New SureCo Report Reveals 44% of Large Employers Considering ICHRA Amid Growing Economic Headwinds From Trump Tariff Uncertainty

SANTA ANA, Calif., April 10, 2025 /PRNewswire/ -- Almost half (44%) of large employers are considering switching to Individual Coverage Health Reimbursement Arrangements (ICHRAs) in the upcoming year to rein in healthcare costs, according to SureCo's "2025 State of ICHRA Report" report, sponsored by key partner Oscar Health. If crushing tariffs and a looming recession materialize, employers will feel even more pressure to control spend. Over one-third of large employers already say they're facing annual premium increases exceeding 10% for 2025, and 44% are unable to absorb yet another increase. ICHRAs offer relief by saving large groups an average of 23% on premiums through a defined contribution model, which can be triggered at any point throughout the year.

Over one-third of large employers already say they're facing annual premium increases exceeding 10% for 2025, and 44% are unable to absorb yet another increase.

The highly anticipated report fills a critical gap in understanding how companies with 150-2,500 employees adopt and implement ICHRAs. It includes first-to-market insights on ICHRA member election behaviors, plan preferences, and stakeholder sentiments.

"Our data challenges the notion that ICHRAs are only viable for small businesses," said Matthew Kim, CEO of SureCo. "Enterprise organizations are ushering ICHRAs into the mainstream by bringing scale, purchasing power, and healthy risk pools to the individual market. They're reshaping the entire health insurance ecosystem in ways that benefit every stakeholder while providing much-needed financial predictability in these uncertain economic times."

Key Findings:

• Plan Satisfaction: 94% of employers say switching to ICHRA was the right decision. 91% report employee satisfaction with their plans.
• Increased Adoption: 35% of brokers now recommend ICHRAs to their clients up from 25% last year. The percentage of brokers who have moved a client to an ICHRA has almost doubled.
• Carrier Loyalty: 73% of returning ICHRA members stay with their original carrier, demonstrating strong brand loyalty.
• Premium Plan Selection: 46% of ICHRA members choose gold-level plans, compared to 13% of marketplace shoppers, providing carriers with higher revenue per member.

ICHRA, a policy established during Trump's first term, has gained bipartisan support. A strong majority of employers (85%) and insurance brokers (79%) anticipate a favorable political climate for ICHRAs in the next 12-24 months, which will likely fuel further large-group adoption.

Download the complete State of ICHRA 2025 report at sureco.com/2025-ichra-report to discover what's driving enterprise adoption and how ICHRA is transforming American health insurance.

Media Contact
For more information about the State of ICHRA 2025 report or to schedule interviews with SureCo executives Matthew Kim (CEO), Erik Wissig (COO), or Adam Pines (Chief Growth Officer), please contact:

Lindsey Unterberger
VP of Marketing, SureCo
Lunterberger@sureco.com 

About SureCo
SureCo is a leading health benefits technology company specializing in Individual Coverage Health Reimbursement Arrangements (ICHRA) for large employers. The company's Enrollment Platform provides a seamless experience for employers transitioning to an ICHRA and for employees selecting individual market plans.

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SOURCE SureCo