Questions you may receive during the ICHRA implementation process from employers or employees

Brokers should be prepared to address various questions from both employees and employers during the implementation process of an ICHRA plan. Here are some of the questions you may expect to receive.

Questions from Employers

Plan Setup and Administration

• What are the steps involved in setting up an ICHRA plan for our employees?
• How can we ensure compliance with regulatory requirements and guidelines?
• What administrative tasks are involved in managing the ICHRA plan, and how should I manage employee eligibility?

Employee Communication and Education

• How can we effectively communicate the details of the ICHRA plan to our employees?
• Are there resources available to educate employees about their coverage options and enrollment process?

Cost Management and Budgeting

• How can we determine the contribution levels for our employees' healthcare coverage?
• Can I class out certain employees?
• How are Medicare employees supported?
• What strategies can we implement to manage costs and maximize the benefits of the ICHRA plan?

Employee Support and Assistance

• How can we provide ongoing support and assistance to our employees regarding their ICHRA benefits?
• Are there tools or resources available to help employees navigate their healthcare options and make informed decisions?

Questions from Employees

Plan Coverage and Options

• Can I choose any health insurance plan, or are there specific options provided by the employer?
• Where should I shop for coverage?
• Are there restrictions on which doctors or healthcare providers I can visit?

Cost and Contributions

• How much will the employer contribute to my healthcare coverage through the ICHRA?
• Will I need to make any additional payments or contributions towards the plan?
• How should I pay for my premium?
• Can I use the ICHRA funds to cover expenses other than health insurance premiums, such as deductibles or copays?

Enrollment and Eligibility

• How do I enroll in the ICHRA plan and see my contribution amount?
• How and where do I shop for individual coverage?
• Can I change my plan or coverage options during the plan year?
• What should I do if I have a qualifying event to change coverage?

Tax Implications

• Are the employer contributions to the ICHRA considered taxable income?
• Can I still qualify for premium tax credits or subsidies if I participate in the ICHRA?

Support

• Who should I contact if I have questions or need assistance with my ICHRA plan?
•  How are reimbursements processed, and what documentation do I need to provide?

By preparing for these potential questions proactively, brokers can help ensure a smooth implementation process for both employees and employers transitioning to an ICHRA plan. Remember, education is key!

We are here to support you! Our primary focus is to educate brokers about ICHRA and guide them through the entire implementation process. We will handle the individual enrollments for Massachusetts individuals and will work closely with the Broker and ICHRA administrator to ensure the employer and employees are supported while shopping for coverage.

You can contact our HSA ICHRA Team at ichra@hsainsurance.com or call 781-228-2222, select option 4.