Understanding QSEHRA medical health insurance | How does it work?

QSEHRA (Certified Small Employer Well being Reimbursement Association) is a brand new, extra environment friendly manner for small companies to supply medical health insurance to their workers. A QSEHRA lets small companies supply well being advantages in a tax-efficient manner with out the additional problem and headache of conventional group insurance coverage, which largely don’t work for the trendy workforce anyway. 

All about QSEHRA medical health insurance

Such a well being profit is taken into account a Well being Reimbursement Association (HRA) since workers will cowl medical bills upfront, and employers will reimburse them. 

Workers like QSEHRA as a result of they get to decide on the well being protection that works greatest for them, as a substitute of getting caught with a one dimension matches all employer group plan, and get reimbursed by their employer for premiums and certified medical bills. 

So what’s the supply for funding a QSEHRA? QSEHRA advantages are fully funded by employers which implies employers are liable for overlaying the permitted reimbursement prices as much as the max allowance. This mannequin actually places the facility again to the individuals. 

QSEHRA medical health insurance is a brand new advantages mannequin that enables employers to contribute to medical health insurance that matches the employer’s price range and workers’ wants.

QSEHRA is a well being advantages sport changer in that it’ll allow employers the chance to offer well being advantages in a manner that works for them and the altering workforce panorama.

QSEHRA Eligible Bills

Whereas QSEHRA and conventional medical health insurance aren’t the identical, one similarity to medical health insurance is that there are particular medical bills that can be “lined” as decided by the plan, or on this case, QSEHRA. And with QSEHRA, you, the enterprise proprietor, get to resolve whether or not or to not reimburse for medical bills along with medical premiums, quite than an insurance coverage firm deciding what’s lined and what’s not. The remaining is left as much as the IRS.

So, what is taken into account a QSEHRA eligible expense? Workers can use their QSEHRA advantages to assist cowl any of the qualifying medical price outlined in IRS Publication 502. These could embody a medical health insurance premium, prescription and non-prescription medication, private hygiene merchandise, physician visits, dental and imaginative and prescient care, psychological well being care, and extra. Make it possible for the bills observe the rules by IRS Publication 502 Medical and Dental Bills. Take Command has a full record of particular issues that qualify as QSEHRA-eligible bills.

Ready to learn how much you can reduce benefits cost?QSEHRA Guidelines & Necessities

Many small companies and organizations love the pliability and freedom of providing a QSEHRA. Whereas there are a couple of necessities, this HRA is way simpler to manage and has fewer restrictions and hoops to leap by way of than conventional group medical health insurance plans. Right here’s what you have to know in regards to the QSEHRA necessities for employers and workers. 

Employer Necessities for QSEHRA 

QSEHRA is a superb choice for small companies which have fewer than 50 full-time workers. To qualify for QSEHRA and provides tax-free reimbursements, a small enterprise should meet these QSEHRA necessities:

  1. Be thought-about a small enterprise. The enterprise have to be a “small employer” in keeping with the IRS, which implies fewer than 50 full-time workers (outlined in IRS part 4980H(c)2).
  2. Your corporation should not have a gaggle well being plan. The small enterprise or non-profit can’t have a conventional group medical health insurance plan (outlined in IRS part 5000(b)) as a result of the aim of QSEHRA is to reimburse for an workers particular person medical health insurance and certified medical bills, not a gaggle. Nonetheless, this doesn’t apply to non-health group advantages like incapacity insurance coverage or life insurance coverage. 

Worker Necessities for QSEHRA

To obtain tax-free reimbursements from a QSEHRA, an worker should:

  1. Have particular person (or household) medical health insurance protection. So long as the worker is roofed by their partner’s plan, mother and father plan, or purchases their very own particular person plan, they will obtain reimbursement by way of QSEHRA. Plans should present Minimal Important Protection (MEC) as outlined by the IRS in Part 106(g). MEC plans embody main medical plans, Medicare, Medicaid, and many others. Religion-based sharing ministries, short-term plans, and indemnity plans aren’t MEC however might be able to be supplemented with a MEC providing to be able to qualify.  
  2. Submit a declare(s) for reimbursement to the QSEHRA administrator. Workers must submit claims and have proof of cash spent (save receipts!) on QSEHRA eligible bills. Then, the QSEHRA administrator will course of the declare and subject a test for reimbursement. 

Can Enterprise House owners Take part in QSEHRA?

