Health Benefits (QSEHRA)

 

North Harbor Wealth Management and ARIG, LLC. is sponsoring a Qualified Small Employer Health

Reimbursement Arrangement (QSEHRA) for you effective January 1, 2020, through December 31, 2020. Your

employer will contribute funds to a QSEHRA on a monthly basis that you can use to reduce your overall out-of-

pocket expenses for purchasing qualified individual health insurance coverage.

What you need to know:

  • Maximum Annual Benefit: Your maximum reimbursement for insurance premiums under the QSEHRA

    for the plan year will be: $512.50 per month / $6,150 per year

  • Reimbursement Cap: If you’re not covered by the QSEHRA for the entire plan year, you’ll be subject to a

    pro-rated cap on the annual reimbursement amount.

  • Exchange Coverage /Premium Tax Credit Eligibility: If you purchase health insurance through a

    federal or state health insurance marketplace (exchange) and apply for advance payment of the premium

    tax credit (i.e. subsidy), you must inform the exchange of the amount you’re eligible to receive

    through your QSEHRA.

  • Tax and Coverage Rules: In general, reimbursements from the QSEHRA aren’t included in your income

    for federal tax purposes. Your health insurance plan must provide minimum essential coverage (MEC). If

    your plan doesn’t provide MEC for any month, you may be subject to the IRS individual mandate penalty

    for that month, and any reimbursements you receive from the QSEHRA may be taxable to you as gross

    income. Please visit http://payx.me/MEC for the IRS definition of MEC.

 ****You must purchase the plan yourself. Group plan premiums obtained through a spouse or family member

or any other arrangement are not eligible for reimbursement through your QSEHRA.

Using Your QSEHRA

Please save this link or click the button above to login to your new QSEHRA account: https://pyxqsehra.lh1ondemand.com

When you visit the site for the first time you will need to create a login using your full name, social security

number, and zip code. Once you login there are a few things you will want to update right away.

Add Dependents: You will want to add anyone you may be requesting reimbursement for in the current year.

  1. Click your name in the top right of the screen

  2. Select “Profile Summary”

  3. Once your profile summary page loads select “Add Dependent” in the middle right side of the screen

Add bank account AND direct deposit: ALL ACCOUNTS DEFAULT TO CHECK REIMBURSEMENT

  1. Click your name in the top right of the screen

  2. Select “Banking”

  3. Once your banking page loads select “Add Bank Account” in the middle left side of the screen

  4. Once the details of your bank have been added click on your name in the top right of your screen again

  5. Select “Payment Method”

  6. Once your payment method page loads select “Update” in the middle right side of the screen

  7. Select the payment option you would like and save

Submitting expenses for reimbursement:

  1. Click “Accounts”

  2. Click “Expenses”

  3. Select “Add Expenses”

You can also manage your account and submit expenses for reimbursement through the Paychex Benefit

Account Application on your android or iPhone. Search for “Paychex Benefit Account” in the app or google play

store.

If you have additional questions please feel free to reach out to Michael Raymer or the Paychex Benefits department directly at 855-678-7781.