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Offer health benefits for your Team - Without a Group Plan

Find out more

Alternative Coverage Options for Employer Groups

The Problem

The Problem

The Problem

  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.

The Solution

The Problem

The Problem

  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.

ICHRA vs. QSEHRA Comparison

Feature

ICHRA

QSEHRA


Employer Size

Available to employers of any size

Only for employers with fewer than 50 employees


Flexibility & Classes

Employers can create up to 11 employee classes

 (e.g., full-time vs. part-time, salaried vs. hourly, by location, etc.) 

Must be offered on the same terms to all eligible employees

 (limited adjustments for family size or age) 


Contribution Rules

No annual maximum; employers choose allowance levels

 (can vary by class, age, or dependents) 

Annual IRS limits apply

 (2025: $6,350 individual / $12,800 family) 


Eligible Expenses

Individual health insurance premiums

 (Marketplace or off-exchange), Medicare, and optionally other §213(d) medical expenses 

Individual health insurance premiums

 Medicare, and out-of-pocket medical expenses


Compliance & Notices

Requires formal plan documents and annual written notice

 employees must attest to having qualified coverage 

Requires formal plan documents and annual written notice

benefits coordinate with premium tax credits 


Best For

Employers of any size needing flexibility

Especially with diverse, multi-state, or mixed-status workforces 

Small businesses who want a simple, tax-advantaged alternative to group

 (<50 employees) 

How it Works

Design

Reimburse

Design

  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..

Enroll

Reimburse

Design

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

Reimburse

Reimburse

Reimburse

  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.

Review

Reimburse

Reimburse

  Each year we revisit your allowance and employee needs, making sure the plan continues to meet your business goals and keeps your team supported.

Who Benefits Most from ICHRA or QSEHRA?

These reimbursement models work especially well for;

 

  • Small to mid-size employers (2–250 employees)
  • Multi-state, part-time, or seasonal teams
  • Businesses facing renewal shocks or low group plan participation
  • Employers seeking ACA compliance without group plan complexity

If your team needs flexibility, cost control, and coverage choice, this model delivers.

 Why it works: Employees choose what works best for them. You offer support, not restrictions. 

Frequently Asked Questions

 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!


ICHRA Certified

We've Gone The Extra Mile

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. 

Contact Us to Begin Your Alternative Coverage Journey

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