CHOICE Arrangements • Formerly ICHRA
Terminology explained

CHOICE Arrangement vs. ICHRA

CHOICE Arrangement is the newer name used for the employer-funded individual coverage model previously known as an Individual Coverage Health Reimbursement Arrangement.

Is a CHOICE Arrangement different from an ICHRA?For employers and employees researching the model, the terms describe the same core approach: employer-defined contributions used with qualifying individual coverage, subject to the applicable federal requirements.

Why both terms still matter

Employers, brokers, administrators and government resources may continue using ICHRA while newer materials use CHOICE Arrangement. Search both terms when reviewing contracts, regulations and implementation resources.

What did not change

  • The employer establishes an eligible arrangement and contribution design.
  • Employees enroll in qualifying individual medical coverage or eligible Medicare coverage.
  • Formal documents, notices and administration remain necessary.
  • Affordability can affect premium tax credit eligibility.
  • Plan and carrier availability still varies by employee location.

What employers should update

Use “CHOICE Arrangement (formerly ICHRA)” during the transition so employees recognize both terms. Review website copy, notices, enrollment emails, presentations and broker materials for consistent naming without rewriting legally required language inaccurately.