Healthcare Plans

Level Funded Plans vs. ICHRA: Which Reigns Supreme for Small Businesses?

Team Orca
Sep 14, 2023

In the dynamic and ever-evolving world of health insurance, two champions have emerged for small businesses: Level Funded Plans and Individual Coverage Health Reimbursement Arrangements (ICHRA). This article examines the pros and cons of each.

As a passionate advocate for empowering businesses and individuals in their health care decisions, we've often been asked which one reigns supreme. Let's dive in, shall we?

Understanding the Contenders:

Level Funded Plans:

These are a midpoint between traditional health insurance and self-funding. They allow employers to pay a set monthly fee, which covers employee health claims up to a certain point. If claims surpass that limit, stop-loss insurance kicks in. At the year's end, if claims were lower than anticipated, businesses often receive a refund. Sounds pretty good, right?


A newcomer but fast-growing favorite, ICHRAs allow employers to reimburse employees for health insurance premiums and medical expenses tax-free. There's a beautiful flexibility here: businesses decide how much they want to contribute, and employees choose the health insurance that fits them best.

When to Consider a Level Funded Plan

If your small business has had a relatively stable or predictable health claims history, and you're willing to assume a bit of risk, a level funded plan might be the way to go. It allows for potential savings when claims are low, and there's the safety net of stop-loss insurance. Plus, with the added perk of possible year-end refunds, it's like having your cake and eating it too.

When to Lean Toward ICHRA

Here's where my heart lies (although I promise to keep things balanced!). ICHRAs shine in their simplicity and empowerment. If your business values flexibility and seeks to cater to diverse health needs without the nitty-gritty of managing a traditional group plan, ICHRAs are your best bet. They're particularly useful for:

- Businesses with diverse workforce needs.
- Those who prioritize employee choice and autonomy in health care decisions.
- Companies that want predictable monthly costs without delving into the complexities of health claim management.

Why ICHRA Might Just Edge Out

While both options have their merits, ICHRA offers an unbeatable combination of simplicity, flexibility, and empowerment. They essentially democratize health care, allowing employees to choose what's best for them, while freeing up businesses from the intricate web of traditional health plans. And let's not forget the advantage of predictable monthly costs, which can be a game-changer for budgeting.


While Level Funded Plans have their time and place, and can indeed be a great option for certain businesses, ICHRA brings a fresh, empowering approach to the table. For a world that's increasingly moving towards individual choice and flexibility, ICHRAs might just be the next big thing for small businesses. So, for those ready to embrace the future of health care with both hands, ICHRA awaits.

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