QSEHRA administration software
PeopleKeep’s qualified small employer health reimbursement arrangement (QSEHRA) administration software gives small employers an affordable way to reimburse their employees tax-free for qualified medical expenses, like health insurance premiums.
✔ Offer a health benefit your small business can afford
✔ Provide the flexibility employees want
✔ Manage your benefit in minutes

Why offer a QSEHRA?
No Minimum Contributions
Tax-free for employers and employees
HSA-compatible
Empower employees
Struggling to offer health insurance as a small business or nonprofit?
If you’re a small employer with fewer than 50 employees looking to offer health benefits on a budget, the qualified small employer health reimbursement arrangement (QSEHRA) is made just for you.
A QSEHRA is a formal health benefit that allows organizations to reimburse their employees tax-free for their medical expenses.

What makes a QSEHRA with PeopleKeep different
Award Winning Customer Support
Simplify benefits
Automated plan documents
Retain employees
Integrated health insurance shopping
Your employees can shop for their plans within their PeopleKeep account. They have access to meet with our in-house benefits advisors for health insurance enrollment.
Expert employee claims verification
Our expert documentation review team reviews your employees' reimbursement requests for IRS compliance. We'll let you know when we've verified an expense so you can reimburse employees.
Service the way it should be
As a small or medium size business owner, we know you wear a lot of hats. That’s why at PeopleKeep, our software is simple to administer and our award-winning customer service team is available at the click of a button. Whether it’s filling out legal documents, reviewing reimbursement requests, or navigating tax requirements, we’re here to guide you every step of the way.
Maybe that’s why we have hundreds of five-star reviews on Google, Capterra, and G2. Or maybe it’s because our customers love how intuitive and simple our software is to use. Either way, our team handles the administrative and compliance burden so you can focus on running your organization.
See what our customers have to say on Google, Capterra, and G2.

A record of excellence
Join thousands of others who use PeopleKeep to administer their QSEHRA
$37M+
Reimbursement dollars processed
90,000+
Expenses reviewed
How a QSEHRA with PeopleKeep works
With a QSEHRA, you can offer employees a monthly allowance for their individual health insurance premiums and out-of-pocket medical expenses. Here's a breakdown of the process.
See if you're eligible to offer a QSEHRA
First, you’ll need to answer a few questions to make sure your organization is eligible to sign up for a QSEHRA. Your eligibility will depend on the size of your organization, the number of W-2 employees you have, and what other group health insurance plans you have in place.
To qualify for a QSEHRA, your organization must:
- Have at least one W-2 employee
- Have fewer than 50 full-time equivalent employees (FTEs)
- Not offer a group plan (though you can cancel and offer a QSEHRA)
Take our HRA quiz to determine if the QSEHRA is the right fit for you.
Create a PeopleKeep account
Next, you’re ready to create a PeopleKeep account for your organization. Here you’ll fill in basic information about your organization, like the address, phone number, and tax-filing status.
We use this information to set up your legal plan documents, which are part of what makes your QSEHRA plan compliant with applicable federal regulations.
You’ll also include some basic contact information about you. As the benefits administrator, you’ll be able to add and manage benefits, users, and billing information. You’re welcome to add more admins later to help manage your account.


Design your QSEHRA benefit
Now you’re ready to design your benefit so it’s tailored to you and your employees’ needs. This step includes choosing a monthly allowance amount, deciding if you want employees with different family statuses to receive different allowance amounts, and choosing whether or not you’d like to reimburse employees for qualifying out-of-pocket expenses in addition to their insurance premiums.
- Choose a benefit start date
- Differ allowances by family status (optional)
- Enable employer-sponsored premium reimbursement for spouses (optional)
Add your people and launch your benefit
Next, you’ll add the names and emails of each of the employees you want to participate in your QSEHRA benefit. With a QSEHRA, all W-2 full-time employees must be added to the benefit. You can also extend the benefit to part-time employees.
Once invited, your employees will receive an email with the details about their QSEHRA and how it works. When you're ready, the last step is to officially launch your benefit.

Employees make qualifying medical purchases and request reimbursement
Once you launch your benefit, employees with a qualifying form of health coverage can participate in the QSEHRA. Employees must have a plan with minimum essential coverage (MEC). All plans on the public federal and state health insurance exchanges qualify, as do most group health plans from a spouse or parent.
Your employees can now make out-of-pocket purchases for the healthcare items and services they need. After making an eligible purchase, employees submit documentation, such as a receipt, in the software and attest that they have qualifying coverage with MEC.
Reimburse your employees
Once the expense is submitted, our expert team reviews it for IRS compliance. Once we verify an expense you can approve the amount and reimburse your employee through payroll or by cash or check.
Offering personalized benefits is possible with PeopleKeep
Frequency Asked Questions
PeopleKeep’s HRA software helps employers administer their own HRA in just minutes per month. It makes health benefits smooth, efficient, and meaningful to employees. A PeopleKeep HRA gives employers instant access to legal plan documents and award-winning customer support for themselves and their employees.
Watch a demo
Almost all business owners can participate in a QSEHRA, except for S-Corporation owners with more than 2% ownership in the organization. See our chart on owner eligibility with a QSEHRA.

Interested in signing up with PeopleKeep?
Speak with a PeopleKeep personalized benefits advisor who can help you answer questions, set up your account, and guide you through the beginning stages of your new benefit.