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Opting Out of Your ICHRA: A Step-by-Step Guide

If you’re considering opting out of your company’s Individual Coverage Health Reimbursement Arrangement (ICHRA), here’s what you need to know!

Written by Jose C

Please note: If you waive coverage through an ICHRA and your benefit is considered affordable, you may not claim the premium tax credit for yourself or any family members. If you do accept tax credits with an affordable HRA offering, you may owe Tax penalties to the IRS.

Do You Have a Non-Compliant Plan?

  • If your current health insurance does not qualify under ICHRA or you simply aren’t interested in purchasing insurance (although we’d love to help you explore your options first!), you have the option to waive your coverage.

How to Waive Coverage:

Not everyone needs to shop for a health plan, and that's okay! If you've decided not to enroll or already have coverage that is not eligible, we offer three simple ways to waive the shopping process. Here's a closer look at the steps you can take.

  1. Login to the Portal: Start by logging into your Take Command portal.

  2. Navigate to Waive Options: Go to the section where waiver options are presented.

Option 1: If enrolled in Medicaid.

Option 2: By entering household income or not wanting to take tax credits

Option 3: Direct waiver without selecting a plan.

  1. Choose Your Waive Option: Select from one of the options based on your circumstances

  2. Follow Prompts: Complete the waiver process by following the on-screen instructions. During the waive process, you will have the opportunity to share the reason for your decision if you choose to do so. This helps us understand your needs better and improve our services.

Option 1: Waive Due to Medicaid Enrollment

If you are currently enrolled in Medicaid, you will be automatically directed to the waive questions. Here’s why:

  • Eligibility: Medicaid enrollees are not eligible to participate in a Health Reimbursement Arrangement (HRA) because Medicaid is not considered individual health insurance. Therefore, it does not qualify as a participating plan for the Individual Coverage Health Reimbursement Arrangement (ICHRA) benefit.

  • Waive Process: You will be presented with a waive link, allowing you to opt-out of the HRA offering provided by your employer.

screenshot showing that employees selecting the medicaid option and continuing to waive.

Option 2: Waive by Entering Household Income

As an employee, you can choose to waive shopping for a health plan by providing your household income information. Here’s how it works:

  • Income Entry: You will be prompted to enter your household income details.

  • Waive Option: If, based on your income, you decide not to participate in the health plan, you can waive your coverage accordingly.

Option 3: Waive Shopping Completely

If you simply do not want to select a health insurance plan, you can opt to waive shopping altogether. This option is straightforward:

  • Direct Waive: You can choose to waive the shopping process without providing additional information or reasons.

the screenshot is of the page where an employee can select the im not interested button below to waive their ICHRA benefits if they choose not to particiapte.

Changing Your Mind Mid-Year:

  • If you decide mid-year that you do want to participate (for example, if your spouse loses their job and you no longer have insurance), it’s not too late! As long as you have a qualifying life event. Reach out to us, and we can help you get set up for reimbursement.

Helpful Resources:

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