Belgarath Posted September 27, 2018 Posted September 27, 2018 Can an HRA base the reimbursement levels upon health insurance status? By that I mean, can it be $1,000 if you are enrolled in the health insurance as a single, $2,000 if as a 2-person, and, say, $3,000 if you have family coverage?
Belgarath Posted September 27, 2018 Author Posted September 27, 2018 Thanks. Now, suppose the only people enrolled in family coverage are HCE's - would this run afoul of 105(h) automatically, or is it just subject to normal testing? (I'm assuming the latter) - thanks again.
leevena Posted September 27, 2018 Posted September 27, 2018 Need to do non-discrimination testing. Normal rules apply.
Belgarath Posted October 1, 2018 Author Posted October 1, 2018 As an additional item in this area - an employer is considering doing something to provide higher benefits to lower income individuals. For example, say they have an HDHP with a $5,000 deductible, and maximum OOP of, say, $10,000. They are considering an HRA that would provide that no one would pay more than (x)% of income, and the HRA would pay all the rest. So if you make $20,000, your maximum that you'd have to pay would only be 1/2 of the maximum that would have to be paid by someone making $40,000. Seems like a nondiscriminatory way of doing things. Do you see any problems with it? I wasn't sure if, for example, another member of the household (such as spouse) was getting health insurance through a health exchange, if this would cause any problems?
leevena Posted October 2, 2018 Posted October 2, 2018 From an arms length, it looks ok. Cannot comment on other member of household, I do group only, not individual.
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