Medical Insurance
Compare individual and family health insurance options through our Quotit enrollment marketplace.
Shop Medical PlansChoice Benefits brings health coverage, voluntary benefits, AI-powered guidance and mobile enrollment together in one connected employee experience.
A CHOICE Arrangement is our employer-friendly approach to an Individual Coverage Health Reimbursement Arrangement (ICHRA). The employer sets a defined monthly contribution, eligible employees choose individual health coverage that fits their needs, and the arrangement reimburses qualified premiums and expenses according to the formal plan. It replaces one-size-fits-all group coverage with employer-funded choice.
Build a clear first draft before your consultation. No employee health information is requested.
Shop medical coverage and additional benefits through our trusted enrollment partners. Each button opens the correct marketplace in a new window.
Compare individual and family health insurance options through our Quotit enrollment marketplace.
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Explore More BenefitsPlan availability, eligibility and terms vary. Review carrier and enrollment-partner information before applying.
Book a Choice Arrangements conversation and let us help you identify your next step.
Compare one shared family plan with separate coverage for each parent and the children. Enter quotes from the medical marketplace and see how the same employer allowance changes the family’s cost.
These values are planning inputs—not live carrier quotes.
That is $5,400 in estimated annual household premium savings before other medical costs.
Premium alone does not determine the best plan. Compare provider networks, prescriptions, deductibles, out-of-pocket limits and plan rules. Actual reimbursements depend on the formal ICHRA terms, eligible coverage, substantiation and remaining allowance. Marketplace subsidy eligibility is separate.
Five connected capabilities turn a health reimbursement arrangement into a benefit employees can understand, choose and use.
Personalized, 24/7 guidance that helps employees understand coverage and make informed benefit decisions.
Dental, vision, life, disability and supplemental benefits alongside individual health coverage.
A guided experience for comparing plans, reviewing options and completing benefit selections confidently.
Benefits, balances and support available wherever employees work and whenever questions arise.
See the connected platform in action and explore how it can support your organization or clients.
Ask Janet a common question about CHOICE Arrangements, shopping for benefits, affordability, HSAs or employer setup. For personal recommendations or a question Janet cannot answer, email our team directly.
Email Janet@ichra.shopEmployees move through one coherent experience: understand the employer contribution, compare health coverage, add voluntary benefits and access ongoing support.
Clear communication explains what the employer provides and how employees can use it.
Employees consider premiums, networks, prescriptions and financial exposure.
Health insurance and additional benefits come together around individual needs.
A guided path reduces confusion and helps employees finish enrollment.
Mobile access and AI guidance keep the experience useful throughout the year.
Explore the benefits marketplace, AI assistant, enrollment experience and mobile application in a personalized product demonstration.
Schedule Your DemonstrationA Health Savings Account (HSA) is an individually owned account that can be used for qualified medical expenses. Contributions may receive federal tax advantages, unused funds can remain in the account, and the account stays with the employee.
Fidelity does not provide legal or tax advice. Employers and employees should consult qualified tax or legal professionals regarding their circumstances.
Use one employee at a time. The two results answer different questions: ICHRA affordability for the employee, and the separate family-coverage test used when evaluating whether related family members may have access to Marketplace premium tax credits.
Enter the applicable lowest-cost Silver premium for the employee’s age and ZIP code. Employer safe harbors may use work location, prior-year premium data, W-2 wages, rate of pay or the federal poverty line when their requirements are met.
Annual household income × affordability percentage ÷ 12.
Lowest-cost self-only Silver premium minus the monthly ICHRA allowance.
The employee may still have affordable self-only coverage while family coverage exceeds the household threshold.
This educational estimate does not determine Premium Tax Credit eligibility, satisfy ACA reporting, or establish ICHRA compliance. Marketplace determinations and professional review control. Household income and tax-family information should be supplied by the employee, not inferred by the employer.
First test whether the employee’s family coverage is potentially unaffordable. Then estimate the Premium Tax Credit available to related family members using their benchmark Silver premium.
Use the second-lowest-cost Silver plan (SLCSP) premium for only the family members seeking Marketplace coverage. Premiums vary by ages and ZIP code.
Related family members may pass the family-glitch affordability screen.
Credit is limited to the selected plan premium.
Educational estimate only—not a Marketplace eligibility determination, tax advice or a guarantee of subsidy. The Marketplace calculates the official credit using the applicant’s full tax and coverage facts, and advance credits are reconciled on Form 8962. Values stay in this browser and are not submitted or saved.
Move from plan design through annual reporting with one plain-language checklist. Checkmarks are saved only in this browser.
Turn the plan design into an organized document workflow. Core ICHRA materials are separated from documents that depend on employer size, funding method or optional benefits.
The notice is generally furnished at least 90 days before the plan year begins. Special timing rules apply for employees who become eligible later or when the plan is established within the 90-day period.
Records the employer’s formal decision to establish the arrangement and identifies the effective date and authorized signer.
Defines eligibility, classes, contributions, reimbursable expenses, substantiation, claims, administration and amendment terms.
Explains the plan to participants in understandable language, including benefits, eligibility, claims and participant rights.
Explains the offer, contribution, opt-out rights, individual-coverage requirement and potential Premium Tax Credit consequences.
Documents that each covered participant or dependent has qualifying individual coverage or Medicare for the applicable period.
Records the participant’s annual decision to decline the ICHRA and supports accurate Marketplace and plan administration.
For permitted pretax payroll deductions under a separate written cafeteria plan. Marketplace premiums cannot be paid pretax through Section 125.
Determine which continuation notices, HIPAA materials, business-associate agreements and Forms 1094/1095 apply to the employer.
Create separate written rules for eligible lifestyle expenses, employee groups, allowances, claim deadlines and taxable payroll reporting.
Drafting guardrail: These workflows prepare employer-specific drafts; they do not establish a plan by themselves or replace legal, tax, ERISA, payroll or benefits-administration review. Applicability and deadlines vary by employer and plan facts.
Turn the employer’s current medical and other-benefits spending into a simple per-employee-per-month budget. Then choose a savings target and create a predictable CHOICE contribution.
Use employer-paid amounts—not the employee payroll deductions.
This is a budgeting model, not the final ICHRA contribution schedule. Permitted employee classes, age variation, family-size tiers, affordability and nondiscrimination requirements must be reviewed before adoption. Census files stay on this device.
Use your market report as the target average. The calculator distributes that budget across five age bands while keeping the oldest band at no more than three times the youngest.
Enter employee counts by age band or import them from a census with an Age or Date of Birth column.
This model uses broad age bands for budgeting. Final employee-level contributions must follow the formal plan, permitted classes and applicable age-rating rules. Do not use individual health conditions or claims to vary contributions.