How Small Business Owners Can Cut Their Health Insurance Costs in Half

Small business owners can now take advantage of Health Reimbursement Arrangements, or HRAs, as a way to cut their health insurance expenses in half. As health insurance premiums continue to grow, fewer small businesses are offering group coverage to their employees. For small businesses with healthy employees, establishing HRAs can be a great way to help their employees obtain permanent, portable individual health insurance at a much lower cost than conventional group coverage.
What is a Health Reimbursement Arrangement?
A Health Reimbursement Arrangement, or HRA, is simply an agreement by an employer to reimburse the employee for their health insurance premiums and other specified medical expenses. This is considered to be a tax-free fringe benefit for the employee.
Because family and individual health insurance plans are underwritten (meaning that the insurance company has the option of excluding a condition or declining an application all together), they are much less expensive than are group plans. In fact, they typically cost less than half as much.
HRAs are also known as Section 105 plans, named after the section in the U.S. Tax Code that governs them.
How Health Reimbursement Arrangements Work
In today's business climate employees are quick to go elsewhere if they see a better opportunity. Providing good benefits is essential to retaining the best employees, but group health insurance can be too expensive for some small business owners.
An HRA allows you to reimburse your employees for their individual health insurance expenses, taking you out of the middle. Employees carry their own private coverage which is totally portable and not tied down to their employment.
You no longer have to administer the plan, and you no longer have to shop it every year. When employees carry their own private coverage, there are also no COBRA issues to deal with when employment terminates.
When you establish an HRA for your employees, you define what expenses that you will be reimbursing, and how much you will reimburse. For example, you may say that you will reimburse up to $300/month for covered health insurance and medical expenses. If the employee uses less than that, any excess credit accumulates for future disbursement.
When the employee has a qualified medical expense, they would submit it to you for reimbursement, up to the amount of their HRA balance. You then simply cut a check for the amount of the reimbursement. It's that simple. You count it as a business expense, and your employee pays no taxes on that reimbursement.
Keeping Your Employees Healthy
Most of your employees will incur medical expenses every year, including dental expenses and eye glass expenses. Through an HRA you can reimburse your employees for these expenses with tax-free dollars.
The best businesses are about more than just selling widgets and making money. The more the business cares about the employees and the more the employees care about the business - the more fun we have and the more successful we are. So why not reimburse for preventive benefits like smoking cessation programs, weight loss programs, or even just annual physicals.

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