When you’re focused on providing a well being reimbursement association (HRA) as a medical insurance choice for your small business, you’ve come to the correct place. However first, you have to know the distinction between an HRA and extra particularly, a QSEHRA– which is an HRA for small companies. 

Let’s dive into the distinction between a QSEHRA vs. an HRA. 


What Is an HRA, or Well being Reimbursement Association? 

An HRA stands for Well being Reimbursement Association. HRAs are tax-advantaged, employer-funded plans that work by reimbursing staff for his or her insurance coverage premiums and medical bills.

In order an worker, are you questioning tips on how to use HRA cash? It’s easy with an environment friendly HRA platform. Employers who provide HRAs set limits on cash to spend, then you definitely as an worker pay for medical payments, insurance coverage premiums, and so forth. 

As soon as paid for, receipts are submitted to the HRA and also you’re reimbursed for the funds! Plus, reimbursement {dollars} acquired by staff are tax-free. 

Employers providing HRAs usually select between the Certified Small Employer HRA (QSEHRA) or the Particular person Protection HRA (ICHRA).

HRAs are an excellent choice for employers due to their tax benefits, ease of funds, and suppleness they provide to staff.


What Is a QSEHRA, or Certified Small Employer Well being Reimbursement Association? 

As talked about, QSEHRAs are a kind of HRA plan that employers might select to supply their workers. QSEHRAs are particularly designed for companies with lower than 50 staff. 

When evaluating ICHRA vs. QSEHRA, the largest distinction to notice is that QSEHRAs are for smaller companies, and there are limits to stay to. ICHRAs then again don’t have any limits on the dimensions of the corporate, and there aren’t any annual contribution limits or worker maximums for protection. 

HRA reimbursement guidelines are in place to verify the rollout course of goes easily for the employer and worker. Some guidelines to notice are firm dimension, HRA enterprise proprietor eligibility, and HRA contribution limits. We’ll get into this in additional element later. 

Our HRA information at Take Command might help you higher perceive the main points of every of those guidelines earlier than implementing your organization’s HRA.


When you’re studying about HRAs, you’ve possible heard the time period HSA, or well being financial savings account. It’s possible you’ll be questioning– how do I evaluate an HRA vs HSA? Or can I’ve an HRA AND HSA? 

HRAs and HSAs are each tax-advantaged instruments staff can use to pay for out-of-pocket medical bills with a set quantity of funds. 

Nevertheless, HSAs are funded by each employer and worker, and the worker has instant entry to their account’s cash. Typically, HSAs include a debit card for comfort. 

HRAs are funded totally by the employer with no worker contributions, and cash is reimbursed after the worker pays their medical payments or premiums. 

When contemplating an HRA vs FSA– a versatile spending account– there are extra issues. FSAs are accounts that staff put cash into so staff pays for sure out-of-pocket medical bills. Employers can make a contribution to your FSA, however they aren’t required to take action. 

Take a look at these assets for extra data on HRA vs. HSA vs. FSA: 

There are execs and cons of HRAs vs. HSAs. Selecting which one is finest will depend on the dimensions of your small business and what well being protection and advantages you’re seeking to provide. 

QSEHRA Necessities

Certified Small Employer Well being Reimbursement Association necessities – or QSEHRA reimbursement necessities – should be met to proceed with providing an HRA to your staff. There are necessities for the employer AND the worker. 

QSEHRA eligible bills are: 

  • Physician’s visits
  • Medical go to copays 
  • Dental exams/cleansing
  • Eyeglasses 
  • Vital medicines or medical provides

For which of the next can funds from a QSEHRA be used?

  • Reimbursement for fee of medical insurance premiums
  • Reimbursement for medical/physician visits 
  • Reimbursement for prescription medicines 

So, what’s the supply for funding a QSEHRA?

Funding a QSEHRA comes from the employer, and employers set their reimbursement allowance. Staff then pay for his or her medical insurance premiums and different medical bills. After submitting proof of their medical insurance bills through an uploaded receipt,   their employers reimburse them for bills as much as the utmost allowance.  

Questioning tips on how to arrange a QSEHRA? We’re right here to assist. Join with certainly one of our HRA consultants immediately to get began together with your QSEHRA! 

A fast abstract of the steps for tips on how to arrange a QSEHRA are: 

  1. Design your reimbursement plan 
  2. Create the required authorized QSEHRA plan paperwork utilizing a QSEHRA plan doc template 
  3. Evaluate compliance with QSEHRA necessities 
  4. Set a begin date in your QSEHRA 
  5. Present required notices and assets in your staff to purchase their very own medical insurance plans 

The steps to arrange a QSEHRA might be outlined in your clearly if you work with us at Take Command, and we’re right here that will help you and your staff alongside the way in which. 


QSEHRA Limits 2023


We usually see a rise in annual QSEHRA charges on account of inflation. For the reason that starting of QSEHRAs, there’s been roughly a $100 enhance for people and a $150-$200 enhance for households every year. 


QSEHRA contribution limits are required for compliance together with your HRA.

The 2023 QSEHRA contribution limits are: 

  • People $5,850 or ($487.5/month)
  • Household $11,800 or ($983.33/month)

The QSEHRA 2023 limits will be in comparison with QSEHRA limits from 2022 right here: 

  • People $5,450/Yearly ($454.16/month-to-month) 
  • Household: $11,050/Yearly ($920.83/month-to-month) 

As you may see, a slight enhance in QSEHRA limits is noticed yr to yr. 

