Healthcare DIVE June 18, 2025
Rebecca Pifer

Though the vast majority of individual coverage health reimbursement arrangements remain among small employers, large employers are adopting the plans at a faster clip, the HRA Council found.

Dive Brief:

  • A nascent form of health coverage that creates an alternative gateway for employers to offer Affordable Care Act coverage to their workers is seeing rising uptake, especially among midsize to large employers.
  • Adoption of individual coverage health reimbursement arrangements, or ICHRA plans, rose 34% from 2024 to 2025 among employers with 50 or more full-time employees, according to a new report from trade association the HRA Council.
  • Still, the vast majority of ICHRA users remain companies with fewer than 20 employees, most of which are providing health coverage for...

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Topics: Congress / White House, Employer, Govt Agencies
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