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ICHRA & benefits design

Jin has been adding $500 to paychecks. Most of it disappears.

How ICHRA turns taxed wages into tax-free benefits for small employers.

Jin runs a 6-person startup. No group plan will take him.

He can’t meet minimum participation — two employees have coverage through spouses, one is on Medicaid. So Jin does what most small employers do.

Jin’s six-person team is shown side by side: Jin, Ana, and Dev need coverage, while Kai and Ren are on a spouse’s plan and Lia is on Medicaid — too few enrollees to meet a group plan’s minimum participation.

Jin needs coverage
Ana needs coverage
Dev needs coverage
Kai spouse’s plan
Ren spouse’s plan
Lia Medicaid

3 of 6 need coverage · minimum participation not met

Illustrative. Six people, only three of them enrollable.

He adds $500 to everyone’s paycheck instead.

It feels generous. But watch what happens to those dollars on the way to the employee’s bank account.

A $500 bar of extra pay is split in two: roughly $350 reaches the employee’s bank account, and 25 to 40 percent of the raise is withheld as tax.

Extra pay · $500 per month

  • Reaches the employee ~$350
  • Lost to taxes 25–40%

$500 leaves payroll · ~$350 lands in the bank account

Illustrative. Extra pay is wages, so it is taxed like wages.

With ICHRA, the same $500 arrives intact.

No payroll tax on top for Jin. No income tax deducted for the employee. Same budget from the employer — 30-40% more purchasing power for the employee.

Two bars sit side by side. As extra pay, $500 splits into about $350 for the employee and 25 to 40 percent withheld as tax. As an ICHRA benefit, the whole $500 arrives as one unbroken bar.

Extra pay

  • Reaches the employee ~$350
  • Lost to taxes 25–40%

ICHRA benefit

  • Arrives as benefit $500

Same cost to Jin · 100% arrives as benefit

Illustrative. The same $500, taxed as wages versus paid as a benefit.

And there’s no minimum participation to worry about.

No carrier negotiations. No renewal roulette. Jin’s 6-person startup offers real health benefits for the first time.

The same six people, with Jin, Ana, and Dev now covered by a $500 monthly ICHRA while Kai, Ren, and Lia keep the coverage they already had — no participation minimum to clear.

No minimum participation · no carrier

Jin ICHRA · $500/mo
Ana ICHRA · $500/mo
Dev ICHRA · $500/mo
Kai spouse’s plan
Ren spouse’s plan
Lia Medicaid

Every dollar goes further because it is pre-tax

Illustrative. A benefit that works at six people, or at any headcount.