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The Daily Insight

How do I set up a medical expense reimbursement plan?

Author

Andrew Ramirez

Published Feb 14, 2026

Normally, they follow a five-step process:

  1. Employers set allowance amounts. With an MERP, employers set a monthly allowance amount for each employee.
  2. Employees purchase health care.
  3. Employees submit proof of expense.
  4. Employers review employee documentation.
  5. Employers reimburse employees.

Are you qualified for Small Employer health reimbursement Qsehra?

To qualify for a QSEHRA, a small employer generally must: Have fewer than 50 full-time employees. Provide the arrangement on the same terms to all full-time employees (reimbursement amounts may only vary based on age and the number of individuals covered)

What is a 105 reimbursement plan?

Section 105 of the Internal Revenue Service (IRS) regulations allows for reimbursement of medical expenses under an employer-sponsored health plan. There are various types of Section 105 plans including: Health Reimbursement Arrangements, Medical Expense Reimbursement Plans, Accident and Health Plans, and more.

What does Section 105 medical reimbursement plan mean?

This medical reimbursement plan is aptly named after Section 105 of the IRS code, which allows an employer to reimburse employees, and their dependents, for their out-of-pocket medical costs and health insurance premiums under an employer-sponsored health plan. A Section 105 plan is not health insurance.

What are the requirements for a section 105 plan?

Section 105 sets the following requirements for an eligible plan: Employers are the sole contributors to the plan. In contrast to a Section 125 plan, a Section 105 plan cannot be funded through reduction of the employee’s salary, whether voluntary or involuntary. Reimbursements received…

How is Section 105 compliant with the ACA?

To be compliant with the ACA, Section 105 plans such as HRAs must be offered as a supplement to employer-provided health insurance coverage. Generally, employees must have existing group coverage through their employer in order to participate in an HRA.

What does Section 105 of the Internal Revenue Code mean?

Reimbursements are generally excludable from the employee’s gross income under Internal Revenue Code Sections 106 and 105. Section 105 Plans are considered group health plans, and as such, must be designed and administered to comply with the IRS, HIPAA, ERISA, COBRA, and the ACA.