CHOICE Arrangements vs. Group Health Insurance

Most small businesses have only known group coverage. See how a CHOICE Arrangement (formerly ICHRA) compares on budget control, employee choice, participation rules and renewal risk.

Side-by-Side

How the Two Compare on What Matters Most

Most small businesses have only known group coverage. Here is how a CHOICE Arrangement compares on the issues that matter most to employers with 10 to 500 employees.

Feature

CHOICE

Traditional Group

Employer controls exact budget

Employees choose their own plan

Works with any ACA-compliant carrier

Tax-free reimbursements to employees

No minimum participation requirements

Scales from 10 to 500+ employees

Rates can spike at annual renewal

One-size-fits-all plan for all staff

High-risk employees raise everyone's rate

Predictable cost year over year

Not sure if a CHOICE Arrangement is right for you?

If your group can pass medical underwriting and you want the simplicity of a group plan with better cost controls, we also offer level funded plan options.

Common Questions

CHOICE vs. Group: FAQs

With a CHOICE Arrangement, each employee purchases individual insurance. Your reimbursement amount never changes based on employees’ health status or claims history. Someone who had a major surgery last year does not raise your cost next year — which is the fundamental difference from group underwriting.

No. A CHOICE Arrangement has no participation minimums and requires just one employee to establish. It is available to any employer of any size.