“Health Insurance Options for Small Business Owners”

There are more options than ever before for those who own a small business. The days of the rigid, expensive, one-size fits all group plan are over. You can offer your employees flexible, customisable, and tax-free reimbursements of medical insurance with HRAs. In many cases, homeowners can also participate. Check out the options for health insurance available for small business owners.

Options for health insurance coverage for small business house owners

  1. Group insurance coverage: Small-group insurance has traditionally been the primary option for many small employers that need to provide health benefits for their employees. Kaiser Household Foundation reports that around half of Americans are covered by their employer’s plans. The plans are known, they are tax-free and have stable products. They are proven to be an effective retention technique. But they’re not the only option.The fact that they are expensive, unreliable, and one-size fits all is a good thing. Premiums can increase every year. As an owner, you also need to worry about participation fees. Remember that since all your employees will be in the same risk pool, a sick employee means higher costs. Standard small group plans separate patients from the process; they swipe their cards and are not empowered with making smart financial decisions. This approach would be detrimental to an already expensive healthcare system.
  2. Self-funded plans. Technically speaking, self-insured companies pay claims directly out of their own pockets when they arise. This is in contrast to paying a predetermined amount to a provider as part of a small-group plan. A large company will often use this type of plan to control their healthcare costs and manage their own risk pool. This type of plan is administered by a third party administrator (TPA). This type of plan is more customizable for your team, allows you to maximize your interest revenue and has no pre-funding.
  3. Health Reimbursement Associations (HRA) are a tax-advantaged alternative to traditional insurance. The reimbursement model is simple: an employer determines the amount of money to be contributed every month. They then provide their employees with standard details about how HRAs work and outsource some administrative duties like verifying coverage. The employee chooses the plan that is best for them. They submit receipts (if applicable) for their premiums and medical bills. It’s incredibly easy.

HRAs The best healthcare options for small businesses

ICHRA : The person safety HRA reimburses employees for insurance coverage, rather than purchasing it for them. It also has a design feature that allows house owners to scale benefits by class.

  • This program offers the greatest flexibility. With 11 ICHRA worker courses, employers can decide, for example, how much to reimburse for full-time vs. part-time workers, seasonal employees, and salary vs. not-salaried employees.
  • ICHRA is a resource for companies of all sizes, from start-ups to large corporations.
  • There is no limit to the amount of reimbursement.
  • A gaggle plan can be combined with

QSEHRA : The certified small employer HRA is a tax-free way for small employers to set aside money each month to pay medical expenses or to purchase individual medical insurance.

  • This is a great tool for small businesses that have fewer than fifty employees.
  • QSEHRA contribution limitations (for 2022): for a person, $5,450/yr. For a family: $11,050/year.
  • A gaggle plan cannot be combined with
  • Unlike ICHRA, QSEHRA reimburses are the same for everyone, but they may vary by household size and age.

We now have FAQ pages and complete guides for ICHRA/QSEHRA (right here, and here), as well as a guide to ICHRA/QSEHRA (right here).

Small business proprietors medical health insurance HRA eligibility

The plan and business structure will determine whether or not self employed house owners are eligible to participate in HRA.


Partnerships: Partners are taxed immediately, making them self employed and ineligible for participation in either ICHRA or QSEHRA. The QSEHRA loophole: If the associate’s worker is not an associate partner, but a W-2 employee (and never was one), then the proprietor may be eligible to participate in the QSEHRA program as the dependent of that partner.

Firms (along with C-Corps and B-Corps as well as Non-Earnings LLCs that are taxed under C-Corps) The easiest entity type to handle in medical insurance is a firm. This is because owners are considered employees and can benefit from the QSEHRA of ICHRA of the company. They can also benefit their dependents, and any W2 employees.

S-Corps – An S-Corp owner who owns more than 2% in the company is considered self-employed, and not an employee. They are therefore sometimes not eligible to participate in the HRA. Self-employed individuals can deduct certain medical insurance costs without an HRA.

Soldiers: These unincorporated businesses are owned and run by a single person, with no distinction made between business and owner. It’s simple: the sole proprietor is not an employee and will not qualify for HRA.

Take Command can help house owners who are small business!

We always advise our clients to speak with their CPA before jumping in. However, we are available to answer any questions you may have about your business and how HRAs can help. Our team is here to help you if needed.

Remember, what works for one company may not work for another. Consider your company’s unique make-up as well as your local market conditions to determine the most effective plan for your business.