The State of ICHRA 2025

Presented by Oscar Health

Get first-to-market insights driving large-group ICHRA adoption, including:

44% of large employers are actively considering an ICHRA

 94% of employers on ICHRA are happy they switched

 46% of ICHRA members elect gold plans

 73% of returning ICHRA members keep the same carrier

 79% of brokers anticipate a favorable political climate for ICHRAs

In This Year's Report, You'll Discover:

 

All-New Large-Group ICHRA Adoption Statistics

 

ICHRA is no longer a niche solution. Benefits consultants are 56% more likely to recommend an ICHRA to their large clients this year than they were in 2024. Learn how enterprise organizations are taking the benefits model mainstream.

 

 

 How Brokers Are Growing Their Business With ICHRAs

 

One-third of brokers say their clients need an alternative to fully insured plans, and 87% have lost a client by not presenting ICHRA as an option. They're looking to the model as both a saving grace and lever for winning new business. 

 

 

The ICHRA Member's Plan Election Process

 

Employees aren’t overwhelmed by choice—they’re ready to take control. More than half say they can pick a better plan than their employer. ICHRA members spend an average of 32 minutes researching options and the majority opt for gold-level plans. 

 

 

Why Carriers Are Investing in ICHRAs

 

Carriers are leaning into ICHRA after seeing how the model provides a low-cost strategy for driving higher-value member growth and retention. 73% of returning ICHRA members keep the same carrier year-over-year, but they tend to upgrade their plans. 

 

 

What Policymakers Think About the Future of ICHRA

 

Policymakers are motivated to formalize ICHRA's role in healthcare legislation. They are pushing for more clarity around ICHRA regulations and tax incentives that can facilitate adoption and support the evolution of a consumer-driven healthcare system.

 

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“Employer insurance no longer meets the needs of working Americans. Employees deserve to choose their own healthcare. Employers deserve to have predictable healthcare budgets that help their businesses grow. The individual insurance market is the solution where everyone wins—more choice, higher quality, lower costs.”

—Mark Bertolini, CEO of Oscar Health