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Church health insurance and health insurance for pastors

Looking for an alternative health benefit to group insurance for your church employees? Or looking for the answer to the question of "Can a church reimburse a pastor for health insurance?" Health reimbursement arrangements may be just what you are looking for.  Read on for your best bet for affordable church health insurance.

Tight budgets, high turnover, burnout, and a community with diverse needs. Does that sound like your church? Good news. We've got a solution.

HRAs are increasing in popularity among pastors and church as group plans become more expensive. This arrangement is one way churches can offer group health coverage that's cost-effective health insurance for church employees.

It also provide a way for the church to take care of its dedicated team and be compliant with the Affordable Care Act (ACA), if a church has more than 50 employees. For small churches with less than 50 full time equivalent employees, it's not required but offering insurance coverage is certainly a good idea.

Can a church reimburse a pastor for health insurance? 

Yes! Offering an HRA is a great, tax-free way for a church to offer health care to their pastor. Offering health insurance benefits helps churches recruit and retain talented pastors, ensures that pastors are taking care of themselves, and protects them against the financial challenges that come with high medical claims. 

Affordable church health insurance and health insurance for pastors 

The most important thing about HRAs is that it allows churches to reimburse employees tax-free for individual health insurance premiums and medical expenses.

This is a big deal because churches can now offer "big company" employee benefits but with a lot less hassle. 

It also enables churches to adopt a strategy called "defined contribution" which is much simpler than hassling with one-size-fits all group health insurance plans and is proven to be much more efficient, affordable, and predictable.

There are two main types: Qualified Small Employer HRAs, specifically or small businesses, and Individual Coverage HRAs, for companies of all sizes without any contribution limits. 

Churches can now give their employees a fixed dollar amount each month, say $200, and each employee can then shop for the plan that fits his or her needs the best. Sally can choose a Blue Cross plan for her doctor, Roger can get Aetna to cover his prescription, and Betty can stay on her husband's  group plan.

Gone are the days of comparing quotes from each insurance company or the headache of trying to get everyone what they want without breaking the budget! And employees end up happier too.  

HRA Benefits for Churches: Predictable costs 

Defined contribution health benefits allow churches complete control over the costs of the health benefits, creating predictability with the health benefits budget. For example, with defined contribution health benefits: 

  • There are no minimum amounts to contribute (the church decides the amounts of the defined contribution allowances). 
  • Costs are not incurred until employees receive reimbursement  
  • Pre-funding accounts are not required 
  • Unused funds stay with the church 

Does your church qualify for an HRA?

In order to participate in the Health Reimbursement Arrangement, the following criteria need to be met.   

  • The church must make the same HRA contributions for all eligible employees. However, amounts may be varied based on family status or employment status such as clergy/pastor, full-time staff, or all staff.  
  • Employees use the HRA to reimburse health insurance premiums and other out-of-pocket medical expenses tax-free. 
  • Employees participating in an HRA are required to have minimum essential coverage and a quality health plan to receive HRA reimbursements.   

Take Command is here to help 

Does all of this sound complicated? Expensive? Here's some good news. With our help, this can be easy Our platform will handle all the accounting and legal legwork for the HRA, take care of onboarding each of your employees, and make tax time easy and painless. You'll never have to hassle with receipts or worry about setting up a health plan again.  

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This post was originally published in 2017 and has been updated in 2023 to reflect the exciting changes going on in the HRA world.