Health Reimbursement Bridge (HRB) Designation
CHOICE (ICHRA) arrangements and QSEHRA arrangements
The HRB designation focuses on CHOICE (ICHRA) and QSEHRA arrangements. It connects employer benefit strategy, individual coverage, reimbursement operations, and participant support in one practical educational program.
About the designation
Health Reimbursement Bridge helps benefits professionals understand how the people, processes, and responsibilities in reimbursement-based benefits fit together. The program is vendor- and platform-agnostic, with an emphasis on clear handoffs and practical application.
CHOICE (ICHRA) arrangements
Individual Coverage Health Reimbursement Arrangements
QSEHRA arrangements
Qualified Small Employer Health Reimbursement Arrangements
Learning objectives
The program helps participants build the skills to:
- Explain how CHOICE (ICHRA) and QSEHRA arrangements connect employer benefits with individual health coverage.
- Connect plan design, coverage selection, reimbursement, and participant support.
- Identify responsibilities and handoffs among employers, brokers, administrators, and vendor teams.
- Recognize operational issues, document decisions, and route questions to the appropriate professional.
Curriculum at a glance
Explore the program's areas of study, then view the full curriculum on the learning platform.
Foundations
CHOICE (ICHRA) history, core concepts, and the regulatory framework for HRAs.
Design and implementation
Employer consulting, plan design, individual-market mechanics, reimbursement, and communication.
Operations and support
Workflow practices, market challenges, participant support, and emerging developments.
Applied practice
Team integration, broker collaboration, role clarity, and common pitfalls.
Who this is for
Brokers, benefits advisors, agency teams, administrators, platform and vendor teams, and HR, finance, and benefits leaders working with CHOICE (ICHRA) or QSEHRA arrangements.
Practical resources
The HRB Toolkit includes templates, checklists, responsibility maps, and workflow resources to support practical application.
Pegasus Health Institute provides nonpartisan research, public education, and market mechanics analysis. Pegasus does not provide investment, securities, legal, tax, actuarial, lobbying, or pay-to-play policy access services.
Explore the HRB Designation.
View the full curriculum, current enrollment information, and program requirements on the Pegasus learning platform.