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QSEHRA Reimbursement Statement: How to read each section

This article is for employers and administrators using a QSEHRA through Take Command Health who need to understand and act on their monthly Reimbursement Statement.

Written by Support

Your QSEHRA Reimbursement Statement shows how much you should reimburse each employee based on approved claims, available allowance, and carryover balances. It is the authoritative source for payroll reimbursement amounts for the period.

What is a QSEHRA Reimbursement Statement?

A QSEHRA Reimbursement Statement is a monthly report that summarizes:

  • Approved employee reimbursement claims

  • Tax-free and taxable reimbursement amounts

  • Employee allowance balances

  • Unreimbursed claim carryovers

  • Total reimbursement amounts owed by the employer

Take Command reviews and approves submitted claims, then generates this statement so employers can process reimbursements through payroll or another payment method.

What should I do when I receive a Reimbursement Statement?

  1. Open the Reimbursement Statement in your Take Command Admin Portal.

  2. Review each employee’s reimbursement breakdown.

  3. Confirm tax-free vs taxable reimbursement amounts.

  4. Compare totals against your payroll records.

  5. Process reimbursement payments to employees.

  6. Retain the statement for payroll and tax documentation.

Here is what your Reimbursement Statement will look like online:

What does “Tax-Free” mean?

Tax-Free reimbursements are approved QSEHRA expenses that are not subject to income or payroll taxes.

These typically include:

  • Individual health insurance premiums paid with post-tax dollars

  • Eligible out-of-pocket medical expenses

  • Other IRS-qualified QSEHRA expenses

What does “Taxable” mean?

Taxable reimbursements are approved QSEHRA expenses that must be treated as taxable income.

The most common taxable case is:

  • Health insurance premiums paid pre-tax through a spouse’s employer-sponsored group plan (when your plan allows reimbursement)

These amounts must be:

  • Added to employee taxable wages

  • Subject to applicable payroll withholding

For more information on the reimbursement amount, click on the number in the "Total" field. 

What does “Current Allowance” mean?

Current Allowance is the monthly amount funded under your QSEHRA plan.

What does “Previous Allowance” mean?

Previous Allowance is unused allowance carried forward from prior months (if your plan allows rollover). This increases the total funds available for reimbursement.

What does “Total Allowance” mean?

Total Allowance is the maximum amount available for reimbursement during the period. It is calculated as: Current Allowance + Previous Allowance. This is the ceiling for reimbursable claims.

What does “New Claims” mean?

New Claims are:

  • Reimbursement requests submitted during the current reporting period

  • Approved by Take Command since the last statement

What does “Previous Unreimbursed Expenses” mean?

These are:

  • Approved claims from prior periods

  • Not yet fully reimbursed due to insufficient allowance at the time

They remain eligible for future reimbursement.

What does “Claims Subtotal” mean?

Claims Subtotal represents the total approved but unpaid reimbursement balance.

It includes:

  • New Claims

  • Previous Unreimbursed Expenses

This is the total amount owed before applying allowance limits.

What does “Reimbursement Total” mean?

Reimbursement Total is the final amount the employer should pay the employee for the period.

It is calculated as:

  • The lesser of:

    • Claims Subtotal

    • Total Allowance

Why is reimbursement less than total claims?

This happens when:

  • Employee claims exceed available allowance

  • Previous claims are still awaiting reimbursement

  • Allowance was fully used in prior periods

Why does an employee show no reimbursement amount?

An employee may show $0 reimbursement if:

  • No claims were submitted

  • Claims are pending approval

  • Claims were denied

  • Allowance has been fully used

  • Employee is not eligible for reimbursement in that period

What should I do if I see a discrepancy?

  1. Verify employee eligibility for the reporting period

  2. Confirm claims were approved (not pending or denied)

  3. Check available allowance balance

  4. Compare statement to payroll records

  5. Contact Take Command support if discrepancies remain

Important reimbursement rule

The Reimbursement Statement:

  • Does not issue payments

  • Does not transfer funds automatically

  • Serves only as the source of truth for employer reimbursement processing

Employers are responsible for paying employees directly via payroll or another method.

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