Why ICHRAs

Trends and Case Studies

ICHRA adoption is on the rise as more employers seek affordable health insurance alternatives. And ICHRA satisfaction rates are high.

ICHRA by the Numbers

+29%

Growth

The number of businesses offering ICHRAs grew by 29% from 2023 to 2024

Source: HRA Council - Growth Trends ICHRA & QSEHRA

94%

Satisfaction

94% of people surveyed were similarly satisfied or more satisfied after moving to an ICHRA

Source: Deft Research - 2024 Commercial Group and ICHRA Study

83%

New to Benefits

83% of employers who now offer an ICHRA (or similar QSEHRA) never provided health insurance before.

Source: HRA Council - Growth Trends ICHRA & QSEHRA

“Our employees compare their benefits with friends and family. The answer typically comes back the same — our options are greater, and employees pay less for them.”

Caryn Goulet
Executive Director of HR New England Life Care

Case Study: New England Life Care

New England Life Care, a company with 500 employees, previously offered their staff group plans. After facing a 39% increase on group insurance and moving to an ICHRA, here’s what changed:

Their employees chose over 180 unique health plans that better meet their needs (compared to 3 plans offered under group insurance)
The business reduced healthcare costs by 40%
This allowed $3.8 million to be redirected to wage optimization
All employees now pay less than they did 5 years ago — some employees even pay $0

“This was an absolute game changer for us. We will never go back to group.”

Paul Rockelmann
Vice President of HR, Rose Group

Case Study: Rose Group

Rose Group, a hospitality company with over 50 restaurants across four states, had 315 employees on group insurance. After facing a 12% increase and moving to an ICHRA, here's what changed:

The business saved $1.6 million, then reinvested in their employees
Employees saved $1 million in premiums by picking the plans they wanted
One quarter of the population had $0 premiums
A consistent 20% employee turnover rate was reduced to 9%
In an employee survey, 309 out of 315 people said they had a positive experience with ICHRA (5 were neutral and 1 was negative)
Employee testimonials included the following statements: "Too good to be true", "Life-changing", "I can finally afford health insurance for my family", and "Are these premiums accurate? [Because they are low]".