2026 George Access Practice Test

QSEHRAs, or Qualified Small Employer Health Reimbursement Arrangements, are designed to allow small employers to provide tax-free reimbursement for medical expenses to their employees. The key feature of QSEHRAs is that they offer defined non-taxable reimbursements, meaning that the amount reimbursed to the employee does not count as taxable income. This arrangement allows small businesses to contribute to their employees' health care costs without incurring tax liabilities for either party.

The structure of a QSEHRA enables employers to set a maximum reimbursement limit, and as long as the expenses fall within qualifying categories (such as health insurance premiums, co-pays, and out-of-pocket medical costs), employees can receive these amounts without the reimbursements being taxed. This makes it a financially beneficial option for both employers and employees who are managing health costs in a small business setting.

This contrast highlights the advantages of using a QSEHRA compared to other potential arrangements that might not provide the same tax benefits or flexibility. The incorrect choices reflect misunderstandings about the nature of QSEHRAs, such as the mischaracterization of reimbursements as taxable or improperly limiting the eligibility to government employees.