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OverviewEmployers can provide tax-free reimbursement for qualifying medical expenses like premiums, copays, and more. |
Fixed CostsYes, employer determines annual amount paid out to employees. |
Employer ContributionsNo annual maximum |
ReimbursementDefined contribution |
EligibilityNo company size restriction. Some restrictions may apply. |
CoverageEmployees choose a qualifying health plan for accepted health care expenses. |
EnrollmentAvailable any time of the year. |
TaxesReimbursements are tax free. |
OverviewEmployers can offer and contribute dollars to insurance plans for their eligible employees. |
Fixed CostsNo |
Employer ContributionsUsually 50% of employee premium but may vary by state. |
ReimbursementDefined benefit |
EligibilityNo company size restriction. |
CoverageEmployees have a selection of plans to choose from with employer-selected coverage. |
EnrollmentAvailable any time of the year. |
TaxesEmployer contributions are generally not taxed. |
ICHRA | Group Insurance | |
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Overview | Employers can provide tax-free contributions for qualifying medical expenses like premiums, copays, and more. | Employers can offer and contribute dollars to insurance plans for their eligible employees. |
Fixed Costs | Yes, employer determines annual amount paid out to employees. | No |
Employer Contributions | No annual maximum | Usually 50% of employee premium but may vary by state. |
Reimbursement | Defined contribution | Defined benefit |
Eligibility | No company size restriction. Some restrictions may apply. | No company size restriction. |
Coverage | Employees choose a qualifying health plan for accepted health care expenses. | Employees have a selection of plans to choose from with employer-selected coverage. |
Enrollment | Available any time of the year. | Available any time of the year. |
Taxes | Contributions are tax free. | Employer contributions are generally not taxed. |
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