Florida small businesses have two primary paths to providing health benefits: a traditional group health insurance plan or a Health Reimbursement Arrangement (HRA). Group plans offer employer-selected coverage employees share; HRAs give employees funds to purchase their own individual coverage. Neither is universally better — the right choice depends on your employee count, budget predictability goals, and whether your team prefers plan choice flexibility.
| Feature | Group Health Plan | HRA (ICHRA/QSEHRA) |
|---|---|---|
| Minimum employees | 2 W-2 employees | 1 (ICHRA) / 1 (QSEHRA, under 50 FTEs) |
| Employer controls plan | Yes — employer selects carrier and plan | No — employees choose their own plans |
| Contribution cap | None | QSEHRA: $6,350/yr individual; ICHRA: no cap |
| Cost predictability | Moderate — annual renewal rate changes | High — employer sets fixed monthly amount |
| Employee plan choice | Limited to offered plans | Full marketplace flexibility |
| ACA subsidies for employees | N/A — group plan disqualifies subsidies | ICHRA eligible employees lose ACA subsidies |
| Tax treatment (employer) | 100% deductible (IRC §162) | 100% deductible |
| Administration complexity | Moderate | Low to moderate (QSEHRA) / Moderate (ICHRA) |
Shopping group health for your team
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