Sole proprietors, partners and some S corporation shareholders are generally not treated as employees for these benefits. Reviewing their treatment with counsel and your tax advisor keeps the plan clean.
A sole proprietor is generally not an employee of their own business for this purpose.
Partners in a partnership are generally treated the same way. Their coverage is handled separately.
Shareholders who own more than two percent of an S corporation are generally treated like partners for benefits.
Spouses and relatives of owners can have different tax treatment. Review them separately.
Find out how owners are covered now before deciding whether they stay outside the ICHRA.
Treating owners differently without a clear basis can create problems for the whole plan. Document the reasoning.
Owners are the people most likely to ask whether they can take the allowance. The answer depends on two separate rules, one for counting employees and one for how owner health benefits are taxed.
For the large employer count, an employee is a common-law employee. The regulation excludes leased employees, sole proprietors, partners and 2-percent S corporation shareholders from that definition. A family member who works in the business and is an employee under the common-law test is not on the excluded list.
| Person | Counted as a common-law employee for the large employer test? |
|---|---|
| Sole proprietor | No |
| Partner in a partnership | No |
| 2-percent S corporation shareholder | No |
| Non-owner employee | Yes, if common-law employee |
| Family member who is a common-law employee | Yes |
Source: 26 CFR 54.4980H-1(a)(15). Counting rules for the large employer test are separate from who may receive a tax-free reimbursement.
Under Notice 2008-1, a 2-percent shareholder of an S corporation is treated as a partner for employee fringe benefit purposes. Health premiums the corporation pays or reimburses on proof of payment are included in the shareholder’s wages on Form W-2 for income tax withholding. They are not excluded under section 106, because a 2-percent shareholder is not an employee for that section. The shareholder may deduct the premiums under section 162(l), subject to limits. The notice describes premium payments and reimbursements for individual policies and does not address health reimbursement arrangements.
Source: IRS Notice 2008-1. Because the notice does not address HRAs, whether and how an owner takes part in an ICHRA is a question for the company’s CPA and counsel before the plan document is written.
Often not. Owners may follow different tax rules, so counsel and your tax advisor should review them first.
Partners usually buy coverage separately, and the treatment is set with your tax advisor.
Family members who are bona fide employees may be treated differently. Review each case.
It can affect how the plan is tested, so we model it before you decide.
Only if a permitted class fits. Counsel should confirm.
Your tax advisor does, and we coordinate with them.
Yes. Partners and owners are common there, so our professional services page covers it.
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 →
Counting employees across related entities.
Who is eligible for an allowance.
Test the ACA affordability rule class by class.
Partners, associates and support staff.
Clinical staff, owners and associates.
Agents, managers and on-site staff.
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