ICHRA Budget Calculator

ICHRA allowance budget calculator: what would an age-based allowance cost?

Enter employees and the monthly allowance for three age bands to see the total cost, the comparison with your current group spend and the age variation check. Built for employers weighing an ICHRA.

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ICHRA Budget

Budget an age-based ICHRA allowance.

The bands and amounts are your design. The result updates as you type.

Your estimate

 

 

Total allowances per month
Current group plan cost per month
Difference per month
Oldest to youngest allowance ratio
Age variation check

A budgeting model, not a plan design. ICHRA rules are detailed, so review class definitions, notices and affordability with your advisor.

What is an ICHRA?

An individual coverage health reimbursement arrangement lets an employer reimburse employees for premiums they pay for individual market coverage. The employer sets an allowance and the employee chooses a plan. Employers can offer different allowances to different classes of employees, such as full-time and part-time, and the allowance can vary by age and by number of covered dependents within a class.

What is the age rule?

The allowance for older participants can be higher, but participants of the same age in a class must receive the same amount. The amount for the oldest participants cannot be more than three times the amount for the youngest. The calculator checks that ratio for the amounts you enter. Using the 21 to 34 band as the youngest and 50 to 64 as the oldest is a simplification.

Questions We Get

Common questions

Does an ICHRA replace our group plan?

It can for a class of employees. Many employers keep a group plan for some classes and offer an ICHRA to others, within the class rules. Owners should also check whether they can take part themselves: see ICHRA and QSEHRA Tax Treatment for Owners.

How do we pick the allowance?

Start from what you spend now and what individual plans cost for each age band in your area. Our ICHRA vs group plan calculator can help compare the two.

Do we need to check affordability?

Yes. Large employers must test the offer under the ACA employer mandate. Review the test with your advisor.

What notices are required?

Employees must receive a notice before the plan year. We can walk through the timeline with you.

Sources

Laws and rules referenced

26 C.F.R. § 54.9802-4 — Individual coverage HRAs: integration with individual market coverage and Medicare, classes of employees and notice.

This tool gives estimates for education, not tax or legal advice. Rules change, so confirm your situation with a qualified advisor.

Next Step

Talk to us about an ICHRA

Book a 30-minute call and we will look at your workforce, your current plan and whether an ICHRA fits. Visit us at 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304, or call 248.370.8853.

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Michigan41000 Woodward Avenue, Suite 350 East
Bloomfield Hills, MI 48304
248.370.8853
Colorado13540 Northgate Estates, Suite 100
Colorado Springs, CO 80921
719.425.2649
Texas16365 Park Ten Place, Suite 182
Houston, TX 77084
281.404.5670

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