How HRAs affect premium tax credit eligibility

Mardy Gould • May 13, 2024

With a stand-alone health reimbursement arrangement (HRA), employers can reimburse employees tax-free for their healthcare costs. Unlike traditional group health insurance , HRAs allow employees to choose individual health coverage that meets their needs and use their employer-contributed monthly allowance to pay for more than 200 out-of-pocket medical expenses , including individual plan premiums.

Employees shopping for individual coverage can also get help with the cost of their insurance premiums through premium tax credits. The Affordable Care Act (ACA) created premium tax credits to discount individual health plans purchased on public health exchanges. If employees qualify for tax credits and are offered an HRA by their employer, there's some extra coordination that must happen.

How your employees must account for their premium tax credits will vary depending on what type of HRA you offer. In this blog, we’ll walk you through how premium tax credits work with stand-alone HRAs.

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