Toggle navigation
south carolina business health insurance

Embracing Change in Employee Health Coverage in South Carolina

The ever-changing landscape of health insurance has always been a pivotal aspect of the business environment. Employers constantly seek optimal strategies to provide their workforce with beneficial health coverage, ultimately affecting both their financial standing and the welfare of their employees. 

Today, South Carolina stands at the forefront of this evolution, boasting a diverse and rich health insurance marketplace. The wide range of insurance options, carriers, and plans available in South Carolina offers an adaptable environment that allows employers to tailor their healthcare benefits to their unique needs.

One innovation that is making significant waves in this versatile marketplace is Health Reimbursement Arrangements (HRAs). HRAs are employer-funded plans that offer a multitude of benefits, including flexibility, cost-efficiency, and personalization. In an era marked by increasing healthcare costs and a heightened desire for individualized health insurance choices, HRAs are a potential game-changer.

The vastness of South Carolina's health insurance marketplace is particularly beneficial for businesses interested in offering HRAs. The variety of plans available allows employers to fund HRAs that can accommodate an array of individual health insurance plans, giving their employees the freedom to choose a plan that best fits their needs. This can lead to greater satisfaction among employees and a competitive edge for businesses in recruiting and retaining top talent.

In this article, we'll delve deeper into the intricate health insurance marketplace in South Carolina, highlighting the benefits of HRAs for businesses and how to effectively implement them. We'll also draw comparisons between HRAs and traditional group health insurance plans, providing a comprehensive perspective on these two popular health benefit strategies. 

As we navigate this exciting frontier in health benefits, our goal is to equip South Carolina business owners with the information necessary to make informed health insurance decisions, potentially transforming their businesses and enhancing the lives of their employees.

SC Business Owners: HRAs Are the New Frontier for Health Insurance in SC 

As a business owner in South Carolina, providing quality health insurance to your employees is essential, but it can also be a significant expense. Fortunately, there are new options available to help you expand your offerings without breaking the bank. Health reimbursement arrangements (HRAs) are a relatively new type of benefit that allows you to reimburse your employees for their healthcare expenses.

One of the key advantages of HRAs is their flexibility. You can choose to offer an HRA that covers individual coverage, or one that covers family coverage, and you can set the reimbursement limits to fit your budget. Additionally, HRAs are tax-efficient, which means you can save money on payroll taxes while still providing valuable benefits to your employees.

By offering HRAs, you can optimize your benefits, control your budget, and ensure that your employees have access to quality healthcare. If you're looking for a cost-effective way to provide health insurance to your employees, an HRA may be the perfect solution for your business.

Want to know more affordable healthcare solutions for your business, and break away from the ever-increasing healthcare costs? Check out this article about small business health insurance in SC. 

Navigating the Evolving World of Health Insurance in South Carolina

South Carolina business owners – you're standing at the epicenter of one of the most diverse health insurance marketplaces around. Whether you're running a start-up or a long-standing corporation, there's a wide spectrum of health insurance plans waiting to be explored in our great Palmetto State.

From the renowned BlueEssentials, which often steals the limelight as the best health insurance in South Carolina, to those tailored BlueExclusive plans for specific counties, you have a virtual smorgasbord of options to fit your budget and meet the unique needs of your workforce. You've got your pick of the lot: PPOs, HMOs, high-deductible health plans (HDHPs), and even more. Each comes with its own set of pros and cons, so you'll want to put your thinking cap on when deciding what will work best for your team.

And don't think we've forgotten about Health Savings Accounts (HSAs) and HRAs! These innovative options let your employees save some green on healthcare expenses and offer sweet tax benefits for you and your crew.

Exploring HRAs in the SC Health Insurance Landscape

Now, you might be wondering, why does all this variety matter? Well, diversity is the spice of life, right? But more than that, a richly diverse health insurance marketplace gives you, as an employer, an opportunity to offer a unique and highly valued perk to your employees: HRAs. 

HRAs are like bright, shiny new toys in the realm of health benefits, providing a tax-free way for you to reimburse your employees' healthcare expenses. In the battle for top talent, HRAs could be your secret weapon. They're an attractive benefit that can help you draw in and retain the best of the best.

Offering HRAs means helping your employees stretch their dollars on healthcare costs and securing tax benefits for both parties. Sounds like a win-win, doesn't it? It's a powerful way to make your business stand out in a cutthroat job market.

