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A Health Reimbursement Arrangement, also known as a Health Reimbursement Account (HRA), [1] is a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses and, in limited cases, to pay for health insurance plan premiums.
The reimbursement is tax-free for the employee. Unused HRA balances can roll over month to month or year to year, depending on the terms of the HRA. HRAs: Eligible Medical Expenses.
The most common type of flexible spending account, the medical expense FSA (also medical FSA or health FSA), is similar to a health savings account (HSA) or a health reimbursement account (HRA). However, while HSAs and HRAs are almost exclusively used as components of a consumer-driven health care plan, medical FSAs are commonly offered with ...
“A salary can provide a steady income and predictable tax deductions for the business, but it means higher payroll taxes,” wrote Cunningham & Associates, LLC. “An owner's draw may offer more ...
In the United States, a self-funded health plan is generally established by an employer as its own legal entity, similar to a trust.The health plan has its own assets, which, under the Employee Retirement Income Security Act of 1974 (“ERISA”), must be segregated from the employer's general assets.
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There are two approaches to HRA. Under the cost approach , also called the "human resource cost accounting method" or model, there is an acquisition cost model and a replacement cost model. Under the value approach , there is a present value of future earnings method, a discounted future wage model, and a competitive bidding model.
In this system, health care costs are first paid for by an allotment of money provided by the employer in an HSA or HRA. Once health care costs have used up this amount, the consumer pays for health care until the deductible is reached, after this point, it operates similar to a typical PPO. Once the out-of-pocket maximum is reached, the health ...