HRA reimbursements are recorded in Gusto by importing the monthly reimbursement CSV from Take Command Health into a payroll run as a separate reimbursement line item.
This ensures reimbursements are correctly paid and properly categorized for tax reporting.
How do I download the reimbursement file?
Log in to your Take Command Health employer portal
Open the current month’s Reimbursement Statement
Select Download Gusto CSV file
Save the file to your computer
This file contains employee-level reimbursement amounts formatted for direct upload into Gusto.
This CSV will provide both taxable and tax-free reimbursement amounts on a CSV you can upload directly to Gusto.
How do I import reimbursements into Gusto?
Once you’ve downloaded the CSV, log in to your Gusto member portal. On the navigation menu to the left, click Pay, then click Run Payroll:
Click Run payroll in the middle of your screen then click import payroll data on the right of your screen:
Click +Upload and choose the Reimbursement Statement CSV you downloaded from the Member Portal (or drag & drop it into the box), then click “Import payroll data.”
Note: You may have to add columns if you fall under the following situations:
SSN is required if there are multiple employees with the same name
Title is required if there are multiple pay rates
Verify that the reimbursement amounts are correct, then finish submitting your payroll normally.
How do I verify reimbursements before payroll is submitted?
Review each employee’s reimbursement amount shown in the payroll summary
Confirm tax treatment:
Most reimbursements should be marked tax-free
Any taxable reimbursements (rare in QSEHRA edge cases) must appear as taxable earnings
Confirm no employees are missing or duplicated
Resolve any validation errors shown by Gusto before proceeding
If an employee is missing, they are not included in the reimbursement file for that month and should not be manually added unless explicitly instructed by Take Command Health support.
How do employees receive HRA reimbursements in Gusto?
Employers complete payroll with the imported reimbursement file
Gusto includes reimbursements as a separate line item on the paycheck
Employees receive funds through their normal payroll method (direct deposit or check)
What is the tax treatment of HRA reimbursements?
ICHRA reimbursements
ICHRA reimbursements are not taxable and are not treated as wages in payroll.
QSEHRA reimbursements
QSEHRA reimbursements are also generally not taxable, except in limited cases where:
A reimbursement is explicitly designated as taxable (rare administrative edge cases)
If a reimbursement is marked taxable, it must be entered in Gusto as taxable compensation.
What if the CSV upload fails in Gusto?
If Gusto rejects the file:
Confirm you are using the Gusto-formatted CSV from Take Command Health
Do not modify column headers or formatting
Check for blank or inactive employees in the payroll system
Re-download the file and try again
If the issue persists, the file may need to be regenerated from Take Command Health.
What if reimbursement amounts look incorrect?
If amounts do not match expectations:
Confirm you are using the correct month’s reimbursement statement
Verify employee eligibility status for that month
Check for mid-month coverage or enrollment changes
Confirm no manual edits were made to the CSV
What if an employee is missing from the file?
This is expected in the following cases:
The employee was not eligible for that reimbursement month
The employee was not enrolled in time for the coverage period
The employee’s enrollment was not active in Take Command Health for that cycle
Employees missing from the file should not be manually added in Gusto unless explicitly instructed.