Health & Finance

Are Health Insurance Premiums Tax Deductible under ICHRA?

Team Orca
Sep 16, 2023

As businesses navigate the world of health benefits, one arrangement gaining traction is the Individual Coverage Health Reimbursement Arrangement (ICHRA). A common question surrounding ICHRAs is about the tax implications.

What is an ICHRA?

Before we get into the nitty-gritty of tax deductibility, it’s important to understand the essence of ICHRA. In simple terms, ICHRA allows employers to provide a tax-free monthly stipend for employees to purchase their own individual health insurance. Employees can also spend the money on qualified medical expenses, like co-pays or prescriptions.

Tax Deductibility for Employers

Any contributions made towards the ICHRA are tax-deductible as a business expense. This is similar to how employers can deduct contributions made to traditional group health insurance plans. Therefore, businesses that offer ICHRAs can lower their overall tax liability.

Tax Implications for Employees

The tax benefits don’t stop at the employer level. For employees, reimbursements through an ICHRA are also tax-free, provided that they pick a Qualified Health Plan. 

However, there are a few nuances to consider: 

  • What if an employee picks a plan that costs more than their allocated ICHRA stipend? Is this extra expense also considered pre-tax? The answer is “It depends.” To be a pre-tax expense, the employee must buy an off-exchange plan. The employer must also put a 125 Cafeteria Plan in place.  

What does this mean for your business and your employees?

For businesses considering the move to ICHRA, the tax benefits are clear:

1. Simplified Budgeting: By setting a fixed allowance per employee, businesses can better predict their health benefit costs.

2. Tax Savings: Premiums and other medical expenses reimbursed through ICHRA are deductible for businesses and tax-free for employees.   

3. Flexibility and Choice for Employees: Instead of a one-size-fits-all group plan, employees can select the insurance that best suits their needs.


ICHRA offers a fresh approach to health benefits, giving businesses more control over costs while still providing valuable benefits to their employees. The tax advantages – for both employers and employees – make ICHRA an appealing choice for many businesses. The Venteur team can help you evaluate whether ICHRA can benefit your business.

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