South Carolina's vibrant and varied health insurance marketplace serves up a menu of options for businesses ready to offer health benefits. By truly understanding the needs of your employees and examining all available options, you can discover a plan that's just right for your business and your team. It's all about putting your people first!

Group Health Insurance: A Fresh Perspective from Your HRA Authority

Want the inside scoop on a traditional approach to employee health coverage? You’re in the right place! At Take Command, we’re experts in HRAs and HRA administration, and that also means we’re pretty good at deciphering traditional group health insurance plans, too. Because knowing the full health insurance in the SC landscape means we’re better equipped to help you make informed decisions.

So, group health insurance. If you've been leading a business for some time, there's a good chance you're familiar with this model. It’s the traditional, “way things have always been” approach to health insurance. But if you’re new to the scene and just starting to think about offering your growing team health insurance benefits, here’s how it works. 

Group health insurance operates a bit like a bulk purchase deal – it's a health insurance plan that you as an employer or organization offer to your employees or members. By banding together, the group often manages to secure lower premiums compared to what individuals would pay if they were to buy insurance on their own. The cost isn't determined by each person's health status but is based on the risk of the group as a whole.

Now, this model has its advantages. For you as an employer, group health insurance can act as a magnet, attracting top-notch talent to your team and helping you keep them onboard. And let's not forget, healthier employees usually mean fewer sick days and more productivity. For employees, group plans are often more cost-effective than individual ones, and they get to enjoy a more extensive range of benefits.

However, it's not all sunshine and rainbows. One significant drawback of group health insurance is the lack of flexibility. Employees may find themselves confined to a limited choice of doctors and hospitals and may not have the freedom to customize their coverage to fit their specific needs. Also, bear in mind that group plans are usually subject to annual renewals, which can lead to changes in premiums and benefits each year - a potential administrative headache for everyone involved. Not to mention, the rate increases are unpredictable – and astronomical for small businesses if you ask us – which leaves business owners in a lurch. 

While group health insurance plans have been the traditional choice for many businesses, they may not be the ideal solution for everyone. If you've been grappling with the rising costs and diminishing returns of group insurance, it might be time to consider a game-changing alternative. 

Enter Health Reimbursement Arrangements (HRAs), an innovative approach to health benefits that's gaining traction among savvy businesses. But, let's put a pin in HRAs for now - we promise we'll delve into them shortly! For the moment, remember, understanding the strengths and weaknesses of group health insurance is vital for making the most beneficial decision for your business and team. As your HRA authority, we're here to guide you every step of the way.

Exploring HRAs: The New Frontier in Health Benefits

HRAs are a type of employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses. HRAs are becoming more popular among small business owners in South Carolina as they offer a flexible way to provide health benefits to employees while controlling costs.

There are different types of HRAs, including:

  • Qualified Small Employer Health Reimbursement Arrangement (QSEHRA): This type of HRA is available to small businesses with fewer than 50 employees and does not offer group health insurance. The employer sets aside a certain amount of money each year for employees to use toward qualified medical expenses.

  • Individual Coverage Health Reimbursement Arrangement (ICHRA): This type of HRA allows employers to reimburse employees for individual health insurance premiums and other medical expenses. It is available to employers of any size and can be used in combination with group health insurance.

How HRAs Work

The way it works is pretty straightforward and simple (great for maxed out business owners!) HRAs work by reimbursing employees for qualified medical expenses. Employers set aside a certain amount of money each year for employees to use towards these expenses. Employees are usually required to pay for the expenses upfront and then submit a claim for reimbursement.

The employer determines the types of expenses that are eligible for reimbursement and the maximum amount that can be reimbursed. Any unused funds at the end of the year can be rolled over to the next year or forfeited, depending on the employer's policy.

Benefits of HRAs

There are several benefits to using HRAs as a health benefit plan for employees:

  • Cost control: Employers can set a budget for health benefits and only pay for actual expenses incurred by employees.

  • Flexibility: HRAs can be customized to meet the specific needs of the employer and employees.

  • Tax advantages: Employer contributions to HRAs are tax-deductible and employees do not pay taxes on the reimbursements.

  • Employee retention: Offering health benefits can help attract and retain employees, especially in a competitive job market.

HRAs are a new frontier in health benefits for small business owners in South Carolina. They offer a flexible and cost-effective way to provide health benefits to employees while controlling costs. By understanding the different types of HRAs and how they work, employers can make an informed decision about whether an HRA is the right choice for their business.

