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Tax Deductible Features of HRAs

Written by: PeopleKeep Team
April 29, 2015 at 7:00 AM

In the past, Health Reimbursement Arrangements (HRAs) were a popular vehicle used by small businesses to reimburse employees tax-free for individual health insurance premiums and out-of-pocket medical expenses.  However, health reform brought sweeping changes to the health insurance industry, including how employers can use HRAs. Now the question is, how can an HRA work for a small business and what are the tax advantages? 

What is an HRA?

Health Reimbursement Arrangements, commonly referred to as Health Reimbursement Accounts or HRAs, are a type of Section 105 Medical Reimbursement Plan. HRAs are IRS-authorized, tax-advantaged, and employer-funded. Using an HRA yields tax advantages for employees, as well as for employers offering the benefit.

2019 and 2020 HRA Comparison Chart. Download Now.

Types of HRAs

In the past, an employer could structure an HRA in almost any way that fit their health benefit goals.

Today, however, HRAs must follow new Affordable Care Act rules. As such, there are four types of compliant HRAs. These are:

Tip: Keep an eye out for two new HRAs coming in 2020: the excepted benefit HRA and the individual coverage HRA.

The excepted benefit HRA is designed to work alongside group health insurance, providing up to $1,800 per year in reimbursements for things like dental and vision expenses. 

The individual coverage HRA (ICHRA), meanwhile, is designed to work alongside individual health insurance while reimbursing for premiums and other qualified out-of-pocket medical expenses.

How HRAs Work for Small Businesses

HRAs allow employers to reimburse employees tax-free for eligible healthcare expenses. To help understand how HRAs work, here are common features of HRAs.

  • Employer Funded - HRAs are funded solely by the employer, and cannot be funded through employee salary deductions.

  • Notional Arrangement - HRAs are notional arrangements, meaning amounts are expensed only after the employees incur approved medical expenses.

  • No Minimum Contributions - Unlike a Health Savings Account (HSA), there is no minimum or maximum amount of money an employer can contribute to an employee’s HRA, apart from the QSEHRA and the excepted benefit HRA.

  • Employer-Controlled - The employer sets the parameters for the HRA, and unused dollars remain with the employer - they do not follow the employee to new employment.

  • Tax Savings - Because the reimbursements occur pre-tax, employees and employers often save up to 50% in combined taxes on the cost of medical expenses.

HRA Tax Advantages for Employers

HRA reimbursements are tax-deductible to the business. For example, if the small business gives employees a $300 per month HRA allowance, the real cost to the business is $300. FICA/FUTA payroll taxes do not apply to HRA reimbursements.

HRA Tax Advantages for Employees

For employees, HRA reimbursements are 100% tax-free. HRA reimbursements are excluded from employees’ gross income.

Because of this, $1.00 in HRA funds is worth approximately $1.50 - $2.00 in a taxable bonus (depending on the employee's tax bracket).

However, it is important to note that certain business owners have limited tax advantages with HRAs. C-Corp owners may participate in an HRA and receive all HRA reimbursements 100% tax-free. However, Sole Proprietors, Partners, or S-Corp shareholders that own >2% of the company's shares most often will not receive reimbursements tax-free. These Non-C-Corp owners can use the HRA platform to reimburse and track medical expenses. However, HRA reimbursements must be reported on the owners'/partners' wages (on their W-2 and 1040 forms) and are subject to federal income taxes.

For more, see "HRA Eligibility by Type of Small Business Owner."


There are many tax deductible features made available by utilizing an HRA. Employers, as well as their employees, stand to gain various tax savings. With reimbursements occurring pre-tax, employees and their employers can save up to 50% in combined taxes on the cost of medical expenses.

How well do you know the benefits of tax-deductible HRAs? Ask your questions below and we are happy to answer. 

The Comprehensive Guide to the Small Business HRA

Topics: Health Reimbursement Arrangement

Additional Resources

Trying to decide which HRA is best for you? Take our quiz to find out.
Setting up your first HRA? Get our HRA compliance toolkit for beginner's tips.