Sample 105-HRA Plan Adoption Agreement and Description for One Eligible Employee105-Hra Plan Adoption Agreement • November 18th, 2020
Contract Type FiledNovember 18th, 2020This sample plan adoption agreement is for coverage of one eligible employee only and applies to tax years beginning January 1, 2017 and later. With more than one eligible employee, you need a QSEHRA or an HRA integrated with group insurance.
Sample 105-HRA Plan Adoption Agreement and Description for One Eligible Employee105-Hra Plan Adoption Agreement • November 26th, 2018
Contract Type FiledNovember 26th, 2018This sample plan adoption agreement is for coverage of one eligible employee only and applies to tax years beginning January 1, 2017 and later. With more than one eligible employee, you need a QSEHRA or an HRA integrated with group insurance.
Sample 105-HRA Plan Adoption Agreement and Description for One Eligible Employee105-Hra Plan Adoption Agreement • February 1st, 2017
Contract Type FiledFebruary 1st, 2017This sample plan adoption agreement is for coverage of one eligible employee only and applies to tax years beginning January 1, 2017 and later. With more than one eligible employee, you need a QSEHRA or an HRA integrated with group insurance.
Sample 105-HRA Plan Adoption Agreement and Description for One Eligible Employee105-Hra Plan Adoption Agreement • January 28th, 2017
Contract Type FiledJanuary 28th, 2017This sample plan adoption agreement is for coverage of one eligible employee only and applies to tax years beginning January 1, 2017 and later. With more than one eligible employee, you need a QSEHRA or an HRA integrated with group insurance.