What is a Qualified Small Employer Health Reimbursement Arrangement?

A Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) is a plan designed to help you pay for qualified medical expenses. It is specifically designed for companies with fewer than 50 full-time employees and is funded solely through employer contributions.

Your employer sets aside money on a pre-tax basis — this means as long as you use the money for eligible expenses, you won’t pay income taxes on it.

The QSEHRA is special in that it allows you to pay for individual health insurance premiums that meet the Minimum Essential Coverage (MEC) requirements. Check with your employer to find out what other medical expenses are qualified and remember to document each expense.

How Does It Work?

Participating in a Surency Flex QSEHRA is easy.

  1. Your employer will contribute a specified amount to your account each year. The money may be deposited in increments or in one lump sum. 
  2. Pay for qualified medical expenses up front, then submit this claim form for reimbursement by mail: Surency Flex, P.O. Box 789773, Wichita, KS 67278-9773; or by fax: 316-272-4841. 
  3. Check with your benefits administrator to determine if your employer allows for funds to roll over at the end of each year. If rollover is not available, be sure to use the funds in your QSEHRA by the end of the year.


Visit our Frequently Asked Questions page for answers.

Frequently Asked Questions