Delving Deeper: ICHRA and QSEHRA

Let's get to know two specific types of HRAs that are reshaping the health benefits landscape - the Individual Coverage Health Reimbursement Arrangement (ICHRA) and the Qualified Small Employer Health Reimbursement Arrangement (QSEHRA).

Individual Coverage Health Reimbursement Arrangement (ICHRA)

The ICHRA is a bit of a star in the HRA world, thanks to its flexibility and unlimited potential. As an employer, you can offer an ICHRA to all your employees or target specific classes of employees based on job criteria, like full-time vs. part-time status, geographic location, and more. An excellent choice for the mixed and modern workforce today. 

What's particularly appealing about the ICHRA is that you set the amount you're willing to reimburse each month, giving you a high degree of budgetary control. Employees can then use these funds to purchase individual health insurance or Medicare coverage and get reimbursed for eligible medical expenses. This allows employees to choose a health plan that best suits their personal needs, while you keep a steady handle on costs.

Qualified Small Employer Health Reimbursement Arrangement (QSEHRA)

QSEHRA is designed specifically for small businesses with fewer than 50 employees. Like the ICHRA, a QSEHRA allows you as an employer to set a budget for employees to use for health care costs. However, the QSEHRA has maximum annual allowances, unlike the ICHRA. 

This is a fantastic option if you're a small business owner looking to provide health benefits but want to avoid the high costs and administrative complexities associated with group health insurance.

Both the ICHRA and QSEHRA can bring immense value to businesses, and they cater to different needs, which makes it easy to find a fit for all kinds of businesses. By understanding their unique characteristics, you can make a well-informed decision about which HRA is right for your South Carolina business. And don't worry – we at Take Command are here to help you every step of the way!

Group Insurance vs. HRAs: Making the Best Choice for Your South Carolina Business

As you navigate the world of employee health benefits, you're likely facing a crossroads: Should you stick to the well-trodden path of group health insurance, or should you venture onto the new frontier of HRAs? It's a critical decision, and we're here to help you break it down.

Whether you're a seasoned business veteran or a fresh-faced start-up owner, this comparative analysis will equip you with the insights you need to make an informed decision. 

Weighing the Pros and Cons: Group Insurance vs. HRAs

Group health insurance plans are offered by insurance companies and cover a group of employees. The employer and employees share the cost of the premiums. These plans often have a limited set of providers and may require employees to pay a copay or deductible.

On the other hand, HRAs are employer-funded accounts that employees can use to pay for qualifying medical expenses. Employers can contribute to the account tax-free, and employees can use the funds to purchase individual health insurance or pay for out-of-pocket expenses.

One of the main differences between group insurance and HRAs is the level of control the employer has over the plan. With group insurance, the employer chooses the plan and the level of coverage. With an HRA, the employer sets the contribution amount and can choose which expenses are eligible for reimbursement.

Another difference is the level of flexibility for employees. With group insurance, employees are limited to the plan and providers chosen by the employer. With an HRA, employees can choose their own individual health insurance plan and providers.



Group Health Insurance

Health Reimbursement Arrangements (HRAs)




Cost Control



Employee Attraction & Retention



Administrative Effort



Tax Benefits



Remember, the "right" choice will depend on your unique business situation, your employees' needs, and your financial considerations. A health benefit strategy that works perfectly for one business may not be the best fit for another. Don't hesitate to seek guidance, and remember, we're here to help you navigate these decisions at Take Command.

{Talk to an HRA expert} 

Understanding HRAs and the Role of HRA Administration

An HRA is a type of employer-funded health benefit plan. As an employer, you set aside a specific budget each month for your employees. They can then use these funds to get reimbursed for eligible healthcare expenses, including premiums for individual health insurance policies. Sounds simple, right?

But, let's be honest, like anything related to health insurance, there's a bit more to it. That's where HRA administration comes into play. As the HRA administrator, our job is to handle all the nitty-gritty details to make the process as smooth as possible for you and your employees. From setting up the HRA plan, and clarifying which expenses are eligible for reimbursement, to processing reimbursements, we handle it all.

And now, let's talk about our role at Take Command. We're not just another HRA administrator; we like to think of ourselves as your HRA partner. We use our premier software to streamline the administration process, making it easy for you to manage your HRA and for your employees to submit their expenses.

But our role goes beyond just the software. Our team is made up of experts in the field, and we're dedicated to providing you with the support and guidance you need. We stay up-to-date with the latest regulations and trends in the health insurance world, so you don't have to. 

