By Melissa Shimizu
Health Reimbursement Arrangements (HRAs) are account-based health plans funded with employer contributions to reimburse eligible participants and dependents for medical expenses.
Prior to the Affordable Care Act (ACA), HRAs were not uncommon. After the ACA, however, HRAs – which were classified as group health plans (GHPs) – had to satisfy the ACA’s market reform requirements, such as the prohibition against annual limits. Thus, unless an HRA was integrated with a GHP, HRAs usually could not satisfy these requirements alone.
On June 13, 2019, the Departments of Treasury, Labor, and Health and Human Services issued final regulations regarding HRAs, which will take effect on January 1, 2020. The regulations discuss two types of HRAs: (1) the individual coverage HRA (ICHRA); and (2) the expected benefit HRA. Generally, an HRA is an employer-sponsored plan that reimburses employees for qualified medical expenses.
An ICHRA can satisfy GHP requirements by integrating the HRA with individual market coverage or Medicare. The expected benefit HRA permits an employee to obtain excepted benefits like dental, vision, or short-term limited-duration insurance with an HRA. This article will focus on ICHRAs.
General ICHRA Requirements
In order to offer an ICHRA, employers must ensure that several requirements are satisfied. For example, all individuals covered by the HRA need to be enrolled in individual health insurance or Medicare. Additionally, before any reimbursements are made, the employer must substantiate such enrollment with documentation from a third party or the participant’s attestation. An attestation, however, must be disregarded, if the employer has actual knowledge that the individual is not enrolled in eligible coverage.
Additionally, HRA coverage must be offered uniformly on the same terms and conditions to all employees in the class. Classes will be discussed below, but the regulations permit an employer to increase the maximum benefit for (1) older participants if that increase applies to all similarly aged participants in that class, and (2) participants with more dependents.
Further, being covered by an ICHRA will make an individual ineligible for a Premium Tax Credit (PTC). For this reason, the regulations place the burden of numerous notice requirements on employers. First, employers must provide notice to eligible ICHRA employees 90 days before the beginning of a plan year that their participation in the ICHRA will make them ineligible for a PTC. For newly eligible employees, the notice must be provided no later than the date they are first eligible to participate. Moreover, there must be an opt-out provision provided at least annually and upon termination.
Defining A Class
The ICHRA regulations make it possible for employers to offer an HRA to a certain class of employees and a traditional GHP to another class. It should be noted that an employer may not offer the same class of employees the option of an ICHRA or a traditional GHP.
The regulations also provide strict rules regarding how to define classes. The minimum class size is based on the number of employees the employer has:
- If the employer has fewer than 100 employees, the minimum class size is 10;
- If the employer has more than 100 employees but fewer than 200, the minimum class size is 10% of the total number of employees; and
- If the employer has more than 200 employees, the minimum class size is 20 employees.
Additionally, classes must be based on named classes in the regulations, which are based on objective criteria:
- employees whose primary site of employment is in the same rating area;
- seasonal employees;
- employees covered by the same collective bargaining agreement sponsored by the employer;
- employees who have not satisfied a waiting period;
- non-resident aliens with no US-based income;
- employees hired by a staffing firm; and
- any group of participants that fit into two or more of the above classes.
The regulations also clarify that employers may still offer retiree-only HRAs, and they will not be subject to the ICHRA rules.
Given presence of a notice requirement, employers that would like to implement an ICHRA would likely have to start making plan design decisions soon. Even though the concept of an HRA may be familiar to many employers, these new regulations are nuanced, and employers will likely need assistance to navigate them.
The Editorial Team at Healthcare Business Today is made up of skilled healthcare writers and experts, led by our managing editor, Daniel Casciato, who has over 25 years of experience in healthcare writing. Since 1998, we have produced compelling and informative content for numerous publications, establishing ourselves as a trusted resource for health and wellness information. We offer readers access to fresh health, medicine, science, and technology developments and the latest in patient news, emphasizing how these developments affect our lives.