Employee health benefits for nonprofit organizations

Attracting and retaining top talent is a challenge for many nonprofits. Budget constraints make it difficult to compete with for-profit organizations on salary alone. But what if you could offer employees more than just a paycheck? The right health benefits can make a big difference. Learn how nonprofit organizations can increase employee satisfaction and reduce turnover with health employee benefits.

Ready to design a health benefit that works for your nonprofit organization? Schedule a consultation with one of our HRA specialists.

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Looking to provide benefits to your employees as a nonprofit?

According to the Internal Revenue Service (IRS), 1.9 million nonprofits are operating in the United States, including 1.8 million 501(c)(3) tax-exempt status organizations.

But even with a tax-exempt status, many nonprofits still stretch tight budgets. With the cost of healthcare and health insurance coverage rising every year, nonprofit professionals may wonder how they can afford to offer competitive benefits to their employees.

This guide will explain why your nonprofit should offer health employee benefits, which benefits are available, and what solutions can help you manage these benefits.

 

Why offer nonprofit employee benefits?

Employee benefits and perks are beneficial to employees in every sector. But, offering employees perks as a nonprofit will have a significant positive impact on your organization.

Let's look at three key benefits of offering nonprofit employee benefits.

Hire and keep top workers

According to PeopleKeep's 2024 Employee Benefits Survey, 81% of employees consider an employer’s benefits package an important factor in whether they accept a job. Job seekers are more likely to see your organization as an employer of choice when they feel supported and appreciated through your benefit offerings.

In a job seeker's market, employee retention is vital, especially for nonprofit organizations that have a harder time competing against large, for-profit businesses with bigger budgets. Offering competitive benefits helps your organization retain employees so that you don't lose your top workers to for-profit companies.

Plus, the employee benefits you offer provide a foundation for growth. A WTW study found that 40% of employees would leave their current employer for better benefits elsewhere, even without a change in salary.

81% of employees consider an employer's benefits package an important factor in whether they accept a job.

PeopleKeep's 2024 Employee Benefits Survey

Tax advantages

Several health benefits provide tax advantages for both your organization and employees. 

Examples of tax-free employee benefits include:

  • Healthcare reimbursement through an HRA
  • Group health insurance premiums (pre-tax deductions)
  • Cafeteria plans, like health savings accounts (HSAs)

Satisfy federal and state benefits requirements

The federal government has certain benefits regulations that apply to nonprofit and for-profit organizations alike. The Affordable Care Act (ACA) requires organizations with 50 or more full-time equivalent employees (FTEs) to provide health insurance that meets minimum essential coverage (MEC) and minimum value (MV) criteria to at least 95% of full. This requirement is known as the employer mandate.

Employers with 50 or more FTEs, referred to as applicable large employers (ALEs), may face tax penalties if both conditions are met:

  • They don't provide health insurance coverage to at least 95% of their full-time employees and their dependents.
  • Any of those employees get subsidies on the individual health insurance market.

Other laws require employers with 50 or more employees to provide family and medical leave to employees who have been employed for at least a year. You'll need to ensure your organization remains compliant with the law while offering benefits your employees value.

 

Why offer personalized health benefits?

While traditional benefits, such as retirement and group health insurance benefits, are excellent options for any organization, personalized benefits are often a better choice for nonprofit organizations.

Personalized benefits are a type of perk where you provide employees with a monthly allowance through a benefits expense card or account or reimburse them for their eligible expenses. This is particularly powerful with employee health benefits.

When you provide a personalized health benefit to your employees, you empower them to use their benefits the way they want to. This allows you to best serve their individual needs, giving you a competitive advantage when hiring new talent.

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What health benefits should nonprofits offer employees?

There are a variety of benefits options available to nonprofits. Traditionally, employees have grown to expect employers to offer group health insurance. But, for nonprofits with tight budgets or small teams, this may not seem possible. Thankfully, there are alternative medical benefits solutions for nonprofits.

