Get your copy of PeopleKeep's 2023 QSEHRA Report  

The QSEHRA empowers small businesses and nonprofits to offer health benefits

Since its launch in 2017, the qualified small employer health reimbursement arrangement (QSEHRA) has made it possible for more small employers to offer a health benefit by enabling them to reimburse their employees tax-free for their individual health insurance premiums and qualifying medical expenses.

Data from the Kaiser Family Foundation's 2022 Employer Health Benefits Annual Survey found that only 39% of organizations with 3-9 employees and 67% of organizations with 10-199 workers offer health benefits.

Our data proves that the QSEHRA empowers small employers to offer health benefits and maintain complete cost control. This makes a QSEHRA an extremely flexible benefit compared to traditional group health insurance.

Fill out the form to read the full report to see how today's employers are using their QSEHRA.

Download the complete report

Our sixth annual usage report on the qualified small employer health reimbursement arrangement (QSEHRA) is here!

As the first organization to offer a cloud-based QSEHRA administration platform, PeopleKeep has reported on how employers use their benefits every year since the launch of the QSEHRA. This year's report details how thousands of small businesses and nonprofits from across the U.S. used their QSEHRA benefit in 2022.

The 2023 edition includes data on:

  • The average monthly QSEHRA allowance
  • The average monthly allowance by family status
  • The average monthly allowance by company size
  • The average monthly allowance by benefit design
  • The average monthly allowance by company tenure with PeopleKeep
  • The use of voluntary features such as waiting periods and employer-sponsored premium reimbursement (ESPR)
  • QSEHRA and health savings account (HSA) coordination
  • The most popular states for PeopleKeep QSEHRA customers
  • The average percentage of an employee's allowance that gets used
  • The most commonly reimbursed expenses
  • The top reimbursed insurance carriers and their average premium reimbursement amount
  • The top months by average reimbursement
  • The average monthly reimbursements among employees who submitted expenses

Average monthly QSEHRA allowances continue to rise

The average monthly allowance employers offered their employees between January 1, 2022, and December 31, 2022, was ​​$412, a 2.5% increase from the previous 12-month average monthly allowance of $402.

One possible reason why average allowances have increased on an annual basis is that the IRS has increased maximum contribution limits each year. Between 2021 and 2022, the maximum allowance employers could offer single employees and employees with spouses and dependents increased by 2.8% and 3.2%, respectively.

The average monthly allowance has increased by 39% since 2019.

A sneak peek at our key findings

Smaller organizations offer higher QSEHRA allowances, on average

Over the last year, organizations employing between one and four employees offered roughly 8.4% more than the largest organizations with 20 to 49 employees.

Prescription drugs and medical office visits are popular out-of-pocket expenses

Prescription drugs and medical office visits were the most commonly reimbursed non-premium expenses among PeopleKeep QSEHRA customers.

More employers offer premium-plus accounts than premium-only

99.7% of employers offer a premium-plus account that can be used to cover insurance premiums plus over 200 out-of-pocket expenses.


Want more? Get the full report

Download the full report to find out: 

  • How QSEHRA allowances differ by family status
  • The most popular reimbursed premium expenses
  • Which states are most popular for PeopleKeep QSEHRA customers

Learn more about PeopleKeep

What is PeopleKeep?

PeopleKeep is a personalized benefits administration software company. We serve small and midsize employers across many industries ranging from nonprofits, to high tech, to engineering. Because our software is intuitive and can be managed in minutes per month, we make providing benefits more accessible to organizations that do not want to manage complex and tedious administrative tasks.

Since starting as Zane Benefits in 2006, we've been the leader in cloud-based personalized benefits administration. 

Visit our About Us page to learn more

What other reports has PeopleKeep published?

As the industry leader in HRAs and personalized benefits, PeopleKeep prides itself on publishing proprietary data on all things HRAs and employee benefits. 

PeopleKeep released three reports on the employee benefits employees value most, surveying more than 900 employees of small and midsize employers. 

Download our Benefits Survey Part 1 

Download our Benefits Survey Part 2 

Download our Benefits Survey Part 3 

We also release annual reports on the QSEHRA and the individual coverage HRA (ICHRA).

What products does PeopleKeep offer?

We provide software that allows organizations to offer health reimbursement arrangements (HRAs) and employee stipends. Learn more about each of our products below: 

  • Qualified small employer HRA (QSEHRA): A simple, controlled-cost alternative to group health insurance for employers with 1-49 employees.
  • Individual coverage HRA (ICHRA): A flexible health benefit solution for employers of all sizes that can be used alone or alongside group health insurance.
  • Group coverage HRA (GCHRA): A group health supplement for employers already offering a group health insurance plan to help employees with out-of-pocket expenses.
  • WorkPerks: Reimbursable employee stipends that broaden employee benefits. Offer your employees benefits for health, wellness, remote work, education, transportation, and more.

How much does a plan with PeopleKeep cost?

At PeopleKeep, we help you implement budget-friendly, compliant benefits without the hassle. Pricing will vary depending on which product you're interested in and how many employees you'll have enrolled in the benefit. 

Visit our pricing page to get an instant quote