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Employee and Employer Health Benefits Glossary

HRA terms every employer and employee should know.

Benefits Administration

Learn benefits administration basics—enrollment, eligibility, compliance, payroll, and reimbursements—and how SimplyHRA streamlines HRA administration.
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Applicable Large Employer (ALE)

Learn what makes an employer an ALE (50+ FTEs), how to count employees, ACA coverage duties, IRS penalties, and 1094-C/1095-C reporting.
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Form 1094-C

Learn what IRS Form 1094-C is, who must file (50+ FTE ALEs), deadlines, penalties, and how it works with Form 1095-C under ACA reporting.
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Affordability Safe Harbors

Learn the 3 IRS affordability safe harbors—W-2 wages, Rate of Pay, and Federal Poverty Line—and how they affect ACA compliance and tax credits.
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Affordability Percentage

Learn the IRS affordability percentage, how it’s calculated using safe harbors, and how ICHRA affordability affects Marketplace premium tax credits.
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1099 Contractor

Learn what a 1099 contractor is, how contractor vs. employee classification affects benefits, and why ICHRA/HRAs generally apply only to W-2 employees.
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Affordability (ACA)

Learn ACA affordability rules, safe harbors, and how ICHRA affordability affects premium tax credits—plus strategies to stay compliant with SimplyHRA.
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Advance Premium Tax Credit (APTC)

Understand APTC, the Marketplace premium subsidy, and how an affordable ICHRA can end eligibility. Rules, examples, and tips from SimplyHRA.
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Administrative Period

Learn what an administrative period is, how it affects enrollment and coverage start dates, and how it works with ICHRA reimbursements on SimplyHRA.
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21st Century Cures Act

What the 21st Century Cures Act means for employer benefits: data access, interoperability, mental health, and compliance—explained for SMBs by SimplyHRA.
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Premium Tax Credit

Learn how the Premium Tax Credit can help small businesses and employees afford health insurance. Discover eligibility and benefits.
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Formulary

A formulary is a health plan’s covered drug list. Learn tiers, open vs closed formularies, and how employees can pick the right plan under ICHRA.
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Coinsurance

Coinsurance is the percentage you pay after meeting your deductible. Learn how it works, examples, copay vs coinsurance, and out-of-pocket max rules.
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Out-of-Pocket Maximum

Learn how out-of-pocket maximums work in health plans and how they impact small businesses offering ICHRA solutions.
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Deductible

A deductible is what you pay before insurance covers costs. Learn individual vs family deductibles, how it differs from copays/coinsurance, and examples.
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Qualified Small Employer Health Reimbursement Arrangement (QSEHRA)

Learn how Qualified Small Employer HRAs (QSEHRAs) help small businesses provide tax-free health benefits without the complexity of group plans.
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Affordable Care Act (ACA)

Learn what the ACA requires, when the employer mandate applies, and how ICHRA can help you offer affordable benefits with SimplyHRA.
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Minimum Essential Coverage (MEC)

Learn about Minimum Essential Coverage (MEC) and how it impacts small business health benefits, including ICHRA options.
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Individual Coverage Health Reimbursement Arrangement (ICHRA)

Learn about Individual Coverage Health Reimbursement Arrangements (ICHRA) and how they offer flexible health benefits for small businesses.
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