B-1, Employer-Provided Insurance

Health insurance offered by your employer (commercial or self-insured):

• May provide single or family coverage

• May be included in a cafeteria plan

• Level of premium contribution by employer may vary

• Not eligible for premium tax credits or subsidies

• When available, High Deductible Health Plans (HDHPs) are typically less expensive than non-HDHP plans

• May offer FSA/HRA/HSA-eligible insurance

  • FSA and HSA options are only available with HDHPs

  • HRAs are employer-funded spending accounts and are not available with non-employer sponsored plans
    Learn more: https://marketplace.cms.gov/outreach-and-education/how-an-individual-coverage-hra-offer-works.pdf

  • FSAs cannot be used with Marketplace plans

 

Learn more: https://www.healthcare.gov/have-job-based-coverage/flexible-spending-accounts

 

B-2, Employer-Provided Insurance

Group Health Plan

General term for type of health insurance offered by an employer, union, or association to its members. The opposite of individual coverage and usually requires enrollment of a certain number and/or percentage of employees of a given employer. 

 

B-3, Employer-Provided Insurance

Cafeteria Plan (Section 125 Plan) 

Cafeteria plans allow employers to offer various benefits, such as health insurance, on a pre-tax basis to their employees. 

 

B-4, Employer-Provided Health Insurance

Flexible Spending Account (FSA) 

A special account you and your employer can put money into that you use to pay for certain out-of-pocket health care costs. You do not pay taxes on this money. This means you will save an amount equal to the taxes you would have paid on the money contributed to your FSA. There is an annual cap on the amount that can be contributed by you or on your behalf. FSAs are considered “use it or lose it funds,” although a certain amount can be rolled over from one year to the next. Unused FSA funds are returned to the employer.

Learn more: https://www.healthcare.gov/have-job-based-coverage/flexible-spending-accounts/

 

Health Reimbursement Arrangement (HRA) 

An employer-funded spending account from which employees are reimbursed tax-free for qualified medical expenses up to a fixed dollar amount per year. Unused amounts may be rolled over to be used in subsequent years. The employer funds and owns the arrangement. HRAs are sometimes called Health Reimbursement Accounts. 

Learn more: https://marketplace.cms.gov/outreach-and-education/how-an-individual-coverage-hra-offer-works.pdf

 

Health Savings Account (HSA) 

A type of savings account (sometimes offered by an employer) that lets you set aside money on a pre-tax basis to pay for qualified medical expenses. You are able to lower your overall health care costs by using untaxed HSA dollars to pay for deductibles, co-payments, co-insurance, medications, and other qualified health care expenses. HSA funds generally may not be used to pay premiums. HSA accounts can be rolled over year to year and remain with the employee upon termination of employment. HSA funds may be invested and earn interest that is tax free.

Learn more: https://www.healthcare.gov/high-deductible-health-plan/hdhp-hsa-information/ 

 

HSA vs. HRA vs. FSA

https://www.bcbsm.com/index/health-insurance-help/faqs/plan-types/health-spending-accounts/differences-between-an-hsa-hra-fsa

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B-5, Employer-Provided Health Insurance

Consolidated Omnibus Budget Reconciliation Act (COBRA)

The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives some workers who lose employment the option to continue health insurance coverage for limited periods of time (usually 18 months). The full cost of COBRA premiums is the responsibility of the employee.