Rating area is tied to where an employee works under the rules, and it drives both the allowance and the plans available. Recording each location, including remote and multi-site staff, comes before setting any dollar amount.
Record the primary worksite for every employee. Rating area follows that location under the rules.
Employers with more than one site can set an allowance for each rating area. The calculator shows the cost of each.
Remote staff need a recorded location too. Counsel should confirm how rating area applies to them.
Drivers, field crews and traveling staff need a base location for rating purposes. Pick one and apply it consistently.
Premiums for the same plan differ by rating area, which changes the allowance needed to pass affordability.
When an employee moves, their rating area and allowance may change. Decide the process in advance.
A rating area is the region an insurer uses to price individual plans. The same plan can cost much more in one area than in the next, so an employer with more than one location needs a written rule for where each employee works and an allowance that works in every area.
The affordability test uses the lowest cost silver plan in the employee rating area. A site in a higher-priced area needs a larger allowance to pass than a site in a lower-priced one, even when the employees are paid the same. Location is also a permitted class, so an employer can set a different allowance for each rating area as long as everyone in the class is treated alike.
An employer pays its hourly staff $15 an hour and has one site in each of two rating areas. The premiums below are made up. The calculation uses 10.22 percent of $1,950, which is $199.29, as the most an employee should pay.
| Site | Silver premium (illustrative) | Smallest allowance that passes |
|---|---|---|
| Site A, lower-priced area | $480 | $280.71 |
| Site B, higher-priced area | $610 | $410.71 |
Illustrative only. The example uses the rate-of-pay safe harbor for an hourly employee, age and plan held constant.
If the employer set one allowance for both sites, it would have to use the higher figure to pass at Site B, and it would overpay at Site A. Setting two allowances by rating area keeps each site affordable without paying more than necessary.
Once the map is done, the calculator shows the monthly cost for each area, and our plan options page shows which carriers and networks exist near each location.
A geographic region that insurers use to price individual plans. Premiums can differ from one rating area to the next.
Yes. Location is a permitted class, and every employee in a class must be treated the same.
Record where each remote employee works and have counsel confirm how the rules apply.
Pick the primary worksite and apply the rule to everyone the same way.
It can, if the new location is in a different rating area. The plan should say when the change takes effect.
Yes. The test uses the lowest cost silver plan in each employee area, so costly areas may need higher allowances.
We map every location for you and flag the ones that need counsel.
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.
CMS: Individual Coverage HRAs →
U.S. Department of Labor: Employee Benefits Security Administration →
Which individual plans exist at each site.
Sort each employee group into a permitted class.
How employees compare and enroll in coverage.
Drivers, owner-operators and dispatch.
Part-time and seasonal store teams.
Field staff and variable schedules.
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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