ICHRA Hours and Mid-Year Changes

Part-time versus full-time and mid-year departures both depend on rules you write down before the year starts.

An ICHRA class often depends on hours worked, and employees leave or change status all year. A written measurement rule and a clear mid-year process keep treatment consistent.

Ask Whether an ICHRA Fits

What To Know

What to write down.

Pick a Definition

Write down how many hours separate full-time from part-time and apply it the same way to everyone.

Measure the Same Way

Choose a measurement method, such as a look-back period, and use it for every employee in the class.

Gaps Between Assignments

Workers with gaps between assignments or seasons need a rule for how time away counts.

Employees Who Leave

Decide when the allowance stops after a departure and how final reimbursements are handled.

Status Changes

When someone moves from part-time to full-time, the class and allowance may change. Decide the effective date.

Tell Employees

Employees should know the rules in writing. Put them in the plan document and the notice.

The Numbers

Measuring Hours: The Numbers Behind Full-Time Status

Three decisions drive nearly every hours question: how full-time is defined, which measurement method the employer uses, and how long a status holds once it is set.

The full-time definitions

Measure Threshold
Average hours of service per week At least 30
Hours of service in a calendar month 130
Optional weekly rule, four-week month 120
Optional weekly rule, five-week month 150

Hours of service include each hour paid or entitled to be paid for performing duties, plus paid time off for vacation, holiday, illness, layoff, jury duty, military duty or leave of absence. Bona fide volunteer hours and Federal Work-Study hours are excluded. Source: 26 CFR 54.4980H-1(a)(21) and (a)(24).

Two ways to measure

Under the monthly method, status is set by counting hours in each calendar month. Under the look-back method, the employer measures hours over a period and holds the result for a stability period. The look-back method applies to the employer shared responsibility payments and not to the large employer determination.

Look-back element Rule
Standard measurement period Chosen by the employer, up to 12 months, applied consistently within each category of employee
Administrative period Optional, up to 90 days, overlapping the prior stability period
Stability period for a full-time result At least six consecutive months, and no shorter than the measurement period
Initial measurement period for new variable-hour, seasonal and part-time employees At least three and no more than 12 consecutive months

Source: 26 CFR 54.4980H-3(c) and (d).

An illustrative twelve-month cycle

Period Dates What happens
Measurement November 1, 2026 to October 31, 2027 Hours are counted for each employee
Administrative November 1 to December 31, 2027 Status is determined and notices prepared
Stability January 1 to December 31, 2028 An employee who averaged 31 hours a week is treated as full-time all year, even if hours drop to 22 in June

Illustrative dates and hours.

What the ICHRA class rules add

The plan sponsor chooses its classes before each plan year, and they cannot change for that plan year. If the sponsor uses full-time, part-time and seasonal classes, all three must be defined under the same rule, either the section 4980H definitions or the section 105(h) definitions, and the plan document must state the definitions before the plan year begins. An employee who is not eligible at the start of the plan year gets a notice by the date coverage may first take effect.

Source: 26 CFR 54.9802-4(c)(6) and (d). How a status change mid-year affects a given employee’s allowance should be written into the plan document and reviewed by counsel.

Questions We Get

The questions employers ask about hours and mid-year changes.

Who decides how hours are measured?

The employer, in writing, within what the rules allow. Counsel should review the method.

Can I use a look-back period?

Many employers do, because it gives employees a stable class for a set period. Counsel should confirm the method.

What happens when someone leaves mid-year?

The plan should say when the allowance ends and how reimbursements for the final period are handled.

Can the allowance be prorated?

Many plans prorate for partial months, and the plan document should say so.

What if hours change?

The class changes when status changes under your written rule, applied the same way for everyone.

Do seasonal workers count?

Seasonal employees are a permitted class with their own rules.

Does this matter for staffing firms?

Yes. Staffing and project work involve gaps, so our staffing 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.

Sources

Where these details come from.

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 →

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