Small Group Health Benefits, Without the Group Plan.

Acrisure ICHRA Solutions is an individual coverage HRA built for employers with 2 to 50 employees. Sold by appointed agents, or directly by us.

Talk to a licensed advisor. 15 minutes. No obligation.

Get the program details

Built for 2 to 50 employees

Licensed in all 50 states

Most Acrisure employer clients have 50 or fewer employees

What an ICHRA actually is

An individual coverage health reimbursement arrangement lets an employer give employees a set monthly amount of tax-free money to buy their own health insurance. The employer picks the number. The employee picks the plan.

There is no group policy, no participation minimum and no carrier underwriting the company. Reimbursements are deductible to the business and tax free to the employee when the plan is administered correctly.

Employees who do not enroll in coverage do not get the money. The reimbursement only flows against a verified individual health plan.

The one-line version

It works like a 401(k) for health insurance. The employer sets the contribution. The employee picks the plan that fits their family.

Why an employer wants one

The budget is yours

You set a fixed monthly allowance. Nobody hands you a renewal increase you did not vote on.

They keep their doctors

Each employee picks the plan and network that fits their family instead of living inside one company plan that fits nobody exactly.

The coverage travels

The policy belongs to the employee. It follows them if they leave, which takes one hard conversation off your plate.

Tax free on both sides

Reimbursements are deductible to the employer and tax free to the employee when the plan is administered correctly.

No participation minimum

Nobody has to enroll for the benefit to work. There is no group underwriting and no headcount test to pass.

Built for scattered teams

Remote, multi-state, hourly and part-time workforces stop being a problem. Each employee shops the market where they actually live.

How it works

Step 1

Design the benefit

The employer sets allowance amounts and decides which classes of employee are eligible.

Step 2

Employees shop and enroll

Each employee compares individual plans available where they live and enrolls in the one they want.

Step 3

Coverage is verified

We confirm the policy is active and document the premium so the reimbursement stays tax compliant.

Step 4

Reimbursement runs

Money moves every month, up to the allowance. Reporting goes back to the employer.

The employer owns step 1. Acrisure runs steps 2, 3 and 4.

This is a federal benefit, not a workaround

The individual coverage HRA is authorized by federal rule and administered under IRS, Department of Labor and Health and Human Services regulation. It is the same category of employer health benefit as a group plan, with the same protections attached.

ERISA, COBRA and HIPAA apply. Reimbursements are excluded from taxable income under the tax code when the plan is documented and administered correctly, which is the part we handle.

Why this is happening now

The subsidy math changed

Enhanced marketplace premium tax credits expired at the end of 2025. A lot of employees who were covered cheaply on their own are not anymore.

Group renewals did not slow down

Employers are still absorbing double-digit increases. Both sides of the comparison moved at once, which is rare.

The "we offer nothing" group has an option

Most small employers offer no health benefit at all. They are not a no. They never had a version they could afford to say yes to.

Where do you want to go next?

The rest of this page is written for agents. Employers, jump ahead.

I sell benefits

How the program works, how you get paid, and how to get appointed.

Agent and broker details

I run a business

What this costs you, what it takes to start, and who it fits.

Employer details

You have been walking past these groups for years.

Four things happening to small group agents right now, none of them your fault, all of them your problem.

You renew the same group every year and earn less each time

Percentage-of-premium compensation on a 15-life group was never much, and it gets compressed while the work grows. You do more meetings for a smaller check.

You lose cases to a model you are not set up to sell

Somebody walks in with a defined contribution proposal and takes the case on price. You never get a second look at it.

You refer a client out and the vendor keeps them

Some ICHRA platforms put themselves between you and the employer. You did the work, and now somebody else owns the renewal conversation.

The groups you decline are the groups somebody else is writing

Failed participation, six lives, three states, all hourly. Those were dead leads for a group plan. Somebody is writing them now.

How you get paid

Stream one

Commission on the ICHRA PEPM

You earn a commission on the per employee per month (PEPM) administration fee. It is paid on every active employee, every month the group is on the program.

This is the piece that does not exist on a traditional group case. It runs on headcount, not on premium.

Stream two

Commission on the insurance products

You also earn commission on the coverage employees enroll in. That is paid monthly and it continues as long as the policies stay in force.

Two streams on one case, and the employer stays your client.

The structural difference matters more than any single number. A group case pays you once a year off a premium you do not control. This pays monthly, on headcount, and it grows when the employer hires.

The client stays yours

We administer the plan. We do not take over the relationship, and we do not sell around you.

