ICHRA Compliance Guide

Understand the compliance requirements employers and brokers need to manage before launch and throughout the plan year.

CMS currently refers to ICHRAs as a CHOICE Arrangements. This guide continues to use ICHRA for consistency with the existing regulatory framework and established industry terminology.

IRS

DOL

ACA

Ongoing Compliance

Why compliance matters

ICHRA compliance is less about a single regulation and more about managing several administrative responsibilities throughout the plan year—from notices and affordability to verification and reporting. Most compliance failures come from missed steps, not misunderstood rules, and can be avoided with the right processes in place.

Why compliance matters

The six core compliance areas

Employee Class Illustration

Employee Classes

Define employee classes before plan design

Documents in stack

Plan Documents

Maintain plan documents and required summary materials

Document in the envelope with bell

Required Notices

Deliver required employee notices before and throughout the plan year

Calculator with a dollar sign

Affordability

Review affordability before launch and renewal

Document with checklist

Coverage Verification

Verify qualifying individual coverage to support ICHRA eligibility

Documents in the drawer with lock sign

Record Retention

Maintain records to support ongoing compliance

Employee Class Illustration

Employee Classes

Define employee classes before plan design

Documents in stack

Plan Documents

Maintain plan documents and required summary materials

Document in the envelope with bell

Required Notices

Deliver required employee notices before and throughout the plan year

Calculator with a dollar sign

Affordability

Review affordability before launch and renewal

Document with checklist

Coverage Verification

Verify qualifying individual coverage to support ICHRA eligibility

Documents in the drawer with lock sign

Record Retention

Maintain records to support ongoing compliance

The foundation of a compliant ICHRA

A compliant ICHRA starts with clearly defined employee classes, documented plan rules, qualifying individual coverage, and consistent administration. Getting these fundamentals right makes ongoing compliance easier to manage.

The foundation of 
a compliant ICHRA

Define employee classes

Employee classes from the starting point for every ICHRA program. Before launch, employers define which employees belong to each class and how allowance amounts are applied.

Classes may be organized by employment status, geographic location, or other eligible categories, allowing benefits to reflect workforce needs while remaining compliant.

Define employee 
classes

Affordability matters

Affordability helps determine whether employees may qualify for Marketplace premium tax credits and plays an important role in ACA compliance for Applicable Large Employers. Reviewing affordability before launch and again during renewal helps support ongoing compliance.

Affordability matters

Common compliance failure patterns

Most compliance issues are operational, not regulatory. A structured process helps prevent common mistakes before they become compliance risks.

Without platform

Solution by Solution  by

Unclear employee classes

Unclear employee classes

Structured employee classes

Structured employee classes

Missed notice deadlines

Missed notice deadlines

Structured notice management

Structured notice management

Scattered documentation

Scattered documentation

Centralized documentation

Centralized documentation

Manual affordability tracker

Manual affordability tracker

Ongoing affordability reviews

Ongoing affordability reviews

Incomplete coverage verification

Incomplete coverage verification

Ongoing coverage verification

Ongoing coverage verification

Spreadsheet-based administration

Spreadsheet-based administration

Connected program administration

Connected program administration

Without platform

Unclear employee classes

Missed notice deadlines

Scattered documentation

Manual affordability tracker

Incomplete coverage verification

Spreadsheet-based administration

Solution bySolution  by

Structured employee classes

Structured notice management

Centralized documentation

Ongoing affordability reviews

Ongoing coverage verification

Connected program administration

Compliance checklist

Use this checklist to verify that your ICHRA program is ready for launch and prepared for ongoing compliance.

Bring Compliance Into Everyday Operations

Replace manual processes with a centralized platform designed to support ICHRA administration, compliance workflows, and renewal readiness.