We believe that HRAs can offer a game-changing solution for businesses, providing a flexible and cost-effective approach to health benefits. And at Take Command, we're committed to helping you navigate this new frontier with confidence.

Why South Carolina Businesses Should Consider HRAs

As a business owner in South Carolina, you may be looking for ways to provide your employees with quality healthcare benefits while keeping costs under control. HRAs are an innovative solution that can help you achieve both of these goals. Here are some reasons why you should consider implementing an HRA for your business.

Why HRAs are a Game-Changer for South Carolina Businesses

South Carolina has a unique healthcare landscape that makes HRAs particularly relevant for businesses in the state. Here are some factors to consider:

  • High healthcare costs: HRAs can help offset these costs by providing tax-free reimbursements for eligible healthcare expenses.

  • Tax advantage: HRAs offer businesses a smart tax advantage when funds are used toward your HRA, as they can be deducted before taxes.

  • Attractive to employees: Offering an HRA can be a valuable recruitment and retention tool for businesses. Employees appreciate the flexibility and control that comes with an HRA, as well as the tax-free reimbursements for healthcare expenses.

The HRA Advantage in South Carolina 

For South Carolina business owners, the benefits of HRAs are becoming increasingly clear. These arrangements provide unparalleled flexibility, significant tax advantages, and real cost controls, making them a compelling choice in the diverse health insurance marketplace of SC. Pair that with Take Command's expertise in HRA administration, and the process becomes not only easier but optimized. Leveraging our premier software and comprehensive guidance, Take Command simplifies and demystifies the world of HRAs for businesses, ensuring you capture all the advantages without the typical administrative headache. 

As you look ahead, remember that your health insurance strategy should evolve with your business, and with HRAs and Take Command by your side, you're set for success.

Ready to get started on your HRA? Talk with one of our HRA administrators today! 

{Let’s get started!} 


Frequently Asked Questions

What are HRAs and how do they work for small business owners in South Carolina?

HRAs, or Health Reimbursement Arrangements, are a new type of health benefit that allows small business owners in South Carolina to reimburse their employees for medical expenses, including premiums for individual health insurance policies. With HRAs, employers can set aside a certain amount of money each year to reimburse employees for qualified medical expenses. This can be a great option for small business owners who want to offer health benefits to their employees but can't afford traditional group health insurance plans.

Can small business owners in South Carolina get tax benefits for offering health insurance?

Yes, small business owners in South Carolina can get tax benefits for offering health insurance. The Health Care Tax Credit for small businesses has been available since 2010. Beginning in 2014, the federal tax credit was increased from a maximum of 35% to up to 50% of your contribution toward employees' premium costs (up to 35% for tax-exempt employers). However, the enhanced tax credit is only available for small employers that purchase qualified health plans through the Small Business Health Options Program (SHOP).

What options are available for small business owners in South Carolina who can't afford traditional health insurance?

For small business owners in South Carolina who can't afford traditional health insurance, there are several options available. One option is to offer HRAs, as mentioned earlier. Another option is to look into alternative health insurance plans, such as short-term health insurance plans or association health plans. These plans may be less expensive than traditional health insurance plans but may offer less comprehensive coverage.

Are there any government programs in South Carolina that can help small business owners with health insurance?

Yes, there are government programs in South Carolina that can help small business owners with health insurance. One such program is the Small Business Health Options Program (SHOP), which is operated by the federal government and allows small businesses to purchase qualified health plans for their employees. Additionally, the South Carolina Department of Insurance offers resources and assistance to small business owners who are looking for health insurance options.

Can South Carolina employers offer retirement insurance benefits in addition to health insurance?

Yes, South Carolina employers can offer retirement insurance benefits in addition to health insurance. Retirement insurance benefits, such as 401(k) plans or pensions, can be a great way to attract and retain employees. However, it is important to note that offering retirement insurance benefits can be expensive and may require additional administrative work.

What are the benefits of using My Health Toolkit through PEBA for small business owners in South Carolina?

My Health Toolkit is a free online tool offered by the South Carolina Public Employee Benefit Authority (PEBA) that can help small business owners in South Carolina manage their health insurance benefits. With My Health Toolkit, small business owners can view their health insurance benefits, track their claims, and find in-network providers. This can help small business owners save time and money while providing their employees with quality health insurance benefits.


Let's talk through your HRA questions

Fill out the form below to connect with our team and see if an HRA is a good fit.