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HRAs

Health Reimbursement Arrangements

Understanding The HRA Option

Certain small employers—generally those with less than 50 employees that don’t offer a group health plan—can contribute to their employees’ health care costs through a Health Reimbursement Arrangement (HRA).


An HRA allows small employers to provide non-taxed reimbursement of certain health care expenses, like coinsurance, prescription costs, deductibles, etc. For some HRAs, the funds can be used to pay monthly premiums for a health plan purchased by the employee (reimbursements may or may not cover the employees' entire premium costs). 

How HRAs Work

  • With an HRA, small employers can decide what they'll contribute to their employees’ HRA accounts, up to the annual maximum.
  • HRA funds can only be used towards an employee's medical expenses.
  • Employees pay their medical provider or insurance company for their health care costs, then submit proof of payment to be reimbursed by the HRA account. Reimbursement is tax-free.

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