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CHOICE Arrangement vs. group medical

A CHOICE Arrangement (formerly ICHRA) is defined contribution toward individual coverage. Traditional group medical is employer-sponsored plan selection for the group. Here is how they differ.

Topic Traditional group CHOICE Arrangement (formerly ICHRA)
Employer role Selects group plan(s) Sets allowance by employee group
Employee coverage Chooses from group menu Shops individual coverage
Budgeting Premiums follow group risk & design Contribution amount is designed up front
Multi-state teams Often harder to standardize Allowance model scales across locations
Broker focus Carrier negotiation & renewals Case design, proposal, employee guide

What is a CHOICE Arrangement? · How it works

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