Get your copy of the 2024 ICHRA Report
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See a sample of the data included in the 2024 ICHRA Report below
Remodel Health and PeopleKeep present this comprehensive report on the widespread adoption of the individual coverage health reimbursement arrangement (ICHRA) across various industries and states. From agriculture to technology companies, this report highlights ICHRA's ability to adapt to the unique needs of businesses in diverse sectors.
Employers are finding that the ICHRA offers more choice for employees and budget control for employers. With it, organizations of all sizes can offer a defined monthly contribution for employees to spend on the individual health insurance plans and qualifying out-of-pocket medical expenses of their choosing.
Given the flexibility of an ICHRA, its popularity has grown considerably since it became available in 2020. According to the HRA Council, of which Remodel Health is a member organization, ICHRA adoption among U.S. employers grew by 29% from 2023 to 2024.
Whether it's a small business offering health coverage for the first time or large employers seeking seeking cost effective ways to provide bespoke benefits packages, ICHRA empowers employers to provide tailored benefits to meet their workforce's needs.
Remodel Health and PeopleKeep gathered the data in this report from our ICHRA customers and their employees. We examined how organizations of all sizes across various industries used our ICHRA solutions to provide personalized health benefits to their employees.
The 2024 ICHRA Report includes data on:
Weight of employee range by industry
A balanced distribution of ICHRA adoption across various industries and employer sizes.
Weight of employee range by state
The size breakdown of employers offering an ICHRA in various states.
Percentage of employees on ICHRA who work for an ALE
A comparison between the percentage of employees who work for an ALE vs. a small business.
Percentage of ICHRA adoption by industry
The proportion of employers offering ICHRA by industry.
Average ICHRA contribution by employer size
How the average monthly ICHRA allowance varies by ALE status.
Average ICHRA contribution by industry
Average monthly allowances by industry.
Average ICHRA contribution by state
A look at how ICHRA contribution varies in select states.
Percentage of ICHRA employee participation by coverage level
The average ICHRA participation rate across all industries + a break down by family status.
Percentage of ICHRA employee participation by industry
A look at ICHRA employee participation rates by industry.
Average number of plans selected by industry
Average number of plans employees choose per employer, by industry.
Percentage of plans selected: on- vs. off-exchange
How many employees choose individual plans from on-exchange vs. off-exchange sources.
Percentage of plans selected: metal levels
The proportion of employees choosing a bronze, silver, or gold plan.
Average number of states per ALE
The average number of states ALEs vs. non-ALEs have employees in.
Want all the details?
Download the full report to find out:
- How the average ICHRA allowance varies by ALE status
- Most popular metal tiers for individual health insurance coverage
- How allowances vary by state and industry
Learn more about PeopleKeep and the ICHRA
What is the ICHRA?
The individual coverage HRA (ICHRA) is an employer-funded health benefit that allows employers to reimburse employees for individual health insurance premiums and qualifying out-of-pocket medical expenses.
Employers of all sizes can offer the benefit, and there are no minimum or maximum contribution limits.
What is PeopleKeep?
PeopleKeep is a personalized health benefits administration provider. We help small and midsize organizations set up and manage their health reimbursement arrangements (HRAs) with our innovative software and award-winning customer support. Because our software is intuitive and can be managed in minutes per month, we make providing benefits more accessible to organizations that do not want to manage complex and tedious administrative tasks.
Since starting as Zane Benefits in 2006, we've been a leader in cloud-based HRA administration. PeopleKeep is part of Remodel Health.
What other reports has PeopleKeep published?
PeopleKeep releases an annual report on the qualified small employer HRA (QSEHRA). We also publish our Employee Benefits Survey Report.
What HRAs can I administer with PeopleKeep?
We provide software that allows organizations to offer health reimbursement arrangements (HRAs). Learn more about each of our products below:
- Qualified small employer HRA (QSEHRA): A simple, controlled-cost alternative to group health insurance for employers with 1-49 employees.
- Individual coverage HRA (ICHRA): A flexible health benefit solution for employers of all sizes that can be used alone or alongside group health insurance.
- Group coverage HRA (GCHRA): A group health supplement for employers already offering a group health insurance plan to help employees with out-of-pocket expenses.
How much does a plan with PeopleKeep cost?
At PeopleKeep, we help you implement budget-friendly, compliant benefits without the hassle. Pricing will vary depending on which product you're interested in and how many employees you'll have enrolled in the benefit.