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IRS approves new design for Health Reimbursement Arrangement

by Tony Novak, CPA, MBA, MT
originally published 7/27/2003, last updated 9/17/2011


Note for 2014: I recommend a flexible benefit plan design that accommodates a combination of tax-free and after tax health benefits as allowed under the Affordable Care Act and prior law without the need to revise the benefit plan documents as tax regulations continue to evolve.

Small business employers generally love the features of the new Health Reimbursement Accounts (HRA) in providing flexible health benefits to employees. This plan reduces health insurance costs, wage taxes and administrative work for the business as compared to traditional small group health plans. But employers often find it difficult to provide health benefits fairly to all eligible employees with different levels of wages, job title, medical needs and number of dependents.

Some employers provide health benefits based on cost of insurance, job title or family status. Others use a “same dollar amount for all” approach. There has been little formal guidance from the IRS or Department of Labor on this subject, and small business owners generally defaulted to the provisions offered by their health insurance companies.

In a private letter ruling number 200329014 issued July 18, 2003 the IRS gave approval to a new system that takes into account both the employees wages and number of exemptions on the W4 (presumably indicative of the number of dependents).

Employees with high wages and large number of exemptions receive a greater employer contribution toward health care costs. This system is likely to be well received by key employees yet still viewed as a fair allocation to younger employees without a family. This new plan design will likely allow small business owners and key employees to receive significantly higher health benefits – other than health insurance – than the other employees in the business.

The new plan design approved by the IRS included benefits only for employees who voluntarily opted into a salary-deducted health insurance plan. While HRA plans do not require health insurance per se, the employee’s voluntary contribution to the insurance cost is a key provision of the overall health plan design that will provide for long term security, control costs and prevent the perception of abuse of plan benefits.

Other HRA resources for small businesses including prototype plan documents and articles are available at

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Opinions expressed are the solely those of the author and do not represent the position of any other person, company or entity mentioned in the article. Information is from sources believed to be reliable but cannot be guaranteed. Any accounting, business or tax advice contained in this communication, including attachments and enclosures, is not intended as a thorough, in-depth analysis of specific issues or a substitute for a formal opinion, nor is it sufficient to avoid tax-related penalties. Tony Novak operates as an independent adviser under the trademarks "Freedom Benefits", "OnlineAdviser" and "OnlineNavigator" but is not a representative, agent, broker, producer or navigator for any securities broker dealer firm, federal or state health insurance marketplace or qualified health plan carrier. He has no financial position in any stocks mentioned. Novak does work as an accountant, agent, adviser, writer, consultant, marketer, reviewer, endorser, producer, lead generator or referrer to other companies including the companies listed in the articles on this web site.   |  (800) 609-0683  |  Cell/Text: 856-723-0294  |