Information for Employers Offering Health Benefits to Employees

Helping Employees Access Health Insurance

Good benefits can help recruit and retain employees. Learn more about the health insurance needs of your small business.

Small Group Plans

Businesses with 1-50 employees may provide health insurance for staff and their families through a small group health insurance plan. Employers may purchase a small group health insurance plan directly from an insurance company or from an insurance agent or broker.

Individual Plans

Employees may purchase their own individual health insurance plan to cover themselves and their family members. If your employees do not have access to an affordable employer-sponsored health insurance plan, they may be eligible for federal tax credits to help them pay for an individual plan. All employees may shop for an individual plan and determine their eligibility for financial assistance through Washington Healthplanfinder.

Help enrolling in an individual plan is also available through Washington Healthplanfinder’s statewide network of customer support.

Health Reimbursement Accounts

A Health Reimbursement Account (HRA) is a vehicle that allows an employer to reimburse medical expenses of employees and their dependents. Generally, HRAs must be 100% funded with employer contributions, integrated with a health insurance plan offered by the employer, and in compliance with ACA rules (e.g., no annual benefit limits). For employees to participate in the HRA, they must also be enrolled in the insurance plan offered by the employer.

There are several types of HRAs. Two types of HRAs can be used to help pay for individual health insurance coverage but may reduce or eliminate tax credit for coverage purchased through Washington Healthplanfinder:

  1. Individual Coverage Health Reimbursement Arrangements (ICHRA)
  2. Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs)

Employers are cautioned to consider the financial impact an HRA could have on employees’ premium costs.

If your employees will be getting health insurance in the individual market, offering a QSEHRA or ICHRA could be detrimental to them. For QSEHRAs, employees who would be eligible for tax credits through the Exchange will either lose eligibility for tax credits entirely or have their tax credit reduced by the amount of the QSEHRA contribution. For many employees, coverage in the individual market may be more affordable without a QSEHRA, so they can take full advantage of federal tax credits for health insurance coverage. For ICHRAs, employees who would be eligible for tax credits through the Exchange could lose eligibility for tax credits.

Health Savings Accounts

A Health Savings Account (HSA) is a tax-favored bank account set up in an employee’s name and collects pre-tax contributions from both the employer and the employee, to be used to pay medical expenses of the employee and their dependents. For employees to participate in the HSA, they must also be enrolled in a qualifying High Deductible Health Plan (HDHP).

Additional Information: