*Laugh/cries in administers an ICHRA coverage*
Federal workers who help resolve complicated problems for Affordable Care Act policyholders are among those recently cut by the Trump administration.
Help for ACA health plans could be harder to come by since RFK axed teams of 'fixers'
Federal workers who help resolve complicated problems for Affordable Care Act policyholders are among those recently cut by the Trump administration.
www.npr.org
April 22, 2025 at 11:56 PM
*Laugh/cries in administers an ICHRA coverage*
CHOICE Plans: This is a rebranding of ICHRA plans (individual coverage health reimbursement arrangement), which I admit is a much better-sounding name for them.
ICHRA/CHOICE plans are one of the few genuinely decent healthcare ideas which came out of the Trump 1.0 admin.
ICHRA/CHOICE plans are one of the few genuinely decent healthcare ideas which came out of the Trump 1.0 admin.
December 13, 2025 at 4:46 PM
CHOICE Plans: This is a rebranding of ICHRA plans (individual coverage health reimbursement arrangement), which I admit is a much better-sounding name for them.
ICHRA/CHOICE plans are one of the few genuinely decent healthcare ideas which came out of the Trump 1.0 admin.
ICHRA/CHOICE plans are one of the few genuinely decent healthcare ideas which came out of the Trump 1.0 admin.
The provisions in the *main* House GOP bill include:
--Association Health Plans
--CSR reimbursement payments
--PBM reform
--CHOICE plans (aka ICHRA)
--Deregulating Stop-Loss Group plans
--Association Health Plans
--CSR reimbursement payments
--PBM reform
--CHOICE plans (aka ICHRA)
--Deregulating Stop-Loss Group plans
December 13, 2025 at 4:30 PM
The provisions in the *main* House GOP bill include:
--Association Health Plans
--CSR reimbursement payments
--PBM reform
--CHOICE plans (aka ICHRA)
--Deregulating Stop-Loss Group plans
--Association Health Plans
--CSR reimbursement payments
--PBM reform
--CHOICE plans (aka ICHRA)
--Deregulating Stop-Loss Group plans
It sounds like what you have is an ICHRA, which employers can choose to offer to retirees. People who take an ICHRA benefit are not eligible for Marketplace subsidies: www.healthinsurance.org/glossary/ind...
What is an individual coverage health reimbursement arrangement (ICHRA)?
An individual coverage health reimbursement arrangement (ICHRA) is a new type of health reimbursement arrangement, available as of 2020, in which employers of any size can reimburse employees for some...
www.healthinsurance.org
November 29, 2025 at 9:16 PM
It sounds like what you have is an ICHRA, which employers can choose to offer to retirees. People who take an ICHRA benefit are not eligible for Marketplace subsidies: www.healthinsurance.org/glossary/ind...
The ICHRA/CHOICE provisions may have some poison pill language buried in it, but on the surface I'd actually be fine with this.
So far that's 2 "HELL NO!" and 2 "Probably OK?" provisions.
So far that's 2 "HELL NO!" and 2 "Probably OK?" provisions.
December 13, 2025 at 4:57 PM
The ICHRA/CHOICE provisions may have some poison pill language buried in it, but on the surface I'd actually be fine with this.
So far that's 2 "HELL NO!" and 2 "Probably OK?" provisions.
So far that's 2 "HELL NO!" and 2 "Probably OK?" provisions.
Assuming it's the same language they tried adding to the OBBBA bill last summer, the House GOP bill would codify ICHRA/CHOICE into law, but would also encourage small businesses to embrace them by...(drumroll)...
...offering TAX CREDITS to them.
That's right.
...offering TAX CREDITS to them.
That's right.
December 13, 2025 at 4:52 PM
Assuming it's the same language they tried adding to the OBBBA bill last summer, the House GOP bill would codify ICHRA/CHOICE into law, but would also encourage small businesses to embrace them by...(drumroll)...
...offering TAX CREDITS to them.
That's right.
...offering TAX CREDITS to them.
That's right.
WITHOUT the "Fitzpatrick Bill" attached, the remaining House GOP bill would include 5 provisions:
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
December 16, 2025 at 8:16 PM
WITHOUT the "Fitzpatrick Bill" attached, the remaining House GOP bill would include 5 provisions:
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
🚀 New Remote Job Alert!
💼 Position: Product Designer, ICHRA
🏢 Company: Oscar Health
🌍 Location: USA
📁 Category: UI UX Design
#RemoteJobs #RemoteWork #WorkFromHome #Hiring #JobOpportunity
Apply now: https://www.designremotejobs.com/job/oscar-health-product-designer-ichra-remote
💼 Position: Product Designer, ICHRA
🏢 Company: Oscar Health
🌍 Location: USA
📁 Category: UI UX Design
#RemoteJobs #RemoteWork #WorkFromHome #Hiring #JobOpportunity
Apply now: https://www.designremotejobs.com/job/oscar-health-product-designer-ichra-remote
September 27, 2026 at 5:25 PM
🚀 New Remote Job Alert!
💼 Position: Product Designer, ICHRA
🏢 Company: Oscar Health
🌍 Location: USA
📁 Category: UI UX Design
#RemoteJobs #RemoteWork #WorkFromHome #Hiring #JobOpportunity
Apply now: https://www.designremotejobs.com/job/oscar-health-product-designer-ichra-remote
💼 Position: Product Designer, ICHRA
🏢 Company: Oscar Health
🌍 Location: USA
📁 Category: UI UX Design
#RemoteJobs #RemoteWork #WorkFromHome #Hiring #JobOpportunity
Apply now: https://www.designremotejobs.com/job/oscar-health-product-designer-ichra-remote
This is painful to listen to because I *THINK* he's talking about the "CHOICE" option (previously called ICHRA plans), which is actually one of the very few *good* ideas that came out of the Trump 1.0 administration...but he's completely mangling the description of why this is a good option.
Dr Oz on health insurance: "I'm gonna give you the money instead of buying you insurance ... look, why have a buffet offered to everybody if maybe a few people want À la carte service? 'I'm young, I don't have kids, I'm not married ... '"
September 8, 2026 at 1:26 PM
This is painful to listen to because I *THINK* he's talking about the "CHOICE" option (previously called ICHRA plans), which is actually one of the very few *good* ideas that came out of the Trump 1.0 administration...but he's completely mangling the description of why this is a good option.
ICHRA/CHOICE plans were created via executive order during Trump 1.0, but never actually codified. The Biden Admin was basically neutral about them--he never rescinded the exec order, but he also never tried to make them permanent either.
December 13, 2025 at 4:50 PM
ICHRA/CHOICE plans were created via executive order during Trump 1.0, but never actually codified. The Biden Admin was basically neutral about them--he never rescinded the exec order, but he also never tried to make them permanent either.
Many small businesses use ICHRA or QSHERA to reimburse employees for health insurance purchased through the ACA. It's one of the easiest ways for a small business to cover health insurance and is now built into employee benefit programs nationwide.
September 26, 2026 at 7:46 PM
Many small businesses use ICHRA or QSHERA to reimburse employees for health insurance purchased through the ACA. It's one of the easiest ways for a small business to cover health insurance and is now built into employee benefit programs nationwide.
Companies are already implementing Trumps ICHRA changes. My employer is going to cut our health benefits starting in 2027 and provide a super generous 300.00 a month stipend for us to secure our own health benefits. Fuck this bullshit.
July 25, 2025 at 7:54 PM
Companies are already implementing Trumps ICHRA changes. My employer is going to cut our health benefits starting in 2027 and provide a super generous 300.00 a month stipend for us to secure our own health benefits. Fuck this bullshit.
Here's more details about how it works via @louisenorris.bsky.social (who everyone interested in healthcare policy should follow).
Again, it's not a bad idea, but it DOES have some disruptive impacts on *both* risk pools which can be positive *or* negative.
www.healthinsurance.org/glossary/ind...
Again, it's not a bad idea, but it DOES have some disruptive impacts on *both* risk pools which can be positive *or* negative.
www.healthinsurance.org/glossary/ind...
