
For many employers, especially small and mid-sized businesses, traditional group health insurance has become expensive, rigid, and hard to manage. Premiums often increase unpredictably year after year, forcing tough budget decisions. Coverage can be restrictive—one plan rarely fits the needs of a diverse workforce spread across multiple states, with part-time or seasonal staff, or employees who want to keep their own doctors and prescriptions. Administrative burdens, compliance requirements, and low employee participation can leave employers paying more while their teams feel underserved.
Individual Coverage HRAs (ICHRA) and Qualified Small Employer HRAs (QSEHRA) address many of these challenges by flipping the model. Instead of one expensive group policy, employers set a predictable monthly allowance and employees choose the individual health plan that works best for their family, location, and providers. Funds are tax-advantaged, compliance rules are built in, and employees gain true choice. Employers can finally offer a benefit that scales across different workforce types—whether full-time, part-time, or multi-state—while keeping costs under control and administration simple.
(e.g., full-time vs. part-time, salaried vs. hourly, by location, etc.)
(limited adjustments for family size or age)
(can vary by class, age, or dependents)
(2025: $6,350 individual / $12,800 family)
(Marketplace or off-exchange), Medicare, and optionally other §213(d) medical expenses
Medicare, and out-of-pocket medical expenses
employees must attest to having qualified coverage
benefits coordinate with premium tax credits
Especially with diverse, multi-state, or mixed-status workforces
(<50 employees)

We work with you to set a monthly allowance and, if needed, create employee classes (full-time, part-time, seasonal, multi-state). The plan design is flexible and tailored to your budget..

Employees choose the individual health plan that fits their family, doctors, and prescriptions—either on the Marketplace, off-exchange, or Medicare (when eligible).

Employees submit proof of coverage or expenses, and you reimburse them up to their allowance. All payments are tax-advantaged and compliant with IRS rules.

Each year we revisit your allowance and employee needs, making sure the plan continues to meet your business goals and keeps your team supported.
Why it works: Employees choose what works best for them. You offer support, not restrictions.
Below are the most common questions employers ask as they explore these flexible, tax-advantaged alternative options. Please reach us at contact@bluejayadvisors.co if you cannot find an answer to your ICHRA or QSEHRA related question.
A Health Reimbursement Arrangement (HRA) is an employer-funded, tax-advantaged account that reimburses employees for health coverage and medical expenses. Unlike group plans, HRAs give employees the flexibility to choose their own coverage.
An ICHRA can be used by employers of any size, offers flexible employee classes, and has no set maximum contribution limits. A QSEHRA is only for employers with fewer than 50 employees, cannot be offered alongside a group plan, and has IRS-set annual contribution limits.
Yes — with an ICHRA, you can offer both, but not to the same group of employees. QSEHRAs cannot be combined with any group health plan.
You decide the monthly allowance for each employee or employee class. With ICHRA, you can vary amounts by classes, age, or dependents. With QSEHRA, allowances must be uniform (except for adjustments by family size or age, within limits).
Allowances typically reimburse individual health insurance premiums (Marketplace, off-exchange, or Medicare). Employers may also choose to allow reimbursement for out-of-pocket medical expenses under IRS §213(d).
Yes. All contributions are 100% tax-deductible for the business and tax-free for employees, provided they use the money for eligible health expenses.
Employees buy their own insurance or pay for eligible medical expenses, submit proof (like receipts or premium invoices), and the employer reimburses them up to their allowance through payroll or another system.
If an employee is offered an affordable ICHRA, they cannot also receive premium tax credits. For QSEHRA, employees may still qualify for subsidies, but the QSEHRA allowance is factored into the subsidy calculation.
Much lighter than traditional group plans. Employers set the rules, provide notices, and reimburse expenses, while third-party administrators (which Blue Jay partners with) handle compliance, claims, and employee support.
Blue Jay Advisors is ICHRA certified through Remodel Health, a leading TPA in the ICHRA space. We've developed countless ICHRA quotes and have led employers of all sizes through this process. We are here to help!
Blue Jay Advisors are committed to continuing education in all aspects of our work. Specific to ICHRA, we've obtained Remodel Health's ICHRA certification. This sets us apart from other agencies offering health insurance recommendations.

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