ICHRA for large organizations
Forget double-digit health plan rate hikes affecting your bottom line. With ICHRA, you set the budget. Your teams choose from hundreds of options with better quality at lower costs. That’s how you take care of business.
How it works
No surprises. No complex renewals. Just a straightforward way to offer great health benefits on your own terms.
Set a budget
Pick a fixed allowance per employee to skip annual costly premiums and renewal increases. Get 15-20% immediate savings' unlike traditional group plans. Boost wages, hiring, or R&D instead.
When people get care that actually works for them, they show up differently. Oscar plans are designed for real people in different stages of life, with their own conditions and needs. Another plus? People genuinely like the experience.
9 out of 10
groups who adopted ICHRA renewed YoY1
+35%
group ICHRA adoption YoY1
91%
team satisfaction after switching to ICHRA2
90%
of people want to shop for their own plans2

Real stories
See how employers are delivering higher-impact health benefits with a lower-maintenance model. These businesses walked away from traditional group insurance. Here’s why they aren't looking back.

Traditional group insurance cost this 500-employee company an average of $27k per person every year. It just wasn't sustainable. So they handed the steering wheel over to their team, letting everyone choose their own plan while the company set a fixed budget. The payoff was huge: They saved $2.5M in the first year — and skipped the usual renewal headaches entirely.
The difference
Frequently asked questions
Get quick answers to the questions people ask most.
Traditional group plans subject your bottom line to volatile, double-digit rate hikes at every annual renewal. With an ICHRA, you completely step off that renewal treadmill. By defining a fixed monthly contribution rather than buying a specific plan, you decide if, when, and by how much your healthcare budget increases.
Yes. You can divide your team into clear legal "classes" (like full-time, part-time, seasonal, or by geographic location). While everyone within a specific class must get the same allowance, you can vary the stipend amounts between classes to match your hiring strategy.
No need to write individual checks or manage complex carrier billing histories. Oscar partners with top-rated third-party platform administrators who handle the operational heavy lifting. Typically, employees buy their plan directly. Then the platform automatically syncs with your payroll to reimburse them with tax-free dollars behind the scenes.
It makes compliance surprisingly simple. An ICHRA satisfies the mandate perfectly as long as your monthly tax-free stipend meets the ACA's "affordability" rules and is offered fairly across your employee classes. Put simply, you completely avoid costly penalties without the headache of managing a volatile group plan.
While it’s perfect for health insurance premium payments, an ICHRA can also be used to buy dental, vision, and other supplemental coverage. Depending on how you structure your plan, employees can even put those tax-free dollars towards everyday medical expenses like copays, prescriptions, and deductibles.
Oscar Medical coverage is underwritten by Oscar Insurance Company and its affiliates. Administrative Services for all plans provided by Oscar Management Corporation. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs, and complete details of coverage, contact Oscar at 1-855-672-2788.
ICHRA Broker Survey 2025 (Zorro)