Making sense of the 2023 ICHRA class rules

Do you have questions about the ICHRA class rules? The Individual Coverage Health Reimbursement Arrangement offers 11 classes, which separate employees into groups by legitimate job-based criteria like hours worked or location. Classes can be awarded different levels of benefits. This is a hallmark characteristic that gives business owners a lot of flexibility with the design. Let’s look at the ICHRA class rules, which ensure that benefits are offered fairly to all employees.

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ICHRA Class Rules

To better understand ICHRA class rules, let’s go over how ICHRA classes work, what the types of classes actually are, and ideas to design your ICHRA to streamline your benefits spend.

How do ICHRA classes work?

To help employers prioritize their health benefits budget, employee classes separate employees into groups by legitimate job-based criteria like hours worked or location.

The nice thing about an ICHRA plan is that you can combine it with a traditional group health plan. Employers may offer one class of employees a group health plan and another class of employees an ICHRA.

There’s just one caveat. Employers cannot offer employees in the same class (say full-time employees) the choice between a traditional group health plan or ICHRA.

Each class needs to have only one benefit offering.

What are the ICHRA classes?

The ICHRA classes are as follows:

Full-time employees
Part-time employees
Seasonal employees
Employees covered under a collective bargaining agreement
Employees in a waiting period
Foreign employees who work abroad
Employees working in the same geographic location (same insurance rating area, state, or multi-state region)
Salaried workers
Non-Salaried workers (such as hourly workers)
Temporary employees of staffing firms
A combination of two or more of the above

ICHRA class rules: class size requirements

Employers who plan to offer a traditional group health plan to at least one class of employees and an ICHRA to another class of employees will need to keep in mind the minimum class size requirements. These requirements were put in place to prevent the individual market from being saturated with high risk individuals.

Minimum class size requirements apply to the following classes:

Salaried Employees
Non-Salaried Employees
Full-time Employees
Part-time Employees
Employees in the same geographic rating area

The minimum number of employees to be included in a class ultimately depends on the size of the employer based off the employee count on the first day of the plan year.

A few other ICHRA class size notes:

Combo Classes: Minimum class size applies to any combo-classes that include one of the classes listed above unless it’s a combo with the waiting-period class, in which case there is no restriction
Rating Area Classes: Minimum class sizes only apply to rating areas smaller than a state. For example, if you or your client has one employee in a remote state, you could have a class of one without violating the rules. However, if you’re using a narrower rating area design (typically at the “county” level) then minimum class sizes apply.

Important Reminder: Minimum class sizes only apply when at least one class is being offered a traditional group plan. If an employer is offering multiple ICHRAs to different classes, there are no minimum class size restrictions.

Still have questions about ICHRA class rules?

Wondering what to do if an employee needs to change classes? Check that out here. Curious as to whether retirees are eligible for an ICHRA? We’ve answered that, too!

Take Command is here to help you with your ICHRA administration questions or to find the right fit for you, your business, and your employees.