A health reimbursement arrangement (HRA) allows employers to reimburse their employees tax-free for more than 200 types of eligible medical expenses, such as individual insurance premiums.

You can reimburse a wide range of HRA-eligible expenses, including:

  • Monthly premiums for individual health, vision, and dental plans
  • Preventive care
  • Emergency care
  • Prescription drugs
  • Over-the-counter medication
  • Mental health counseling

With an HRA, employers choose an allowance cap for employees to use each month, giving nonprofits cost control over their benefits.

PeopleKeep by Remodel Health can help you offer the following HRAs

With an HRA, your employees can get reimbursed for the qualifying medical expenses that matter most to them. ICHRAs and QSEHRAs also enable your workers to purchase the individual health plans that work best for them instead of relying on a one-size-fits-all group policy.

HRA type

Best for

Contribution limits

Eligible expenses

Requires a group plan?

ICHRA

Small and large nonprofits

No limits

Individual health insurance premiums + out-of-pocket medical expenses

No

QSEHRA

Nonprofits with fewer than 50 full-time equivalent employees

IRS-set annual limits

Individual health insurance premiums + out-of-pocket medical expenses

No

GCHRA

Nonprofits offering a group health plan

No limits

Out-of-pocket medical expenses only

Yes

 

How do you manage personalized employee health benefits?

Running a nonprofit organization can be administratively demanding, with many employees wearing multiple hats. With massive amounts of records, regulations, and timelines to keep up with, adding benefits to these obligations can be daunting.

Many organizations turn to third-party benefits administrators or administration software to easily manage their benefits.

However, offering HRAs through PeopleKeep's benefits administration software doesn't add more to a small firm's burden. Both you and your employees can set up and administer affordable employee benefits in just minutes each month. With PeopleKeep by Remodel Health, our experts review your employees’ reimbursement claims and documentation for you. This ensures compliance with federal law while saving you time.

 

Frequently asked questions about nonprofit employee benefits

How are employee benefits different for nonprofits?

Many people have a misconception that nonprofits don't provide their employees benefits and instead rely on volunteers. This isn't the case for many nonprofits. Nonprofit employers offer benefits to their employees much like any business would. However, nonprofits tend to have tighter budgets. This makes choosing the right benefits critical.

See our nonprofit’s checklist for choosing health insurance for your employees

Does the Affordable Care Act (ACA) require nonprofits to offer benefits?

Yes. The ACA's employer mandate requires all organizations with 50 or more full-time equivalent employees (FTEs) to offer medical coverage. This could be a group health insurance policy or an ICHRA if your employees have individual health insurance that meets minimum essential coverage (MEC).

Nonprofits with fewer than 50 FTEs don't need to provide benefits by law. However, it's still a great way to attract and retain employees.

Is a nonprofit required to purchase health insurance through the marketplace?

No, nonprofits aren't required to provide health insurance through the marketplace. However, nonprofits with 50 or more FTEs are required to provide health coverage. This can be through an ICHRA instead of group health insurance, where your employees purchase their own health insurance that meets MEC and get reimbursed for their premiums.

What are the financial advantages of offering an HRA as a nonprofit?

When you offer a health reimbursement arrangement (HRA) to your team, you receive tax benefits and cost control in return. Since you set the allowance amount for your employees, you won't have any surprise expenses. Plus, employer contributions are tax-deductible, and reimbursements are tax-free for employees.

What can be included in my nonprofit employee benefits package?

Your compensation packages can include nearly all types of benefits, including health benefits, paid time off, and retirement benefits. You can also offer additional benefits such as wellness programs or mentorship programs that encourage a growth mindset among your team.

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Learn how PeopleKeep and Remodel Health can help

Wondering how you can design a hassle-free, tax-advantaged benefits package for your nonprofit organization? Learn how PeopleKeep and Remodel Health can make offering personalized health benefits possible.

CONSULT AN EXPERT NONPROFIT SOLUTIONS