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The Difference Between

HRAs and Traditional

Group Coverage

If youre considering insurance options for your small business, you may be wondering if traditional group coverage through the Small Business Health Options Program (SHOP) or an individual coverage Health Reimbursement Arrangement (HRA) is right for you. There are a few major differences to consider when deciding which option is right for your business such as reimbursement model, coverage, and employer contributions.

If you are interested in an individual coverage HRA, consider the following factors:

  • You select how much money you contribute to your employees.
  • Employees can generally choose how they use an HRA, as long as they use it for qualifying health care expenses and they also have health coverage, like a plan from the Individual Marketplace.
  • Employers with an individual coverage HRA can contribute with no annual maximum.

If you are interested in traditional group coverage, consider the following factors:

  • There is no contribution requirement for SHOP coverage.
  • Employees have a plan or selection of plans to choose from that offer minimum essential coverage.
  • To be eligible for the Small Business Health Care Tax Credit, employers must contribute at least 50% of the cost of premiums for all full-time employees who enroll in SHOP coverage.

Click the button below to learn more about which selection might be best for your business. You can also find a listing of SHOP-registered agents or brokers by using our Find Local Help tool.

Button with text Explore Coverage Options for Small Businesses

Have questions? Contact your insurance company or a SHOP-registered agent or broker for help with SHOP coverage. For additional assistance, contact the SHOP Call Center at 1-800-706-7893 (TTY: 1-888-201-6445).

To learn more about HRAs, visit this webpage. Talk to a licensed tax professional, benefits specialist, or a registered agent or broker to find out more about whether an HRA or traditional group coverage is right for your business.


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