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How to set up an ICHRA: 5 steps, in order

Once you've decided an ICHRA is worth trying, the setup itself is a short, ordered checklist. Here's the practical sequence — what to decide first, what to send when, and where most timelines slip.

Deciding to offer an ICHRA instead of a traditional group plan is the strategic part. The setup itself is more mechanical — a fixed sequence of decisions and deadlines that, done in order, gets you to a working benefit without surprises. This walkthrough covers the five steps in the order they actually need to happen, plus where businesses most often lose time.

Step 1: Set your allowance amount

Start with the budget, not the plan design. Decide how much you're willing to reimburse each employee per month toward their individual health coverage. There's no federal cap on an ICHRA allowance, so this is entirely your call — many employers anchor it to what they were paying (or planned to pay) under a group plan, then adjust based on what individual-market pricing looks like in the counties where employees live.

If you're an applicable large employer, it's worth checking early whether your allowance is high enough to be considered "affordable" under IRS rules, since that can affect whether the offer satisfies the employer shared-responsibility mandate.

Step 2: Define your employee classes (if you're using more than one)

You can offer the same allowance to everyone, or use IRS-defined employee classes — full-time vs. part-time, salaried vs. hourly, seasonal, or by geographic location, among others — to offer different amounts to different groups. You can even offer an ICHRA to one class while keeping a traditional group plan for another. The classes have to be built to the specific IRS rules to hold up, so this is a good step to have reviewed by an agent or benefits advisor before you finalize it.

The honest tradeoff: more classes give you more flexibility to match allowances to different parts of your workforce, but each class adds a rule you have to apply consistently. Most small businesses do fine with one or two classes rather than building out a complex structure from day one.

Step 3: Give required written notice

Employees generally need advance written notice of the ICHRA offer — typically at least 90 days before the plan year starts — so they have enough time to shop for and enroll in individual coverage. This notice needs to include specific information: the allowance amount, the plan year start date, and a statement about how accepting the offer affects eligibility for ACA premium tax credits. This step is the one most likely to compress your timeline if you start late, so it's worth locking in your go-live date first and working backward.

Step 4: Employees shop and enroll

Step 5: Employees submit proof and get reimbursed

Each pay period or month, employees submit proof of their premium payment, and you reimburse them tax-free up to the allowance. This substantiation step is what keeps the reimbursement tax-free to the employee and deductible to the business — skipping it is the most common compliance gap in an otherwise well-run ICHRA. Many employers use a simple recurring process (a form plus a receipt) rather than reinventing this each month.

StepOwnerTypical timing
1. Set allowanceEmployerAnytime before notice goes out
2. Define classesEmployer (with advisor review)Same window as Step 1
3. Written noticeEmployer≥90 days before plan year start
4. Shop & enrollEmployeeDuring the notice-triggered enrollment window
5. Substantiate & reimburseEmployee submits, employer paysOngoing, monthly

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Where timelines usually slip

The most common delay isn't the employer-side decisions — it's underestimating the 90-day notice window and starting the process too close to the intended plan year start. The second most common issue is employees delaying their own plan shopping until the last minute, which is where individual guidance (rather than a memo with a dollar amount) makes the biggest difference in a smooth rollout.

How Honorbrook helps

We handle both ends of this checklist. For the business, we help you land on an allowance and class structure and make sure your notice timing works backward from your target plan year. For each employee, we compare ACA Marketplace and off-exchange plans against their doctors and prescriptions and handle the enrollment directly, so nobody on your team is shopping an unfamiliar Marketplace alone. It's free for the business and every employee, and we're licensed across Virginia, Maryland, Georgia, Texas, Michigan, North Carolina, South Carolina, Alabama, Louisiana, Indiana, and West Virginia.

Common questions

ICHRA Setup FAQ

How long does it take to launch an ICHRA?
Plan on roughly 90 days from decision to go-live, mainly because employees are generally required to receive written notice of the ICHRA offer at least 90 days before the plan year starts so they have time to shop for individual coverage. The employer-side decisions — allowance amount and employee classes — can usually be finalized much faster.
Do I need special software to run an ICHRA?
Not necessarily. Some employers use a dedicated ICHRA administration platform to automate notices, substantiation, and reimbursements, especially as headcount grows. Smaller teams sometimes manage it manually with a simple reimbursement process, though a platform reduces the risk of a missed compliance step.
What happens if an employee doesn't enroll in a plan?
An employee who doesn't enroll in qualifying individual coverage generally isn't eligible for ICHRA reimbursements, since reimbursements have to be substantiated against actual coverage. It's worth flagging this clearly in your notice so no one assumes the allowance pays out regardless of enrollment.

This article is general information, not insurance, tax, or legal advice — a licensed agent will help you weigh your specific situation.

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