34:10

In this episode of the Main Street Business Podcast, host Mark Kohler and guest Matt Sorenson walk listeners through a comprehensive, tax‑focused playbook for navigating the 2024 health‑care open enrollment period. They begin by outlining the enrollment window (Nov 1 – Jan 15) and the choice between the federal marketplace (healthcare.gov) and state‑run exchanges or independent agents. They explain the metal‑tier plan categories (bronze, silver, gold, platinum), the impact of network choices (PPO vs. HMO), and how health status drives plan selection. The core of the discussion centers on tax‑advantaged strategies: using high‑deductible health plans to qualify for Health Savings Accounts (HSAs) – including 2024 contribution limits ($8,300 family, $4,150 individual) and deductible thresholds ($3,200). They then shift to employer‑side options for small businesses, detailing Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs) and Individual Coverage HRAs (ICHRA), their reimbursement caps, employee subsidy eligibility, and the employee‑count thresholds that trigger a switch from QSEHRA to ICHRA. For solopreneurs and very small firms they present the traditional HRA (often called a 105 plan) and a limited‑purpose HRA that can be paired with an HSA, outlining the rule that the HRA can cover dental/vision until the HSA deductible is met, after which the HRA can cover other expenses. Throughout they reference IRS Publication 502 as the definitive guide to what medical expenses are deductible. The hosts stress the importance of consulting tax lawyers or trained tax advisors to implement these strategies, especially in year‑end planning, and close with a call to action for families to hold financial‑literacy board meetings and to book appointments before December’s advisory surge.

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