Sure! A small enterprise proprietor can take part in QSEHRA in the event that they’re additionally an worker of the enterprise. The company construction of the corporate normally determines this.  If this is applicable to you, test the standing of your online business to know in the event you qualify. And even in the event you don’t, you might be eligible as self-employed and can deduct health insurance on your personal tax returns

→ Learn extra! Is a small enterprise proprietor eligible for QSEHRA? 

Are there limits to QSEHRA reimbursements? 

Small employers can set their reimbursement budgets nonetheless they need. Some employers contribute a couple of hundred {dollars} and others a couple of thousand {dollars}. 

The Take Command platform provides you an outline dashboard the place you may simply handle your HRA. And every month a report is generated that reveals you precisely how a lot to reimburse every worker and reveals historic reimbursements. 

With a QSEHRA, you may resolve what quantity to contribute to your worker’s well being care bills, as much as an annual most that the IRS units. Every year the QSEHRA reimbursement most will increase barely to regulate for inflation. In accordance with the IRS, right here’s what to anticipate in 2023. 

What are the IRS 2023 QSEHRA limits?

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

What have been the IRS QSEHRA limits 2022? 

  • People $5,450 or ($454.16/month)
  • Household $11,050 or ($920.83/month)

How To Set Up A QSEHRA

Following this information, you may learn to arrange a QSEHRA in 7 simple steps. 

  1. Ensure you’re an eligible employer. To be eligible, you could have fewer than 50 workers, not supply a gaggle medical health insurance plan, and should present QSEHRA to all workers. 
  2. Resolve the way you need to administer your QSEHRA. You may administer it your self (observe: not really helpful!) or rent a 3rd occasion to manage, like Take Command. Your administrator will assist you determine how you can arrange a QSEHRA that works greatest for you, perceive the QSEHRA limits, and what QSEHRA funds can be utilized for. 
  3. Resolve who can be eligible on your QSEHRA. Technically, you could supply it to all eligible workers, which implies all full-time workers. 
  4. Decide your QSEHRA reimbursement limits. There aren’t minimal contribution or participation necessities, however the IRS units a most reimbursement restrict. Additionally, ensure you create a constant reimbursement coverage that applies equally to all eligible workers. 
  5. Decide which bills you’ll reimburse. Will you reimburse medical health insurance premiums solely or insurance coverage premiums together with certified medical bills?
  6. Get squared away with authorized and paperwork. When you resolve a begin date, get all of your authorized paperwork so as and arrange a course of to run your QSEHRA. That is the place an HRA administrator may be tremendous useful. They’ll deal with the entire processes and authorized work and guarantee it goes easily. 
  7. Lastly, inform your workers in regards to the thrilling new well being profit! Ensure that they perceive what it’s and how you can use it. HRA directors like Take Command supply worker onboarding that covers all of this and extra. 

Wondering how our platform might work for you? Ask us. 


An HRA vs a well being financial savings account (HSA) are each well being reimbursement preparations that supply tax-advantaged methods for workers to save lots of for medical bills, however they accomplish this in several methods. An HSA lets workers put aside cash pre-tax to place right into a financial savings account that can be utilized for medical bills. 

An HRA is a office well being profit that the employer funds, chooses the reimbursement quantities and limits and offers workers with reimbursement for certified medical bills tax-free. 

  • HSA: workers’ cash is taken out of their paycheck straight and put into their well being financial savings account which they’ve entry to at anytime to cowl medical bills. 
  • HRA: employers put aside cash tax-free that isn’t taken out of workers paychecks. As an alternative, workers pay for his or her medical bills upfront and get reimbursed by way of the employers’ QSEHRA or different HRA. 


QSEHRA is a selected kind of HRA. HRA is the umbrella beneath which QSEHRA (and others) dwell. So in the event you’re making an attempt to resolve which HRA is best for you, examine the precise varieties, equivalent to ICHRA vs QSEHRA. And inside this, even if you wish to have a self-administered QSEHRA or have an HRA administrator. 

QSEHRA Administration at Take Command

First, what’s a QSEHRA plan administration and the way does it work? QSEHRA plan directors is the software program or platform that enables for tax-free reimbursement of medical bills and insurance coverage premiums for workers. Many QSEHRA suppliers discover that self-administration is time-consuming and extremely complicated. A QSEHRA administration associate, like Take Command, will make your life simpler by taking compliance, notifications, and reporting off your plate whereas supporting your workers with their onboarding, questions, and plan alternative. 

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