Skip to main content

QSEHRA: Annual renewal process for employers

This article is for employers and administrators who offer a QSEHRA through Take Command and need to renew their plan for the next calendar year.

Written by Support

QSEHRA plans renew annually, and employers must review their plan design, confirm any changes for the upcoming plan year, and provide employees with required annual notices before the new plan year begins.

When does a QSEHRA renew?

QSEHRA plans operate on a calendar-year basis.

This means:

  • The plan year typically runs from January 1 through December 31

  • Employers review their plan design each fall for the upcoming year

  • Employees receive updated plan information before the new plan year begins

  • The renewal process occurs even if no plan changes are needed

Each year provides an opportunity to keep the same design or make updates to your benefit.

Why is renewal completed before the new year?

Federal QSEHRA rules require employees to receive a notice about their benefit before the upcoming plan year begins. Take Command uses the renewal process to prepare the required employee communications and plan documents.

Early renewal also helps employees prepare for individual health insurance Open Enrollment.

What decisions should I review during renewal?

During renewal, consider whether your current plan still meets your organization's needs.

Common items employers review include:

Monthly allowance amounts

You may choose to:

  • Keep existing allowance amounts

  • Increase allowances

  • Decrease allowances

  • Continue offering the maximum allowable benefit

  • Adjust allowances by family status

Medical expense reimbursement

You can determine whether your plan will:

  • Reimburse insurance premiums only

  • Reimburse premiums and eligible medical expenses

Not all employers choose to reimburse medical expenses.

New hire waiting periods

You may choose to:

  • Keep your existing waiting period

  • Add a waiting period for new employees

  • Remove an existing waiting period

  • Adjust eligibility timing for future hires

Taxable reimbursement options

If your plan currently supports taxable reimbursements for employees covered under another employer's group plan, you may decide whether to continue or modify that feature.

What happens if I do not make any changes?

If your current QSEHRA is working well, you can generally keep the same plan design.

In most renewal cycles:

  • Existing plan settings carry forward

  • Employee eligibility rules remain unchanged

  • Allowance structures remain the same

  • Employees receive updated annual notices

A renewal does not require plan changes.

How do I complete my renewal?

To renew your QSEHRA:

  1. Log in to your Take Command Admin Portal

  2. Navigate to the renewal section when available

  3. Review your current plan design

  4. Confirm whether you want to keep or modify your settings

  5. Submit your renewal selections

  6. Review any generated employee notices or plan documents

Once submitted, Take Command will prepare the necessary documentation for the upcoming plan year.

What happens after I renew?

After renewal:

  • Employee notices are generated

  • Plan documents are updated as needed

  • Employees are informed of their upcoming benefit

  • The new plan year becomes effective on January 1

  • Employees can prepare for Open Enrollment and plan selection

No additional action is required unless your organization later decides to make plan changes.

What if I started my QSEHRA during the year?

QSEHRA plans still renew on a calendar-year schedule.

Even if your plan began mid-year:

  • The plan renews for January 1

  • Employees may review their health insurance choices during Open Enrollment

  • You should still complete the annual renewal process

Mid-year implementation does not change the annual renewal cycle.

Can I make changes after renewal?

Yes, in many cases.

However:

  • Changes may require updated employee notices

  • Additional compliance documentation may be needed

  • Last-minute changes can create delays for employee communications

Employers should complete updates as early as possible.

What if I do not want to continue offering a QSEHRA?

If you do not intend to continue the benefit:

  1. Review your renewal options before the new plan year

  2. Submit a non-renewal or cancellation request through the Admin Portal

  3. Notify employees about the upcoming change in benefits

  4. Download any reports needed for future reference

Take Command allows employers to end their subscription if they choose not to continue offering the benefit.

What does NOT change automatically during renewal?

Renewal does NOT automatically:

  • Increase employee allowances

  • Change eligibility rules

  • Add medical expense reimbursement

  • Modify waiting periods

  • Change employee classes or plan design

Any desired changes must be reviewed and selected during the renewal process.

Did this answer your question?