Benafica is a health benefits and insurance company that helps employers offer flexible, tax-free health reimbursement plans instead of traditional group health insurance.
Benafica administers CHOICE arrangements (formerly ICHRA) and QSEHRA programs for brokers across the country.
We work with benefits professionals across the country who want to add ICHRA and QSEHRA to their service offering, or who need a better administrator for the HRA business they already have.
Everything that would otherwise mean hiring someone, handled by our team and the BEN360 platform.
Onboarding
Plan setup, classes, allowances, plan documents, and the 90-day notice, done for you.
Enrollment support
Licensed counselors walk every employee through their options, one to one.
Payments
Premium payments, reimbursements, and one consolidated invoice, every month.
Compliance
Plan documents, required notices, substantiation, and ACA reporting support.
Renewals
Annual review, updated allowances, and renewal modeling, ready before you need them.
Client communications
A dedicated account executive for every group, and real people answering employee questions.
Every client, their status, and participant counts in one list.
Co-branded proposals built on your client’s real census, ready to present.
Run quotes by ZIP code, age, and household, with the allowance applied.
Invitation status, chosen plans, premiums, and dependents for every employee.
Dates, amounts, status, and confirmation numbers for every carrier payment.
Have questions about partnering with Benafica? Find answers to common questions about our ICHRA and QSEHRA administration, broker support, and working with us across all 50 states.
Yes. You can keep your BOR or AOR when you partner with Benafica. We typically recommend that brokers have experience with individual plan enrollment since you’ll be the one fielding plan and enrollment questions from your clients. If not, that’s okay. Our enrollment team can step in.
Brokers are compensated through a per-employee-per-month fee that’s built into the client’s contract with Benafica. This gives you an ongoing revenue stream while we handle the administration and support.
No. We’re a third-party administrator — our business is running programs somebody else sold. We don’t solicit your clients, don’t market other lines to your book, and don’t quote against you at renewal.
We typically recommend considering an HRA when a group has at least 5 employees, since there are administration fees involved. That said, we administer groups of all sizes, from small businesses to groups with several hundred employees.
Yes, we can take over HRA administration mid-year. We’ll review the existing plan, coordinate with the current administrator, and handle the transition of employee and plan information to Benafica. The timeline depends on the group and the complexity of the transition, but most transitions can be completed within a few weeks with the right information in hand.
Yes. Brokers get their own broker role in BEN360, giving you one place to manage and view all of your HRA employers. You can see enrollments and payment activity in real time, then drill into details like employee plan choices, dependents, and participation.
We do. Employees contact Benafica directly for reimbursement, substantiation and coverage questions. Nothing routes back through you unless you want it to.
Before renewal, Benafica will reach out to review your client’s current ICHRA and how it’s working. We’ll discuss whether the current strategy is still a good fit or if adjustments should be made.
If changes are needed, we’ll take the time to re-strategize with you and your client, looking at contribution amounts, employee classes, and other plan details to make sure the ICHRA continues to meet their needs.
Bring us the renewal you can’t defend and we’ll tell you honestly whether ICHRA is the answer.