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qsehra plan administrators
Small Business

QSEHRA plan administrators: what to look for

As a health reimbursement arrangement, the qualified small employer HRA (QSEHRA) allows employers (with 50 full-time employees or less) to set aside a fixed amount of money each month that employees can use to purchase individual health insurance or use on medical expenses, tax-free. This means employers get to offer small business health insurance benefits in a tax-efficient manner without the hassle or headache of administering a traditional group plan and employees can choose the plan they want. However, administering your own QSEHRA isn’t a good idea. Here’s what to look for in QSEHRA plan administrators.

Getting started with a QSEHRA

To enjoy all the tax-advantaged benefits of the QSEHRA, all you have to do as a business owner is decide: 

  • How much to reimburse 
  • What to reimburse
  • Whether to include part-time employees
  • Whether or not to implement waiting periods
  • When to start

From there, you outsource certain administrative functions to save you time, energy, and in some cases, legal troubles. That's where QSEHRA plan administrators come in. 

Here's a more in-depth guide on how to set up a small business HRA.


What should QSEHRA plan administrators do?

Whether you decide to work with Take Command or another HRA administrator, there's a few things that the HRA provider should absolutely do for you. These are negotiable. Remember, there are some serious consequences to not following the rules effectively here.

  1. Take compliance, notifications, and reporting off your plate. 
  1. Support your employees with their onboarding, questions, and plan choice. 
  • Provide helpful educational material to communicate to your employees the benefits of their new HRA and how to get the most out of it
  • Support employees while they shop for an individual health insurance plan to use with their QSEHRA
  • Robust onboarding process
  • Answer questions along the way 
  • Easy platform to request reimbursements (like simply snapping a picture and uploading on phone)
  1. Make business owners and admins lives easier.
  • Easy and quick online signup process 
  • A customized admin portal to review and approve HRA documents, view monthly reimbursement reports, add/remove employees, manage subscriptions, update payment information, and see overview information about HRAs.

Are QSEHRA plan administrators necessary?

Many small business owners want to know: Can I administer a QSEHRA myself?  Our answer? It’s not a good idea. Here are a few very valid reasons why that isn't a great idea.

  • PRIVACY: Given the nature of a QSEHRA and the private health information involved filing reimbursements for qualified medical expenses, privacy is a big issue, even before we get into the whole HIPAA aspect of it. 
  • PAPERWORK: It's a hassle for employers to keep up with medical receipts and time-consuming to maintain them in a secure way.
  • HIPAA COMPLIANCE: Because small business HRAs are designed for companies with less than 50 employees, it doesn’t technically fall within many of the federal laws that affect health plans built for larger corporations. But that doesn't mean you are off the hook when it comes to HIPAA. All health plans, including those reimbursed through a QSEHRA, must observe the HIPAA Privacy Rule, regardless of the company's size. This rule protects patients' personal health information (PHI)such as a bill from a doctor's visit, an MRA scan, lab work results, etc.

Pro-tip: Take Command's platform drafts plan documents with HIPAA compliant language and instant updates, and takes care of QSEHRA administration requirements like reviewing documents that contain protected health information.

84% of our clients surveyed said they spend less than an hour each month administering their HRA. 

Make TCH your QSEHRA plan administrator!

To help your employees, we offer a data-driven platform to help them pick the best on- or off-exchange plan based on their preferred doctors, unique needs and prescriptions. 

Bonus: we are the only QSEHRA administrator that also offers individual health plans.

Our customized portal allows your employees to enroll in the HRA online, access their HRA documents, submit medical expenses, look up their membership benefits, and upload proof of coverage for compliance checks. 

For your business, we do all the heavy lifting:

  • We handle all the legal work and make tax season easy and painless 
  • Employee onboarding 
  • An easy and quick online signup process 
  • A customized admin portal for your business allows you to review and approve HRA documents, view monthly reimbursement reports, add/remove employees, manage subscriptions, update payment information, and see overview information about HRAs. 

Small Business