What you do

  • Own the client relationship
  • Run the employer meeting and present the side by side
  • Show up at the kickoff
  • Take the renewal call next year

What Acrisure does

  • Plan design and class structure
  • Legal plan documents and summary plan description
  • Employee meetings and one-on-one enrollment
  • Coverage verification and compliance
  • Monthly reimbursement and employer reporting
  • Ongoing employee service

What the employee sees

An employee logs in, sees the allowance their employer set, and compares the individual plans available where they live. They pick one, enroll, and the allowance is applied.

You can demo this live in an employer meeting the week you are appointed. It is the part that turns a skeptical owner into a scheduled kickoff.

Employee comparing individual health plans and applying their monthly allowance

Plan comparison

Side by side, filtered to the employee's location.

Coverage verification

Active policy confirmed, so reimbursements stay compliant.

Automated reimbursement

Monthly, without the employer chasing receipts.

Employer reporting

Enrollment, funding and participation in one place.

Where the small groups are

Your existing book is the pipeline. Here is what to tag in the 2 to 50 range.

If you write group

  • Any renewal coming back at 15 percent or more. Call 90 days out.
  • Groups that failed participation or got non-renewed.
  • Multi-state and remote-heavy employers where one network never fits.
  • Restaurants, contractors, home services, salons, retail, clinics.
  • Employers offering nothing today.

If you write individual

  • Clients who own a business, or whose spouse does.
  • Self-employed clients hiring their first W-2 employee.
  • Clients whose subsidy shrank or disappeared this year.
  • Contractors converting from 1099 to W-2.
  • Anyone whose spouse is on a group plan that keeps getting worse.

Do one thing this week. Open your CRM, tag every renewal in the next 90 days and every individual client who owns a business, and call that list.

When ICHRA is the wrong answer

If the group plan is working and the renewal is flat, leave it alone. Three situations where you should.

A rich plan the employer fully funds

Low deductible, employer pays 100 percent. ICHRA can match it. It will not beat it.

A small, healthy, single-ZIP group

Five or six people, one office, one good network. Group is often cheaper.

An owner who wants one company plan

Some employers want a single shared plan for culture reasons. That is a real answer.

Group plan vs. ICHRA

  Traditional group plan Acrisure ICHRA Solutions
Cost control The carrier sets the renewal. You react to it. The employer sets a monthly allowance and holds it.
Plan choice One plan for everyone, chosen by the employer. Each employee picks their own plan.
Participation Minimums apply. Miss them and the plan is at risk. No participation requirement.
Network The carrier dictates the network for the whole company. Employees keep the doctors and networks they already use.
Tax treatment Employer contribution is deductible. Deductible to the employer, tax free to the employee.

Why run it through Acrisure

Acrisure was founded in 2005 and grew into one of the largest insurance brokerages in the world, largely by acquiring established agencies rather than building from scratch.

A significant share of those acquisitions were employee benefits agencies, general agencies and administrators with decades of operating history. That experience is what sits behind this program.

The practical version: you are not handing your client to a two-year-old software company. You are handing the administration to a benefits operation that was doing this before ICHRA existed, and one whose employer clients are mostly small businesses already.

The short version

  • Founded in 2005
  • Hundreds of agency acquisitions
  • Licensed across all 50 states
  • Insurance, benefits and payroll under one roof
  • Most employer clients have 50 or fewer employees

Getting appointed

Four steps. Most agents are contracted within a week.

Step 1 · 5 minutes

Request an appointment

Name, agency, the states you are licensed in, and the lines you write.

Step 2 · 15 minutes

Intro call

Program overview, commission schedule, and confirmation of your licensing.

Step 3 · About a week

Contracting

Paperwork and carrier appointments handled on our side.

Step 4 · Same day

Onboarding

Portal access, a walkthrough, and the name of your support contact.

What you have on day one

Quoting tools

Side by side proposals

Marketing assets

A named support contact

Live portal for demos

For employers

If you run a business with 2 to 50 employees, the offer is simpler than it sounds. You decide what you can spend on health benefits each month. We do the rest.

You do not need an HR department, a benefits committee or a payroll system that talks to anything. Most of the employers on this program have neither an HR manager nor a health plan today.

A budget you set

You choose the monthly allowance, and it stays the number you chose.

Coverage they choose

Your people pick plans that fit their own families, not an average of everyone.

Compliance handled for you

Plan documents, notices and verification are our work, not yours.

Support your people can reach

Employees talk to a licensed advisor one on one during enrollment and after.

Payroll that stays simple

Reimbursements run on a monthly cycle with reporting you can hand to your accountant.

A realistic start date

Most employers plan a 30 to 45 day runway from decision to first reimbursement.

Who this is for

  • Employers facing another double-digit renewal.
  • Companies with employees in more than one state.
  • Workforces that are mostly hourly, part-time or seasonal.
  • Groups that could not hold participation minimums.
  • Businesses that have never been able to offer health benefits at all.

