Medical Plan · ICHRA & Group Medical

Their plan. Your budget.

Offer an Individual Coverage HRA or a group plan. Employees choose or enroll, and the budget impact and market benchmark update as the design changes.

Example. Monthly ICHRA allowances: full-time employees $600 a month, part-time employees $300 a month. Benchmarking, live. Plan documents generated.

What you can manage.

For the employer

  1. Contribution rules by location, category, class, or union

    Describe how the budget should vary — full-time vs. part-time, employee category, by state or rating area, union vs. non-union — in plain language, and the platform configures it, however complex the scenario.

  2. Budget impact, live

    A running projection of monthly and annual cost updates with every change you make.

  3. Benchmarking, live

    As you set allowances, see how the plan's generosity compares to the market — before you finalize the design.

  4. Group medical: standard employer-sponsored coverage

    Already run a group plan, or want to? Administer it here too — enrollment, contribution rules, and reconciliation live in the same place as everything else.

For the employee

  1. Allow teammates to select their own plan on the marketplace: set a budget, not a plan

    Set a tax-free monthly allowance and let each employee choose their own individual medical, dental, and vision coverage. Predictable cost for you, personal choice for them.

How it works

How the medical plan works.

  1. Set budgets & classes

    Define monthly employer contributions by employment type, location, age, family size, or union status. Invite your broker and they can help you set this up, or you can use plain language to tell us how you’d like to set up your benefits.

  2. Employees choose a plan

    For ICHRA, each person picks and documents their own individual coverage; for group medical, employees enroll in the plan you've set up. You’ll be able to text and email reminders to assure enrollment is complete and error free.

  3. Track the budget as you go

    Live benchmarking and budget-impact numbers update as enrollment and premiums come in.

  4. Reimburse or administer, tax-free

    Approve, then export to payroll — ICHRA reimbursements are tax-free.

Employee experience

What employees do

Employees choose a plan

For ICHRA, each person picks and documents their own individual coverage; for group medical, employees enroll in the plan you've set up. You’ll be able to text and email reminders to assure enrollment is complete and error free.

Balances and questions

Employees get real-time balances and claim status, and can chat about their benefits.

For employees

Choose an individual plan on an ICHRA, or enroll in the group plan.

Explore the employee experience
Compliance

What is handled, and what you still confirm.

Plan documents & COBRA, generated automatically

The moment your design is set, the required plan documents and COBRA notices are generated correctly — no separate drafting step.

ACA tax forms, handled

At year-end, Sweet Bennies generates 1095-B/1095-C forms and the 1094 transmittal, distributes them to employees, collects e-signatures, and exports PDFs or a vendor-ready file for IRS AIR e-filing.

FAQ

Questions people ask.

How is an ICHRA different from the group plan?

Set a tax-free monthly allowance and let each employee choose their own individual medical, dental, and vision coverage. Predictable cost for you, personal choice for them.

Already run a group plan, or want to? Administer it here too — enrollment, contribution rules, and reconciliation live in the same place as everything else.

Which documents are generated?

The moment your design is set, the required plan documents and COBRA notices are generated correctly — no separate drafting step.

At year-end, Sweet Bennies generates 1095-B/1095-C forms and the 1094 transmittal, distributes them to employees, collects e-signatures, and exports PDFs or a vendor-ready file for IRS AIR e-filing.

Can employees change plans during the year?

An ICHRA offer (marketplace plan) is a qualifying life event, so employees can change plans mid-year. Unused allowance rolls over month to month within the plan year.

What do you still confirm yourself?

Sweet Bennies is benefits-administration software, not a tax or legal advisor. Confirm plan design and compliance with your own benefits counsel.

Give your team real choice — or keep it simple with a group plan.

Run Medical Plan alongside HRA, Wellness, COBRA, and incentives, all in one platform.