an ICHRA and how does it work?

    Answer
    An Individual Coverage Health Reimbursement Arrangement (ICHRA) allows employers to reimburse employees for individual health insurance premiums and other qualified medical expenses on a tax-free basis, giving employees the freedom to choose the health plan that best fits their needs.
  • Who is eligible to participate in an ICHRA?

    Answer
    Any employee can be eligible for an ICHRA, but employers can design the plan to cover specific classes of employees, such as full-time, part-time, or seasonal workers. However, employees must obtain individual health insurance coverage to participate.
  • What expenses are eligible for reimbursement under an ICHRA?

    Answer
    ICHRA funds can be used to reimburse premiums for individual health insurance, Medicare, and, in some cases, out-of-pocket medical expenses such as copays, prescriptions, and deductibles, depending on the plan design.
  • How does ICHRA differ from a traditional group health plan?

    Answer
    Unlike traditional group health plans, ICHRA allows employees to choose their own individual health insurance plan. It offers more flexibility, as it can cater to diverse employee needs and doesn’t require a one-size-fits-all solution.
  • Can employees still receive premium tax credits if they participate in an ICHRA?

    Answer
    Employees who are offered an ICHRA cannot also receive premium tax credits for individual marketplace insurance, unless the ICHRA is deemed unaffordable. In such cases, the employee can opt out of the ICHRA and claim the tax credit instead.
  • What are the compliance requirements for employers offering ICHRA?

    Answer
    Employers must ensure that their ICHRA meets certain requirements, such as providing a formal notice to employees, adhering to nondiscrimination rules, and verifying that participating employees have qualifying health coverage.
  • Can an ICHRA be offered alongside a traditional group health plan?

    Answer
    Yes, employers can offer an ICHRA alongside a traditional group health plan, but they must be offered to different classes of employees, ensuring that employees in one class are not offered both options simultaneously.
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