The next step is a conversation, not a commitment. We will build a side by side against what you have now, or against what it would cost you to start from nothing, so you see real numbers before you decide.

No mandate applies to you under 50 full-time equivalent employees. This is something you choose to do, not something you are required to do.

Talk to an advisor

The finer points

An employer can vary the allowance by permitted class, including full time, part time, seasonal, salaried, non-salaried, temporary staffing employees, employees in a collective bargaining agreement, employees in a waiting period, non-resident aliens with no U.S. income, employees in the same rating area, and combinations of those. Classing is how an employer offers a real benefit to hourly staff without matching what they spend on the office. Minimum class size rules apply in some situations.

Most small employers are not subject to the ACA employer mandate. Under 50 full-time equivalent employees there is no mandate and no affordability penalty, which removes the compliance risk that makes this topic sound complicated.

Affordability still matters, just for a different reason. It decides whether your employees can claim a marketplace premium tax credit, and that applies at any employer size.

The test compares an employee’s cost for the lowest-cost silver plan in their area, after your allowance is applied, against a percentage of household income set by the IRS each year. For plan years beginning in 2026 that percentage is 9.96 percent, up from 9.02 percent in 2025. We model it by class before anything is finalized.

This is the most misunderstood piece of the model. An employee who is offered an affordable ICHRA is not eligible for a marketplace premium tax credit, whether or not they take the ICHRA.

If the offer is not affordable, the employee gets a choice. They can accept the ICHRA or decline it and claim the tax credit instead. We run that math per class before anything is finalized.

Employees have to be notified at least 90 days before the plan year begins. Build that into the timeline on any mid-year move.

Gaining ICHRA eligibility triggers a special enrollment period, so employees can buy individual coverage outside of open enrollment. Losing group coverage triggers one as well.

An employer can reimburse premiums only, or premiums plus qualified medical expenses. Qualified medical expenses are defined in IRS Publication 502 and cover things like copays, prescriptions and dental or vision costs. The employer picks the structure at plan design.

This comes up on nearly every small case. C corporation owners are employees and can participate. Owners holding more than 2 percent of an S corporation generally cannot participate tax free.

Sole proprietors and partners are not employees, so they cannot participate directly. If a spouse is a W-2 employee of the business, the owner may be covered as a dependent on the spouse's reimbursed plan.

If you have fewer than 50 employees you can use either an ICHRA or a QSEHRA, so this comparison matters. A QSEHRA caps what you can contribute each year and requires the same terms for every full-time employee. A GCHRA is different again, since it has to sit alongside a traditional group plan and reimburses out-of-pocket costs rather than premiums.

An ICHRA has no contribution cap and lets you set different allowances by class, which is why it usually wins for a small employer with a mix of full-time and hourly staff. It cannot be offered to the same class of employees who are also offered a group plan.

Frequently asked questions

Getting started

Any size, starting at one W-2 employee. There are no participation minimums and no carrier underwriting of the group.

Most employers plan on 30 to 45 days from decision to first reimbursement. The 90-day employee notice requirement is the item that drives the calendar, so start early on a mid-year move.

Yes, with planning. Loss of group coverage triggers a special enrollment period, and the 90-day notice has to clear before the effective date.

Money and taxes

No. Reimbursements are generally not subject to income tax or FICA when the plan is administered correctly, and they are deductible to the employer.

No annual maximum. The employer sets the allowance, and it can vary by permitted employee class.

An affordable offer makes the employee ineligible for the credit, even if they turn the ICHRA down. An unaffordable offer lets the employee choose between the ICHRA and the credit.

For brokers

Two ways. A commission on the ICHRA PEPM administration fee, paid monthly on active employees, plus commission on the insurance products employees enroll in.

Yes. You stay the relationship owner and you handle the renewal. We administer the plan behind you and we do not market to your clients.

Groups facing renewal increases, multi-state employers, variable-hour workforces, groups that failed participation, and employers who offer nothing today.

Submit a request, take a 15-minute intro call, and complete contracting. Most agents are contracted within a week, with tools and case support available on day one.

Coverage and employees

That is the point of the model. Each employee picks the individual plan with the network and providers they already use.

Individual plans are guaranteed issue under the ACA. There is no medical underwriting, so an employee with claims enrolls on the same terms as anyone else.

No. The reimbursement only pays against a verified individual health plan. No coverage, no money.

Nothing happens to the employer. The unused allowance is simply not spent, and there is no participation requirement to fall below.

Small employers are buying this. The only question is who sells it to them.

Get appointed, or take the program details and think about it.