ICHRA vs STLDI
ICHRA-funded individual coverage and STLDI short-term limited duration solve the same problem in different ways. An ICHRA lets employers give workers a tax-free allowance to buy individual health coverage, often on the ACA Marketplace. Employees keep consumer protections of individual plans while employers control contribution amounts by employee class. By contrast, Short-term limited duration insurance (STLDI) is temporary coverage that is not ACA major medical. Duration caps and consumer protections vary by state. Useful only for brief healthy gaps. Below we compare them on cost, coverage, eligibility, and who each one fits best — with sources you can check.
| Factor | ICHRA | STLDI |
|---|---|---|
| Typical monthly cost | Employer allowance + individual plan premium (varies widely) | Approx. $100-$300/mo unsubsidized |
| Relative cost | $$· | $·· |
| Category | Coverage model | Coverage model |
| Is it insurance? | Yes | Yes |
| ACA-compliant major medical | Yes | No |
| Covers pre-existing conditions | Yes | Varies |
| Eligibility | Must meet ICHRA offer and individual coverage rules. | Health questions common; state duration rules apply. |
| Best for | Employees at ICHRA-offering firms; Small businesses modernizing benefits | Brief healthy coverage gaps |
ICHRA
An ICHRA lets employers give workers a tax-free allowance to buy individual health coverage, often on the ACA Marketplace. Employees keep consumer protections of individual plans while employers control contribution amounts by employee class.
Pros
- Employer contribution
- Individual plan choice
- ACA protections when buying Marketplace plans
Cons
- Subsidy interactions can be complex
- Plan shopping burden on employee
- Allowance may not cover full premium
STLDI
Short-term limited duration insurance (STLDI) is temporary coverage that is not ACA major medical. Duration caps and consumer protections vary by state. Useful only for brief healthy gaps.
Pros
- Lower premium potential
- Fast issue in some markets
Cons
- Pre-existing exclusions
- Not subsidy-eligible
- Benefit gaps
Next step
Ready to see how ICHRA and STLDI price out for you?
A licensed advisor can walk through both options for your household and state. Free, no obligation.
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Frequently asked questions
- Is ICHRA or STLDI cheaper?
- STLDI typically has the lower monthly cost (approx. $100-$300/mo unsubsidized), while ICHRA runs higher (employer allowance + individual plan premium (varies widely)). The cheaper option is not automatically better — weigh the coverage trade-offs below.
- What is the main difference between ICHRA and STLDI?
- Employer reimburses individual Marketplace or other personal coverage. Federally defined short-term limited duration insurance with state overlays.
- Can I switch between ICHRA and STLDI?
- Often yes, though timing rules apply. Comprehensive insurance changes usually happen during Open Enrollment or a Special Enrollment Period, so check the enrollment window before you switch.
Sources
- HealthCare.gov — the official ACA Health Insurance Marketplace · reviewed 2026-01-15
- OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15