Based on positive and negative experiences from the past years,
HRA accounts, a.k.a Health Reimbursement Accounts, or Health Reimbursement Arrangement plans, are gaining momentum as compared to widely publicized HSA accounts of the first decade of the 20th century in the US.
Even though HRA plans have been around since 1954, and were originally conceived to just allow farmers and their families get a suitable health coverage, these plans are finding new use today.
Their extreme flexibilities as compared with HSA plans are making them highly desirable for both one-person businesses, even self-employed individuals, for small businesses, and for large corporations alike. The HRA plans just make so much sense.
The HRA account rules that contribute the most to the flexibility of the account and ultimately to the company's bottom line are: no insurance requirement, flexibility in rolling over the unused funds, the flexibility of distribution of funds to employees, as well as optional portability of the funds.
No insurance requirement
While most likely you will want to pair an HRA account with an inexpensive High Deductible Health Plan (HDHP) and save money that way, there is no requirement. You can use traditional (expensive) fully-insured, low-deductible health plans, or even offer no healh insurance at all. The flexibility of HRA accounts can turn them into a complete self-insurance solution involving just health savings accounts.
Rolling over unused funds is optional
Additional savings to the company stem from the option to not roll the unused funds into the next fiscal year. This is much like it happens with the FSA (flexible spending accounts), except it is optional with HRA plans, and can be changed from year to year, depending on the company cash situation.
Funds can be distributed unevenly to employees
If a certain employee contributes ten times to the bottom line, why should he have the same health plan? The HRA accounts offer the flexibility of extending different amount of funds to different employees, within reasonable limits. This can improve the company's bottom line by helping retain the top employees.
Optional portability of the HRA funds
Depending on the current HRA plan document, HRA funds can be ported to the employee's new job, or to their retirement account or long term health care account. Again, this flexibility can help retain the best employees.
For even more info on HRA plans, visit website
health reimbursement account. Specifically, the section
Health Reimbursement Account Rules deals with HRA rules and permitted expenses.
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