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How to manage your QSEHRA

Written by: PeopleKeep Team
April 13, 2017 at 11:45 AM

This post is an extract from our eBook, The Comprehensive Guide to the Small Business HRA. You can download the full guide for free by clicking here.

If you’ve decided to implement the qualified small employer health reimbursement arrangement (QSEHRA), or small business HRA, it’s important to manage and administer it appropriately. Here are three key points to keep in mind as you start to offer your new benefit to your employees, as well as tips for choosing a QSEHRA administration tool like our PeopleKeep software to help you avoid making costly compliance mistakes.

Update your plan concurrently with staff changes

One of the few certainties in life is that it’s constantly changing. Likewise, your company is certain to see staffing changes through the years as employees move on or retire and new workers come on board.

As your business evolves, it’s crucial to update your QSEHRA to reflect changes in personnel, as the eligibility parameters set forth in your QSEHRA plan documents must line up with the roster of workers enrolled in the QSEHRA.

Record reimbursements and store documentation

You should also take steps to ensure your business properly documents reimbursements and stores the documentation in accordance with IRS and Department of Labor rules.

Under federal law, businesses are required to show documentation verifying at least seven years’ worth of HRA-related expenses and supporting documentation. For more in-depth guidance on documentation, see IRS Publication 583.

Evaluate allowance amounts annually

At some point, your business may wish to change employees’ monthly allowance amounts under the HRA. You’re allowed to do this as long as you follow proper QSEHRA notice requirements. Many business owners include a monthly allowance adjustment as part of their annual benefits review.


Although there’s no prohibition against self-administering your QSEHRA, many employers turn to a QSEHRA administration tool to help them navigate the maze of HIPAA rules, IRS requirements and other compliance issues. Key features to look for in an HRA administration software program include online administration, the ability to easily document reimbursements, and tools that ensure you remain compliant with federal and state rules.

For more tips on what to look for in a QSEHRA software administration tool, check out page 40 of our eBook.

Have you implemented the QSEHRA? Share your experience in the comments below.

Topics: Health Reimbursement Arrangement, HRA Compliance, Qualified Small Employer HRA

Additional Resources

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Get our guide on how to offer health benefits with a small budget.