ICHRA: Health Benefits for the Nonprofit Sector

40.9% of nonprofits are providing more benefits
to employees as a way to combat the sector’s talent crisis.

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non profit ICHRA

A Costly Workforce Shortage

74.6% of nonprofits across all 50 states report having job vacancies today.

Despite having a large workforce, The nonprofit industry faces a talent shortage issue. A report by the National Council of Nonprofits in 2023 highlighted that this scarcity is causing a decrease in capacity, longer wait times for services, reduced services, and, in some cases, even the discontinuation of critical services.

As a result of the decreased capacity and services, around 28.1% of nonprofits now have longer waitlists for their services.


A Look at the Numbers


of nonprofits are providing more benefits to retain workers


of budget limitations hinder from recruiting and retaining


of nonprofits expect charitable giving to remain flat or decrease

nonprofit sector ichra

The Solution

Individual Coverage Health Reimbursement Arrangement (ICHRA)

Individual Coverage Health Reimbursement Arrangements (ICHRAs) give nonprofits a new way to offer attractive health insurance, so that they can retain quality workers and provide the customizable benefits top talent expects.

For budget-conscious nonprofits, an ICHRA can provide cost containment in the face of rising premiums while ensuring built-in ACA compliance.


ICHRA in Action with SureCo


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RFK Community Alliance is a nonprofit human services agency based in Lancaster, Massachusetts. With 400+ employees, the organization offers day and residential programming for youth and adults with developmental, learning, behavioral and other challenges, as well as mental health and other services for children and families.

Switching to an ICHRA with SureCo allowed RFK Community Alliance to contain health coverage costs while increasing employee satisfaction. With SureCo, RFK Community Alliance has been able to save 29% on premiums, which amounts to more than $1.4M annually.

The move benefits employees, too. Over 93% of the 245 employees SureCo onboarded onto its Enrollment Platform saw a savings on their healthcare premiums, with many choosing identical plans to the ones they had pre-ICHRA.


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