qualified small employer health reimbursement arrangement

(2) Qualified small employer health reimbursement arrangement For purposes of this subsection— (A) In general The term “qualified small employer health reimbursement arrangement” means an arrangement which— (i) is described in subparagraph (B), and (ii) is provided on the same terms to all eligible employees of the eligible employer. (B) Arrangement described An arrangement is described in this subparagraph if— (i) such arrangement is funded solely by an eligible employer and no salary reduction contributions may be made under such arrangement, (ii) such arrangement provides, after the employee provides proof of coverage, for the payment of, or reimbursement of, an eligible employee for expenses for medical care (as defined in section 213(d)) incurred by the eligible employee or the eligible employee’s family members (as determined under the terms of the arrangement), and (iii) the amount of payments and reimbursements described in clause (ii) for any year do not exceed $4,950 ($10,000 in the case of an arrangement that also provides for payments or reimbursements for family members of the employee). (C) Certain variation permitted For purposes of subparagraph (A)(ii), an arrangement shall not fail to be treated as provided on the same terms to each eligible employee merely because the employee’s permitted benefit under such arrangement varies in accordance with the variation in the price of an insurance policy in the relevant individual health insurance market based on— (i) the age of the eligible employee (and, in the case of an arrangement which covers medical expenses of the eligible employee’s family members, the age of such family members), or (ii) the number of family members of the eligible employee the medical expenses of which are covered under such arrangement. The variation permitted under the preceding sentence shall be determined by reference to the same insurance policy with respect to all eligible employees. (D) Rules relating to maximum dollar limitation (i) Amount prorated in certain cases In the case of an individual who is not covered by an arrangement for the entire year, the limitation under subparagraph (B)(iii) for such year shall be an amount which bears the same ratio to the amount which would (but for this clause) be in effect for such individual for such year under subparagraph (B)(iii) as the number of months for which such individual is covered by the arrangement for such year bears to 12. (ii) Inflation adjustment In the case of any year beginning after 2016, each of the dollar amounts in subparagraph (B)(iii) shall be increased by an amount equal to— (I) such dollar amount, multiplied by (II) the cost-of-living adjustment determined under section 1(f)(3) for the calendar year in which the taxable year begins, determined by substituting “calendar year 2015” for “calendar year 2016” in subparagraph (A)(ii) thereof. If any dollar amount increased under the preceding sentence is not a multiple of $50, such dollar amount shall be rounded to the next lowest multiple of $50.


26 USC § 9831(d)(2)

Scoping language

For purposes of this subsection
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