For extra particulars on HRA employer contribution limits for 2023, take a look at the 2023 QSEHRA contribution limits

As soon as the employer determines how a lot to reimburse– as much as these contribution limits– they’ll start with the QSEHRA setup course of. 

When establishing a QSEHRA in your firm, a authorized QSEHRA plan doc is a vital first step to administering your HRA to your small enterprise. 

The QSEHRA plan doc for employers is the authorized settlement together with fiduciaries, efficient dates, funding, eligibility necessities, and extra.

The QSEHRA plan doc for workers summarizes the plan and explains intimately how the worker can use and get essentially the most out of their HRA. 

Self-administered QSEHRAs aren’t really helpful on account of these vital steps and authorized necessities. We advocate utilizing an environment friendly HRA administration platform like Take Command to assist ease this course of for enterprise house owners– and to avoid wasting them time. 

QSEHRA Guidelines

When establishing a QSEHRA, employers, and staff should adjust to QSEHRA guidelines. As talked about, the QSEHRA limits of 2022 to the QSEHRA limits of 2023 have modified– they usually proceed to vary yearly. So it’s important to at all times concentrate on contribution limits from yr to yr. 

QSEHRA employer necessities– as talked about above– embody being a “small enterprise” with lower than 50 staff. Moreover, employers can not provide a bunch plan with a QSEHRA. 

QSEHRA necessities for workers embody having a person medical insurance plan, they usually should submit claims for reimbursement for eligible medical bills and premiums. 

To reiterate– for workers to obtain reimbursement from their QSEHRAs, they should be lined by a person medical insurance plan. And all certified particular person medical insurance plans should present QSEHRA Minimal Important Protection (MEC) as outlined by the IRS. 

MEC plans are: 

  • Main medical plans
  • Medicare 
  • Medicaid

QSEHRA administration platforms can information your staff in selecting the best medical insurance plan for themselves and/or their households. 

QSEHRA plan directors make the HRA course of a breeze for you and your staff. An HRA administrator is a web based platform or software program that handles the main points of HRA administration. They’ll provide help to navigate the HRA administration course of a lot simpler than self-administering your HRA. 

HRA directors like Take Command: 

  • Help with authorized and tax paperwork
  • Handle year-end reporting
  • Hold you in compliance with HIPPA and privateness insurance policies 


Abstract of HRAs: HRA for Dummies

HRAs– as we’ve discovered– are tax-effective, environment friendly, and versatile methods for corporations to supply worker medical insurance. Let’s take a closing dive into the HRA particulars on this HRA For Dummies part. 


Utilizing your HRA is straightforward as an worker. When you’ve established your medical insurance supplier, you pay for medical bills and premiums out of pocket. Then, you merely add your receipt of funds to your HRA administration platform, and also you’ll be reimbursed by means of your employer out of your HRA. 

HRA guidelines for employers embody setting reimbursement allowance limits, and with a QSEHRA, employers should solely have an organization of fifty staff or much less. 

HRA Execs and HRA Cons: 

Now, let’s evaluate the execs and cons of HRAs, extra particularly QSEHRAs: 

QSEHRA Execs: 

  • QSEHRAs permit small companies to assist staff with medical insurance prices
  • Small companies set a funds that matches their wants 
  • Worker retention is improved on account of wonderful well being advantages from a small enterprise 
  • QSEHRAs are easy and straightforward in your staff to make use of 
  • QSEHRAs permit tax-free reimbursements for his or her certified medical bills 
  • Staff get to select which medical insurance plan is finest for them they usually aren’t tied to at least one medical insurance choice 



  • Solely small companies with 50 staff or much less can provide QSEHRAs 
  • There are reimbursement most limits set by the IRS
  • Some places are higher for QSEHRAs than others relying on the present medical insurance market 
  • Insurance coverage premiums should be reimbursed, staff can not reimburse solely medical bills 

Ask our experts which HRA is best for your business

Can I withdraw cash from my HRA account?

HRA accounts are designed for reimbursement out of your employer 

When you’ve paid for medical bills/insurance coverage premiums and submitted the receipt, the cash withdrawals out of your employer-funded HRA to cowl the expense 

HSAs– then again– permit withdrawals out of your account with out taxes since you and your employer can contribute cash to them

For extra in-depth data on WHAT IS AN HRA VS. HSA, take a look at this weblog 

HRA account guidelines and rules are essential for correct QSEHRA administration to your staff. When you’re keen to start out providing a QSEHRA in your small enterprise, we’re right here that will help you ensure that the principles are adopted and the method is as straightforward as attainable. 

Nonetheless have questions on HRA vs QSEHRA?

For EVERYTHING you have to learn about QSEHRAs, take a look at our QSEHRA Information

Arrange a name with our staff of HRA consultants to debate your small enterprise and your HRA plan! 

At Take Command, we work that will help you navigate the HRA administration course of so it’s as easy as attainable. Prepare to supply aggressive medical insurance to your small enterprise staff to spice up their satisfaction and assist your organization flourish. 

Set up a QSEHRA today!


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