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QSEHRA Administration

Easy, tax-free health insurance reimbursement

Reimbursing your employees tax-free through a Small Business HRA (Qualified Small Employer Health Reimbursement Arrangement) has never been easier. Design and launch your QSEHRA plan in minutes with our HRA administration platform.

  • Manage benefits for an hour or less per month
  • Offer health insurance on your budget & save on taxes
  • Boost recruitment and retention in tight hiring market
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We make QSEHRA easy

Custom Design

Design the ideal QSEHRA for

your team in just a few clicks.

Simple, Yet Smart

Easy-to-use, mobile-friendly

interface for everyone.


No setup fees. No long-term contracts.

Simple pricing.


See how our QSEHRA setup process works

Get up and running in 1-2 minutes. Seriously, it's that easy.

Design your Qualified Small Employer HRA

Get started by answering a few questions about how you'd like your QSEHRA to work. We'll create your legal plan documents and handle the paperwork and accounting for no cost. We put you in control and allow you to choose:

  • How much to reimburse
  • What to reimburse
  • Whether to include part-time employees
  • Waiting periods
  • When to start
  • + more
Learn more about design rules

We'll onboard your employees to the HRA administration platform

Once your plan documents are finalized, we'll send out all of the IRS required communications to your employees, automatically.

And if employees have questions? We're here to help! We'll help employees setup their existing health plan for reimbursement or shop for a new one that covers their doctors and prescriptions. Our licensed health professionals are eager to help employees optimize their QSEHRA reimbursements.

Learn more about our enrollment team

Employees request reimbursements

Employees request reimbursement for insurance and medical bills (if allowed in your QSEHRA design) by snapping photos of receipts on their phones. No credit cards or complicated forms to hassle with.

We'll handle all of the record-keeping and send you (and your accountant or payroll specialist) a report each month. Never hassle with receipts or worry about privacy issues or compliance!

Simple QSEHRA Administration pricing

Get Started
Starting at
Per Employee
  • Personalized onboarding & support
  • Hands-on shopping guidance for employees
  • Customizable HRA design

qualified small employer health reimbursement arrangement questions?

Let's Connect

Is an HRA right for you? Tell us a little bit about you, and we'll connect you with the right people.

Employer & Admins

Are you an Employer or Company Admin interested in an HRA for your company? Let's talk!

Brokers & Partners

Are you a Licensed Broker or another Referral Partner interested in a partnership with Take Command? 

We look forward to talking with you.

To save some back-and-forth scheduling, please select a time below that works for you. We'll give you a ring!

We look forward to talking with you.

To save some back-and-forth scheduling, please select a time below that works for you. We'll give you a ring!

Are you a broker or benefits consultant? Please check out our broker partner onboarding program before scheduling a call. Thanks!

QSEHRA Administration

QSEHRA administration is an important part of offering a Qualified Small Employer HRA. If you are considering reimbursing your employees tax-free for health insurance through a Qualified Small Employer HRA (QSEHRA), you're probably wondering what to do about compliance, tax-time paperwork, onboarding, and other things you don't have time for. Here's how QSEHRA administration can take those things off your plate.

QSEHRA Administration at a glance 

There's a growing trend among small business owners to forego the traditional, one-size-fits-all employer-sponsored group plans and opt for a reimbursement model, sometimes called a defined contribution model or 401(K) style benefits.

Employees purchase an insurance plan that works best for them, employers reimburse them for the cost through a health reimbursement arrangement designed especially for small businesses with less than 50 employees. HRA administrators like Take Command help ensure it's easy and simple for everyone with seamless QSEHRA management. 

It's easy to see why a QSEHRA is appealing. It's budget friendly. It's efficient. It's flexible. It's predictable. 

But many considering this option start to wonder how easy it is to set up a QSEHRA and what the upkeep looks like in an already crammed schedule. We're here to tell you that using a QSEHRA administration tool, QSEHRA administration platform, or third-party HRA administrator (like Take Command) will save you time, headaches, and even penalties if you have trouble correctly navigating the compliance requirements and complex rules. A QSEHRA administration tool will do  the heavy lifting for you.

QSEHRA Administration Setup

To get set up a small business HRA, all you have to do is decide: 

  • How much to reimburse each month
  • What to reimburse (premiums, qualified medical expenses, spouse plan premiums)
  • Whether to include part-time employees
  • Whether or not to implement waiting periods
  • When to start offering your QSEHRA

That's it. Check it off your list. You're done.

Do I need a QSEHRA administration tool? 

We get a lot of folks asking whether or not they can administer their own QSEHRA.

Our best advice?

Don't even think about it.

For one, since we are dealing with health insurance and employees' health, privacy is a big deal. Things could get pretty uncomfortable for everyone involved. Then there's the whole issue with the HIPAA Privacy Rule, which is another layer of protection for employees' private health information. It's also time consuming for business owners to keep up with the medical receipts, maintain all the health information in a secure way, and handle the paperwork that comes with it.

If you have a misstep, civil penalties can range from $100 to $50,000 per incident with no jail time to more serious offenses resulting in up to $250,000 in fines and 10 years in prison, especially if information was taken under false pretenses or disclosed on purpose. No thank you.

Have we convinced you? We thought so. Save yourself the energy and potential violation penalties and use a third-party administrator. 

What should a QSEHRA administration tool do?

While not all administration tools are the same, there are certain things that every HRA administer should do. Remember these as you research the best benefits software for companies like yours.

Help business owners navigate the process from start to finish

  1. QSEHRA Legal Plan Documents
  2. Employee MEC Verification
  3. IRS Deadlines
  4. Form 720 (PCORI)
  5. Year-end W-2 Reporting
  6. HIPAA and Privacy Compliance
  7. Support business owners
  8. Easy and quick online signup process 
  9. 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.

Help employees get the most out of their QSEHRA

  1. Provide helpful educational material to communicate to your employees the benefits of their new HRA and how to get the most out of it
  2. Support employees while they shop for an individual health insurance plan to use with their QSEHRA
  3. Robust onboarding process
  4. Answer questions along the way 
  5. Easy platform to request reimbursements (like simply snapping a picture and uploading on phone)

84% of our clients spend less than an hour per month administering their HRA.

Want to learn more about our QSEHRA administration platform? 

We are the only HRA administrator that also provides support for individuals shopping for health insurance. We can help your employees shop for off-  and on-market plans, compare plans side by side, and see what works best for them, their preferred doctors, and their prescriptions. 

We make it easy for you, and we will take care of onboarding your employees so they can get the most out of their QSEHRA.