What is an individual coverage health reimbursement arrangement (ICHRA)?
An individual coverage health reimbursement arrangement (ICHRA) is a new type of health reimbursement arrangement, available as of 2020, in which employers of any size can reimburse employees for some...
www.healthinsurance.org
September 8, 2026 at 1:35 PM
Here's more details about how it works via @louisenorris.bsky.social (who everyone interested in healthcare policy should follow).
Again, it's not a bad idea, but it DOES have some disruptive impacts on *both* risk pools which can be positive *or* negative.
www.healthinsurance.org/glossary/ind...
Again, it's not a bad idea, but it DOES have some disruptive impacts on *both* risk pools which can be positive *or* negative.
www.healthinsurance.org/glossary/ind...
i am chronically ill (lupus) and work for a 501c3. due to rising costs my employer opted for an ichra in 2026, meaning no more group coverage. we purchase plans thru the aca and they reimburse us ~80%. and they did this knowing the aca subsidies are up for a vote.
November 10, 2025 at 2:54 AM
i am chronically ill (lupus) and work for a 501c3. due to rising costs my employer opted for an ichra in 2026, meaning no more group coverage. we purchase plans thru the aca and they reimburse us ~80%. and they did this knowing the aca subsidies are up for a vote.
Thatch’s CHOICE marketplace hits $1B valuation as employers reshape healthcare. #Healthcare #BenefitsPlatform #Fintech #Startups #HealthTech #CHOICE #ICHRA #GLP1 thedailytechfeed.com/thatch-rides...
September 15, 2026 at 5:22 PM
Thatch’s CHOICE marketplace hits $1B valuation as employers reshape healthcare. #Healthcare #BenefitsPlatform #Fintech #Startups #HealthTech #CHOICE #ICHRA #GLP1 thedailytechfeed.com/thatch-rides...
When you move young, healthy people from one risk pool to another, it makes the latter less expensive but the former more expensive.
Under ICHRA/CHOICE, employers have to make an all-or-nothing decision (that is, they can't offer *either* group coverage *or* ACA coverage) to a class of employees.
Under ICHRA/CHOICE, employers have to make an all-or-nothing decision (that is, they can't offer *either* group coverage *or* ACA coverage) to a class of employees.
September 8, 2026 at 1:44 PM
When you move young, healthy people from one risk pool to another, it makes the latter less expensive but the former more expensive.
Under ICHRA/CHOICE, employers have to make an all-or-nothing decision (that is, they can't offer *either* group coverage *or* ACA coverage) to a class of employees.
Under ICHRA/CHOICE, employers have to make an all-or-nothing decision (that is, they can't offer *either* group coverage *or* ACA coverage) to a class of employees.
--Under ICHRA/CHOICE, instead of group coverage, the employer has the employees enroll in an ACA plan instead
--The employee *doesn't* get ACA subsidies & thus has to pay full price, HOWEVER the employer *reimburses* them for a portion (presumably the same ~2/3) of the premiums instead
--The employee *doesn't* get ACA subsidies & thus has to pay full price, HOWEVER the employer *reimburses* them for a portion (presumably the same ~2/3) of the premiums instead
September 8, 2026 at 1:33 PM
--Under ICHRA/CHOICE, instead of group coverage, the employer has the employees enroll in an ACA plan instead
--The employee *doesn't* get ACA subsidies & thus has to pay full price, HOWEVER the employer *reimburses* them for a portion (presumably the same ~2/3) of the premiums instead
--The employee *doesn't* get ACA subsidies & thus has to pay full price, HOWEVER the employer *reimburses* them for a portion (presumably the same ~2/3) of the premiums instead
New Tax Credit Available For Small Businesses Offering Health Insurance #ctnewsjunkie #ctpolitics
New Tax Credit Available For Small Businesses Offering Health Insurance
Eligible businesses, which include those with 50 or fewer employees, can receive a tax credit of up to $1,000 per employee per year when they offer an Individual Coverage Health Reimbursement Arrangement (ICHRA) through Access Health CT.
dlvr.it
September 23, 2026 at 7:34 PM
New Tax Credit Available For Small Businesses Offering Health Insurance #ctnewsjunkie #ctpolitics
I am not sure this is not some weird scheme to push ichra plans for all.
