QSEHRA-Topics

No. IRS Notice 2017-67 is explicit. There is widespread confusion about whether a Qualified Small Employer HRA (QSEHRA) can reimburse employees without health insurance, with the reimbursement simply treated as taxable income. As of 2026, this confusion still persists. That claim is wrong. Under current QSEHRA reimbursement rules, an employee

Compare the best QSEHRA providers for small businesses in 2025. We analyzed 3 transparent-pricing administrators by cost, automation, and support—with detailed scoring across 5 factors.

Explore the key differences between ICHRA and QSEHRA to understand eligibility, flexibility, and reimbursement rules so you can choose the HRA that best supports your employees and your business.

Many business owners think they can’t offer a QSEHRA or ICHRA because they can’t join it—but they already get tax-free health coverage through their business and can still provide the same benefit to employees.

Each year, the annual reimbursement limits for a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) are adjusted. These limits determine how much a small employer can reimburse an eligible employee tax-free for individual health insurance premiums and other qualifying medical expenses. It’s important for both employers and employees to

Integrate Salusion ICHRAs & QSEHRAs with ADP RUN. Learn how to handle reimbursements, tax reporting, and W-2 updates. Simplify your HR admin now!

Integrate Salusion ICHRAs & QSEHRAs with QuickBooks Online Payroll. Learn how to handle reimbursements, tax reporting, and W-2 updates. Simplify your HR admin now!

Watch our 10-minute video guide on Salusion’s QSEHRA to understand setup, administration, compliance, and employee engagement—plus tools to estimate costs

QSEHRA rules allow employers to exclude part-time employees, but only with proper documentation. Learn how to classify them using average weekly hours.

To preserve employee HSA eligibility, QSEHRAs must be carefully structured. This post explains what disqualifies contributions—and how to avoid it.

Avoid costly ACA violations. Learn why direct health reimbursements are risky—and how to stay compliant with QSEHRAs or ICHRAs

For Gusto payroll users, Salusion provides a streamlined way to handle ICHRA and QSEHRA reimbursements. While employers have the option to process HRA reimbursements through payroll, most—over 90% of our clients—choose to let Salusion automate the process through ACH transactions. Why Automate HRA Reimbursements with Salusion? Automating HRA

Learn how a QSEHRA helps small businesses offer tax-free health reimbursements and whether your business qualifies

Find out if your business qualifies for a QSEHRA and the key rules you need to know before offering one

Learn how a QSEHRA plan year works, including reimbursements, benefit limits, and unused allowances

Learn who qualifies for a QSEHRA, participation rules, and which employees can be excluded under IRS guidelines

Ensure QSEHRA compliance with plan documents, employee notices, proof of coverage, and IRS reporting requirements.

Understand how to report QSEHRA benefits on Form W-2 and file Form 720 for the PCOR fee.

Find out which medical expenses, premiums, and treatments qualify for QSEHRA reimbursement under IRS rules

Understand how QSEHRAs impact Premium Tax Credits, including affordability rules, PTC reductions, and IRS reporting requirements

Follow this step-by-step guide to onboard your QSEHRA at Salusion, confirm insurance details, and set up reimbursements