An individual coverage HRA lets a retailer set separate allowances for store managers, full-time associates, part-time staff and seasonal hires, and vary them by store location. The work is in the class design and the affordability math.
Federal rules allow full-time and part-time classes. A retailer can offer a different allowance to each, as long as everyone in a class is treated the same.
Stores in different markets face different individual premiums. Allowances can vary by rating area, so a store in a costly area is not priced like one in a cheap area.
Seasonal employees are a permitted class. A defined allowance gives the employer a known cost for the holiday headcount.
An employer can set a waiting period of up to 90 days, which matters where early turnover is high.
Salaried and hourly are permitted classes, so district and store managers can have a different allowance from hourly associates.
An ICHRA is not right for every retailer. We compare it with the group plan side by side.
Retailers with 50 or more full-time equivalent employees must offer an affordable allowance. Variable schedules make it important to test each class.
Hours move week to week, and the ACA look-back measurement method affects who counts as full-time. Review it with counsel.
Rules tie the rating area to the employee location. Employees who work at more than one store need a written rule.
Part-time and younger staff often have never bought individual coverage. Enrollment support affects take-up.
Employees need an ICHRA notice at least 90 days before the plan year, so planning has to start well before the holiday season.
Some retailers keep a group plan for managers. Class lines must be set carefully and reviewed by counsel.
Tie each person to a store so the rating area rule is clear.
Write the definition down and test it against actual schedules.
Model peak and off-peak headcount, not one average.
Plan enrollment support before the notice goes out.
If you have 50 or more full-time equivalents, test each class.
Compare the two before you decide.
Yes. Full-time and part-time are permitted classes, and every employee in a class must be treated the same. Counsel should review the definitions.
Allowances can vary by rating area within a class, based on where the employee works. The rule should be written and applied consistently.
Seasonal employees can be their own class, and a waiting period of up to 90 days can apply to new hires. Confirm the definitions with counsel.
It can, but the allowance has to meet the ACA affordability test for the year, so model each class. The 2027 affordability percentage is 10.22%.
Variable hours can change who counts as full-time under the ACA. Decide your measurement method with counsel before the plan year.
Employees must receive an ICHRA notice at least 90 days before the plan year starts, and they need time to shop. Plan well ahead.
Employees receive the ICHRA notice, and other compliance notices may still apply. See our employee notices page.
General information about individual coverage HRAs, not legal or tax advice. Plan-specific questions belong with ERISA counsel and your tax advisor, and we will bring them in.
This page summarizes public guidance reviewed in October 2026. Rules change, so confirm current requirements with counsel. Federal agencies now also call ICHRAs CHOICE Arrangements; the rules are unchanged.
CMS: Individual Coverage HRAs →
U.S. Department of Labor: Employee Benefits Security Administration →
Tipped, hourly and seasonal staff.
Small crews across many trades.
Internal staff and placed employees.
Commission pay and variable hours.
Plants, shifts and bargaining units.
Compare all seventeen workforces side by side.
We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.
The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier
Four documents — two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.
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