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ICHRA: How is an ICHRA funded

This article is for employers offering or considering an Individual Coverage Health Reimbursement Arrangement (ICHRA) through Take Command Health.

Written by Support

An ICHRA is funded directly by the employer and does not require a separate bank account, trust, or pre-funded reimbursement account.

How does ICHRA funding work?

Employers fund reimbursements as expenses are incurred

Unlike many traditional employee benefit plans, an ICHRA is generally not funded through a separate account that holds money in advance.

Instead:

  • The employer sets a monthly reimbursement allowance

  • Employees submit eligible reimbursement requests

  • Approved reimbursements are paid by the employer

  • Funds remain with the employer until reimbursements are due

This approach is often referred to as a "pay-as-you-go" funding model.

Do I need to set up a separate bank account?

Most employers do not need to establish:

  • A trust account

  • An escrow account

  • A dedicated HRA bank account

  • A pre-funded reimbursement pool

Employers typically reimburse employees from their normal business operating accounts when reimbursements become due.

When does the employer actually spend money?

Employers only reimburse approved expenses

An employer incurs costs when:

  1. An employee becomes eligible for the ICHRA.

  2. The employee maintains qualifying health coverage.

  3. The employee submits an eligible reimbursement request.

  4. The reimbursement is approved.

  5. The employer pays the reimbursement.

If an employee does not submit eligible expenses, the employer generally does not spend the full allowance amount.

What happens if employees do not use their full allowance?

Unused allowance typically remains with the employer

An ICHRA allowance represents the maximum amount available for reimbursement.

If employees do not submit eligible expenses:

  • The employer keeps the unused funds

  • No reimbursement is required

  • Actual employer costs may be lower than the total available allowance

Example

An employee receives a $600 monthly allowance.

  • Approved expenses submitted: $400

  • Reimbursement paid: $400

  • Unused allowance: $200

The employer is generally not required to pay the unused $200.

How are reimbursements paid?

Reimbursements are usually processed through payroll or accounts payable

Employers commonly pay approved reimbursements through:

  • Payroll systems

  • Direct deposit processes

  • Accounts payable workflows

The reimbursement method depends on the employer's internal processes and plan administration setup.

How does Take Command help administer funding?

Take Command tracks reimbursements and allowance usage

Take Command helps employers:

  • Track employee allowances

  • Verify reimbursement eligibility

  • Review reimbursement reports

  • Monitor remaining balances

  • Manage ongoing plan administration

Take Command does not require employers to pre-fund a separate reimbursement account.

Are there minimum or maximum funding requirements?

No annual contribution minimum is required

Employers decide how much to contribute to an ICHRA.

There is:

  • No minimum contribution requirement under federal ICHRA rules

  • No maximum annual contribution limit imposed by ICHRA regulations

Applicable Large Employers (ALEs) should consider ACA affordability requirements when determining contribution amounts.

Not applicable

If your organization is not an Applicable Large Employer (ALE), ACA affordability calculations generally do not apply.

What if my company wants predictable healthcare costs?

ICHRA provides budget control

Because employers choose the reimbursement allowance, ICHRA allows organizations to:

  • Set a defined healthcare budget

  • Avoid annual group plan premium increases

  • Scale benefits as the workforce grows

  • Forecast maximum benefit exposure

Actual costs are often lower than the theoretical maximum because not every employee uses their full allowance.

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