105-Hra Plan Adoption Agreement Sample Contracts

Sample 105-HRA Plan Adoption Agreement and Description for One Eligible Employee
105-Hra Plan Adoption Agreement • November 18th, 2020

This 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.

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