What is an HRA Medical Plan?

Written by: PeopleKeep Team
Originally published on August 21, 2012. Last updated August 16, 2018.

hra medical planAs a leader in alternatives to traditional employer-sponsored health insurance, we frequently cover Health Reimbursement Arrangements (HRAs), or Health Reimbursement Accounts, on this blog. But HRAs are known by other names as well, one of which is an HRA Medical Plan.

Introduction to HRA Medical Plans

An HRA Medical Plan is an IRS-approved employer health benefits plan where an employer reimburses an employee for health insurance premiums and out-of-pocket medical expenses such as doctor visits and prescription drugs. Because the reimbursement occurs pre-tax via payroll, employees can save when compared to paying for medical expenses post-payroll, and employers can save in FICA taxes. This can add up to 50% in combined tax savings on the cost of medical expenses.

It is important to note that HRA Medical Plans are notional, so no funds are dispensed until the employee incurs approved medical expenses and submits a receipt for reimbursement.

HRA Medical Plan Design

With HRA Medical Plans, employers are able to set their own terms for what is covered, what they will contribute, and what will happen to unused funds. HRA Medical Plans are incredibly flexible and can range from a supplemental dental or eye care plan to an all-inclusive health benefits plan.

Employers can choose to cover an employee, their spouse, and dependents. Employers can also elect to allocate different amounts to different classes of employees. All of these rules must be outlined in an official HRA Plan Design. This must be based on bona fide job criteria.

All of these rules should be outlined in the HRA Plan Document, a formal document which establishes details of the plan. Most HRA Medical Plans are managed by a third party administrator, who should be able to help an employer draw up the HRA plan design. If you research HRA plan designs, typically they include:

  • Deductible HRA - reimburse medical expenses that apply to an underlying health plan's deductible
  • All Encompassing Plan – reimburse all health insurance premiums and medical expenses
  • Limited Purpose HRA – using an HRA to supplement existing plans by covering things like dental or vision

Related: HRA vs. HSA

HRA Medical Plan Administration

There are many benefits of using HRA plan software to administer an HRA Medical Plan. This type of software allows employees a secure place to submit their claims, which the HRA administrator will process and approve, and the employer will reimburse via check, payroll, or direct deposit. Using HRA plan administration software allows an employer to integrate plan documents, set up different employee classes, and helps automate compliance with ERISA, COBRA and HIPAA. See features to expect from your HRA Administrator


Get help administering your QSEHRA.

Topics: HRA Compliance, HRA
Originally published on August 21, 2012. Last updated August 16, 2018.


Additional Resources

View All Resources