An Individual Coverage Health Reimbursement Arrangement (ICHRA) allows Florida employers of any size to reimburse employees tax-free for individual health insurance premiums they purchase on their own. ICHRAs were established in 2020 and have grown in adoption among small businesses that want to offer health benefits without the complexity of sponsoring a group plan. There are no employer size requirements and no caps on reimbursement amounts.
| Rule | ICHRA Requirement |
|---|---|
| Employer size | Any size — no minimum or maximum employee count |
| Reimbursement cap | None — employer sets any monthly amount |
| Employee eligibility requirement | Employee must be enrolled in qualifying individual coverage (ACA marketplace or off-exchange) |
| ACA subsidy interaction | Employees offered affordable ICHRA lose eligibility for ACA premium tax credits |
| Employee classes | Can vary by defined class (full-time, part-time, seasonal, geographic) — cannot vary by individual |
| Notice requirement | 90-day advance notice to employees before plan year start |
| Tax treatment | Employer reimbursements are tax-deductible; excluded from employee income if employee is enrolled in qualifying coverage |
Setting up an HRA for your business
ICHRA administration platforms (PeopleKeep, Take Command Health, etc.) handle documentation, reimbursement tracking, and compliance for a monthly fee typically ranging from $15–$30/employee/month.
Compare both approaches side by side — no cost, no obligation.
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