ICHRA and Employee Counts

Whether an employer is part of a larger group changes how its employees are counted.

Related companies can be combined when counting employees for the employer mandate. A center, shop or branch that is independent in daily life may still be part of a larger employer for these rules.

Ask Whether an ICHRA Fits

What To Know

What to confirm about the count.

Common Ownership

Companies under common ownership may be treated as one employer for counting.

Count Full-Time Equivalents

Count full-time employees plus the full-time equivalent of part-time hours.

The 50 Threshold

At 50 or more full-time equivalent employees an employer is a larger employer for the mandate.

Affects Affordability

Larger employers face penalties if coverage is not affordable. Smaller employers do not.

Franchises

Franchisees are generally separate employers unless ownership links them. Confirm with counsel.

Document the Structure

Keep a chart of entities and owners. Counsel needs it to confirm the count.

The Numbers

Two Different Counts for Two Different Rules

Shared ownership changes one count and not the other. For the ICHRA class rules the employer is the common-law employer. For the large employer test, related companies are added together.

Which rule counts what

Question Governing rule Related companies combined?
Which employees belong to which ICHRA class, and who receives the allowance 26 CFR 54.9802-4(d) No. The plan sponsor is the common-law employer, and related entities are not treated as one employer
Is the employer an applicable large employer 26 CFR 54.4980H-1(a)(4) and (a)(16) Yes. Entities treated as one employer under Internal Revenue Code sections 414(b), (c), (m) and (o) are counted together
Is the class large enough when a group plan goes to one class and an ICHRA to another 26 CFR 54.9802-4(d)(3) The test counts employees of the plan sponsor offered the ICHRA on the first day of the plan year

Sources: 26 CFR 54.9802-4 and 26 CFR 54.4980H-1.

How the large employer count works

A full-time employee averages at least 30 hours of service a week, or 130 hours in a calendar month. For each month, the hours of the employees who are not full-time are added, with each employee capped at 120 hours, and the total is divided by 120 to produce full-time equivalents. An employer whose average monthly count of full-time employees plus equivalents over the prior year is 50 or more is an applicable large employer. Hours of service include paid time off, and exclude bona fide volunteer hours and Federal Work-Study. Sole proprietors, partners and 2-percent S corporation shareholders are not counted as common-law employees.

Sources: 26 CFR 54.4980H-1(a)(15), (a)(21) and (a)(24), and 26 CFR 54.4980H-2(b) and (c).

An illustration with two related companies

Company A Company B Combined
Full-time employees 30 20 50
Part-time employees, average hours a month 6 at 80 hours None 6 at 80 hours
Full-time equivalents 480 divided by 120 is 4 0 4
Count for the large employer test 34 20 54

Illustrative. Neither company is an applicable large employer on its own. Together, with common ownership that meets the section 414 tests, they are. Each company still defines its own ICHRA classes as the common-law employer of its own staff. Whether the entities are a controlled group is a question for the company’s tax counsel.

Minimum class size when a group plan stays in place

The minimum class size rule applies only when a traditional group plan is offered to one class and an ICHRA to another. It is measured by the number of employees offered the ICHRA on the first day of the plan year, not by who enrolls.

Employees of the plan sponsor Minimum class size
Fewer than 100 10
100 to 200 10 percent of total employees, rounded down
More than 200 20

For a sponsor with 150 employees the minimum is 15. Source: 26 CFR 54.9802-4(d)(3).

Questions We Get

The questions employers ask about counting employees.

What counts as one employer?

Related companies can be combined under the controlled group rules. Counsel should review the structure.

How are part-time employees counted?

Their hours are converted into full-time equivalents for the count.

Why does 50 matter?

At 50 or more full-time equivalent employees an employer is a larger employer under the mandate.

Do franchisees count together?

Generally not, unless ownership links them. Confirm with counsel.

Does a center that is part of a group count the group?

It can, if the entities are related. Counsel should confirm.

Does the count change?

Yes. It moves with headcount, so recheck it each year.

Who does the count?

Your counsel and tax advisor confirm it, and we coordinate the headcount data.

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 →

Let’s Get to Work

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Contribution split by tier
Enrolled counts by tier

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