The nation's #1 ICHRA administrator, built for enterprise scale

Remodel Health helps large, distributed organizations design, launch, and manage individual coverage health reimbursement arrangements (ICHRAs) with white-glove service from implementation through renewal. We've served more than 100,000 members across all 50 states, and we show up for you and your clients before, during, and after every sale.

  • #1 Largest ICHRA administrator
  • 95% client retention vs. 70% industry avg.
  • 68 NPS vs. 37 industry avg.
  • 25 vs. 2 ICHRA takeover record
Remodel Health 2026 Images-6

Choosing the right administrator is the decision that determines whether ICHRA succeeds

The right administrator removes friction for HR, ensures employees actually use their benefits, and protects your organization from costly mistakes that can derail your strategy. Remodel Health is the ICHRA solution built and trusted for enterprise scale.

Operational strength

99%+ Payment accuracy

AutoPay for premiums directly to carriers.

Overdraft protection

Built-in with no coverage gaps from payment errors.

Audit team

Dedicated team monitors every carrier payment and member enrollment.

Customer care and success

SLA-backed response times

Flexible support models.

Licensed benefit advisors

Provide 1:1 guidance for high-utilizers and complex cases.

4+ year client tenure

Customers stay with Remodel Health for 4+ years on average. We have a 95% retention rate with ICHRA.

Market leadership and scale

Financial stability

Remodel Health is the only profitable ICHRA administrator.

100,000+ members

We serve more than 100K members across all 50 states.

200+ HRIS integrations

Our platform supports more than 200 platform integrations, including ADP, Paylocity, Workday, and UKG.

White-glove service isn't a marketing phrase. It's in our DNA and how we operate every day

A positive employee experience is essential for the success of your benefits. At Remodel Health, support is embedded at every stage of the ICHRA journey, for both HR teams and employees. From implementation through ongoing advocacy, our team removes complexity, builds confidence, and ensures no one is left navigating healthcare decisions alone.
 
Role
What they do
Launch Coordinator
Single point of contact through implementation and change management
Benefit Advisors
Walk employees through plan enrollment; 1:1 support is available for high-utilizers or those with challenging medical situations
Account Managers
Year-round strategy alignment, proactive compliance guidance, and renewal support
Customer Success
Ongoing employee support, issue escalation, and advocacy with carriers

Supporting stats:

100%

of employees interact with our team during onboarding

82%

self-select a plan with confidence

94%

of support tickets receive a positive rating

"I feel like I've handed a baton off to [Remodel Health] because they're getting the same care that they would from me... They care about the employees, the end users, and they're dedicated."

Meleah Noland

Benefits Specialist, Morrison Child and Family Services

Proven at scale, across the industries where enterprise ICHRA wins

Enterprise ICHRA isn’t theoretical. It’s already delivering results across complex, highly regulated industries.

Recent enterprise implementations include:

Remodel Health is already helping enterprise groups offer ICHRA:

  • 640+ lives, senior living network
  • 610+ lives, regional health system
  • 460+ lives, community hospital
  • 350+ lives, health information firm
  • 290+ lives, regional social services organization
  • 130+ lives, private education institution

And many more.

ICHRA is becoming the enterprise standard

The individual coverage health reimbursement arrangement (ICHRA) is a flexible, cost-controlled alternative to traditional group health insurance. With it, enterprise organizations can control their rising healthcare costs while giving W-2 employees ownership over their individual health plans.

Enterprise adoption of ICHRA is accelerating. From 2024 to 2025, the HRA Council reported a 34% increase among large employers. This growth was driven by the need for predictable costs, flexible plan design, and better employee choice.

Here's how it works:

  • Set defined, tax-free monthly employer contributions. You can tailor contributions based on employee classes, such as full-time employees or part-time, or location, such as rating areas, by age, and by family status. There are no annual limits on employer contributions. Employees then use their contribution toward individual health insurance premiums.
  • Enable employees to choose their own coverage. Instead of getting stuck with a one-size-fits-all group health plan, your employees shop for individual health plans. Offering an ICHRA triggers a special enrollment period (SEP) for your employees. They can shop for an off-exchange individual health plan directly from their Remodel Health account.
Resources

New to ICHRA?

Start with our educational resources.
See the complete ICHRA guide.
No download required.
SEE THE GUIDE
See all ICHRA resources on the blog.
The most complete ICHRA library for enterprise.
READ MORE

Advantages of ICHRA for enterprise

Enterprise organizations can reap a wide range of benefits when they switch from group health plans to individual health plans through an ICHRA with Remodel Health.

These benefits include:

  • Predictable, controllable health benefit spend. Enterprise organizations can establish predictable budgets and fixed contribution amounts for their employee health benefits. By doing so, enterprise organizations can control costs while offering their employees the flexibility to pick health insurance plans that fit their needs.
  • Built-in support for multi-state teams. It’s not uncommon for enterprise organizations to have employees working in different locations or remotely. With ICHRA, employees can choose a health insurance plan that's valid in their specific geographic location. This is a great benefit for a multi-state workforce.
  • Boost employee retention and satisfaction. According to PeopleKeep by Remodel Health’s 2024 Employee Benefits Survey, 92% of employees consider health benefits important. That level of importance translates directly into retention and performance outcomes, helping improve employee engagement, productivity, and long-term retention. It can also help enterprise organizations differentiate themselves in a competitive talent market and become more attractive to prospective employees.
  • Compliance with the Affordable Care Act's employer mandate. To avoid federal employer mandate penalties, applicable large employers (ALEs) must offer employer-sponsored health benefits that meet minimum essential coverage (MEC) and minimum value standards. When ALEs offer affordable ICHRAs, it satisfies the employer mandate since employees need individual health insurance plans that provide MEC to participate in the benefit.
  • Reduced administrative burden. ICHRAs are a great way to reduce administrative burden, complexity, and tasks. With ICHRAs, employees are responsible for plan selection and management, which saves enterprise organizations both time and effort. Remodel Health handles onboarding, employee notices, AutoPay for employee health insurance premiums, and supporting compliance reporting.

SIMPLIFYING EMPLOYER-SPONSORED INSURANCE PLANS

See what enterprise ICHRA looks like for your organization.

At Remodel Health, we're dedicated to supporting your enterprise business every step of the way.

REQUEST AN ENTERPRISE ASSESSMENT