If you have decided to implement the qualified small employer health reimbursement arrangement (QSEHRA), or small business HRA, it is important to manage and administer it appropriately. Here are three key points to keep in mind when managing QSEHRA:
a. Update your plan concurrently with staff changes: One of the few certainties in life is that it is constantly changing. Likewise, your company is certain to see staffing changes through the years as employees move on or retire and new workers come on board. As your business evolves, it’s crucial to update your QSEHRA to reflect changes in personnel, as the eligibility parameters set forth in your QSEHRA plan documents must line up with the roster of workers enrolled in the QSEHRA.
b. Record reimbursements and store documentation: You should also take steps to ensure your business properly documents reimbursements and stores the documentation in accordance with IRS and Department of Labour rules. Under federal law, businesses are required to show documentation verifying at least seven years’ worth of HRA-related expenses and supporting documentation. For more in-depth guidance on documentation, see IRS Publication 583.
c. Evaluate allowance amounts annually: At some point, your business may wish to change employees’ monthly allowance amounts under the HRA. You can do this if you follow proper QSEHRA notice requirements. Many business owners include a monthly allowance adjustment as part of their annual benefits review.

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