December 30, 2025 at 2:49 AM
I am not sure this is not some weird scheme to push ichra plans for all.
Are we honoring the workers today?
If my tiny family farm can pay our workers above average wages, PTO, SEP-IRA, ICHRA, bonuses, and other benefits, surely large corporations can do so? Please support the businesses that treat their workers well.
#laborday2025 #familyfarm #delaware
If my tiny family farm can pay our workers above average wages, PTO, SEP-IRA, ICHRA, bonuses, and other benefits, surely large corporations can do so? Please support the businesses that treat their workers well.
#laborday2025 #familyfarm #delaware
September 1, 2025 at 11:16 AM
Are we honoring the workers today?
If my tiny family farm can pay our workers above average wages, PTO, SEP-IRA, ICHRA, bonuses, and other benefits, surely large corporations can do so? Please support the businesses that treat their workers well.
#laborday2025 #familyfarm #delaware
If my tiny family farm can pay our workers above average wages, PTO, SEP-IRA, ICHRA, bonuses, and other benefits, surely large corporations can do so? Please support the businesses that treat their workers well.
#laborday2025 #familyfarm #delaware
No, it's a small private practice that doesn't have enough employees to require anything more than an ICHRA benefit for finding our own shitty plans through healthcare.gov
January 8, 2025 at 10:34 PM
No, it's a small private practice that doesn't have enough employees to require anything more than an ICHRA benefit for finding our own shitty plans through healthcare.gov
If your employer is offering an ICHRA, here's an overview of the type of health coverage you need in order to utilize the ICHRA benefit: www.healthinsurance.org/faqs/which-h...
Which health plans’ premiums are eligible for reimbursement under an ICHRA?
Health insurance premiums for individual health insurance and Medicare may qualify for reimbursement under an ICHRA (Individual Coverage Health Reimbursement Arrangement).
www.healthinsurance.org
July 8, 2025 at 4:41 PM
If your employer is offering an ICHRA, here's an overview of the type of health coverage you need in order to utilize the ICHRA benefit: www.healthinsurance.org/faqs/which-h...
Connecticut Opens $5 Million Small-Business Health Credit
#Healthcare
#Healthcare
Connecticut Opens $5 Million Small-Business Health Credit
Connecticut is offering up to $5 million in tax credits to small employers that add ICHRA health coverage, with credits of up to $1,000 per participating worker annually for two years.
www.theamericanquorum.com
September 22, 2026 at 6:45 PM
Connecticut Opens $5 Million Small-Business Health Credit
#Healthcare
#Healthcare
it would not be the end of the world if the tax credits were replaced by a govt-funded ICHRA,which is a somewhat obscure form of health account that's like an HSA except you can spend it on insurance premiums in addition to other medical expenses en.wikipedia.org/wiki/Health_...
Health reimbursement account - Wikipedia
en.wikipedia.org
November 13, 2025 at 7:08 PM
it would not be the end of the world if the tax credits were replaced by a govt-funded ICHRA,which is a somewhat obscure form of health account that's like an HSA except you can spend it on insurance premiums in addition to other medical expenses en.wikipedia.org/wiki/Health_...
fyi if your boss starts talking about ICHRA just go on the exchange.
they keep trying to market it to groups but i cannot see any way it helps employees
they keep trying to market it to groups but i cannot see any way it helps employees
America's employer-based health insurance system is crumbling. STAT investigates why, in our new series, “Out of Pocket, Out of Reach.” www.statnews.com/2026/07/07/s...
America’s small businesses are giving up on health insurance
America's employer-based health insurance system is crumbling. STAT investigates why, in our new series, “Out of Pocket, Out of Reach.”
www.statnews.com
July 7, 2026 at 4:17 PM
fyi if your boss starts talking about ICHRA just go on the exchange.
they keep trying to market it to groups but i cannot see any way it helps employees
they keep trying to market it to groups but i cannot see any way it helps employees