Finding the right solutions for your clients in the healthcare landscape can be challenging. For brokers navigating these complexities, harnessing the power of Health Reimbursement Arrangements (HRAs) presents a strategic opportunity to tailor healthcare offerings to their clients' specific needs while empowering employees with flexible benefit options.
The steps below ensure brokers and their clients can effectively leverage HRAs.
1. Start from a needs-based approach
2. Understand the full scope of HRA functionality
3. Partner with a full-service HRA platform
Consider posing these questions to your client. This will allow you to understand their unique needs and objectives in providing healthcare benefits to their workforce.
HRAs come in different forms, each with its unique characteristics. Here are the main types of HRAs:
Individual Coverage HRA (ICHRA)
The ICHRA is a versatile option that allows employers of any size to offer individual health insurance coverage to employees while providing reimbursement for premiums and other eligible medical expenses. The ICHRA will enable employees to choose and purchase their preferred health insurance plans tailored to their needs. The ICHRA also allows employers to categorize employees into different classes based on criteria such as full-time status, geographic location, or job position, allowing for customized healthcare options that meet the diverse needs of their workforce.
Standard Health Reimbursement Arrangement (HRA)
The Standard HRA, or Group HRA, is a traditional employer-funded arrangement where the employer sets aside funds to reimburse employees for qualified medical expenses. It gives employers control over the contribution amount, covered expenses, and rollover provisions.
Qualified Small Employer HRA (QSEHRA)
The QSEHRA is explicitly designed for small businesses with fewer than 50 full-time employees. It allows eligible employers to reimburse employees for qualified medical expenses, including health insurance premiums, up to a set annual limit. For 2024, the contribution limits for a QSEHRA are $6,150/year for individual coverage and $12,450/year for family coverage. The QSEHRA offers a cost-effective solution for smaller businesses looking to provide healthcare benefits to their employees.
Excepted Benefit HRA (EBHRA)
The EBHRA is a limited-purpose HRA that provides additional benefits beyond the primary health plan. It typically covers expenses like vision, dental, or specific wellness services. EBHRA serves as a supplement to the primary health insurance plan, giving employees access to additional benefits.
Consider factors such as the client's budget, employee demographics, and existing healthcare offerings to determine alignment with their goals, ensuring that the chosen HRA solution meets their immediate needs and supports their long-term objectives for employee benefits.
Eligible medical expenses include premiums for individual health insurance plans, deductibles, copays, and out-of-pocket costs. Learn more about eligible medical expenses on our blog Qualified Medical Expenses an HRA Covers.
Explore different structures and variations of HRAs, such as Standard HRAs, QSEHRAs, ICHRAs, and EBHRAs, based on factors like company size and desired benefit offerings, allowing for a tailored approach that optimally addresses the unique needs of each client's workforce.
Different types of HRAs offer unique benefits, such as cost-effectiveness for small businesses (QSEHRAs), flexibility in plan customization (ICHRAs), and supplemental benefits (EBHRAs), catering to diverse workforce needs.
When seeking a full-service HRA platform, prioritize providers offering comprehensive services, including expertise in designing, implementing, and administering various types of HRAs tailored to your client's unique requirements. This ensures a seamless and customized experience from start to finish. Learn more about Liferaft's Broker Partnerships.
Our team knows the ins and outs of the health insurance marketplace and will guide you towards the solution that make the most sense for your business and your team. Come with questions! Our experts are happy to dig into the details to get you the clarity you need.
During the call, Liferaft will run a cost-benefit analysis on your company's current healthcare spending and show you different ways you can save—without sacrificing plan quality. After your consult, Liferaft will design a unique plan for your employee's health insurance, including suggested plans and accounts, plan policy documents, and the annual budget.