For Employers · August 15, 2026 · 20 min read

ICHRA in Washington 2026: Tacoma Wins, Seattle Loses

Washington's insurers filed 2027 rates up 22.4%. See which of the state's 21 qualifying counties beat small group, and why Seattle isn't one.

Editorial data graphic of a Washington state county map in teal and savings green, showing Pierce and Thurston counties near Tacoma qualifying for ICHRA savings while King County around Seattle does not

The short version

  • ICHRA beats small-group coverage in 21 of Washington's 39 counties for 2026, about 54% of the state, covering an estimated 2.8M residents.
  • Pierce, Thurston and Mason Counties qualify at an estimated 26.7% savings. King County (Seattle), Spokane and Whatcom currently do not.
  • Thirteen insurers filed 2027 individual-market rate requests averaging 22.4%, the steepest of any state filed so far, according to the Washington Office of the Insurance Commissioner.
  • The 2027 IRS affordability threshold rises to 10.22% of household income, the highest since the percentage was indexed.

Does ICHRA beat small group in Washington?

Yes, in specific parts of the state. An ICHRA (Individual Coverage Health Reimbursement Arrangement) currently beats traditional small-group coverage in 21 of Washington's 39 counties for the 2026 plan year, based on a county-by-county comparison of individual-market and small-group benchmark premiums, cross-verified against CMS public-use marketplace files. Those 21 counties make up about 3% of the 719 counties nationwide where the math currently favors ICHRA.

If you haven't worked through the general decision yet, our ICHRA vs. small group decision guide walks through the framework this article applies specifically to Washington. The honest caveat first, because it's the one thing most "ICHRA works in Washington" content skips: the 21 qualifying counties do not include the state's biggest population center. If your company is headquartered in Seattle, Bellevue or Redmond, the county-level math does not currently favor an ICHRA over small group. If your workforce sits in or around Tacoma, Olympia, Everett or a wide swath of rural Washington, it very likely does. That split, not a single statewide number, is the actual story.

21

Washington counties where ICHRA beats small group in 2026

54%

Share of Washington's 39 counties that qualify

2.8M

Washingtonians living in a qualifying county

$1,218

Average estimated savings per employee, per year

Why Washington's 2027 rate filings matter now

If you run a small business in Washington, you have probably already seen the headlines: insurers are asking for a lot more money next year. According to the Washington Office of the Insurance Commissioner (OIC), 13 health insurers filed 2027 individual-market rate requests averaging 22.4%, with individual company requests ranging from 8.6% to 27.8%. Insurance Commissioner Patty Kuderer said plainly that "the requested rate changes will be difficult for individuals and families," and her office is now spending several months checking every assumption behind the filings before approving anything. That review is expected to finish in September 2026, ahead of November 1 open enrollment for 2027 coverage. More than 280,000 Washington residents buy coverage directly on the individual market, and one insurer, Providence Health Plan, is leaving the market entirely, affecting 254 enrollees.

This matters for an ICHRA conversation specifically because ICHRA reimbursements ride on individual- market prices, not small-group prices. When individual-market rates move sharply, as they are about to in Washington, the spread this entire strategy depends on can widen or narrow depending on what happens to small-group rates at the same time. That is exactly why every figure in this article is tied to a specific plan year and why we rebuild the underlying dataset every year rather than reusing last year's numbers.

Washington's 2027 rate picture, filed but not yet approved
Metric Washington, 2027 Detail
Individual-market rate change requested Average +22.4% (13 insurers) 2027 plan year
Individual carrier request range +8.6% to +27.8% 2027 plan year
OIC review completes September 2026 Ahead of Nov. 1 open enrollment
IRS affordability threshold 10.22% of household income 2027 plan year, national

Filed is not final

These are requested rates, not approved ones. Washington's OIC has statutory authority to review and adjust filings before they take effect, and approved rates commonly land below what an insurer initially asks for. Treat the 22.4% average as the ceiling insurers hope for, not a locked-in number for next year's renewal.

The individual-market filings, carrier by carrier

The 22.4% figure is a statewide average across 13 companies, and the range behind it is wide. The largest requested increase, 27.82%, comes from Coordinated Care Corp., which covers close to 98,000 Washingtonians on the individual market, the single biggest block of any insurer in this filing round. The smallest, 8.64%, comes from Regence BlueShield, covering roughly 16,000 members.

Washington individual-market rate filings, 2027 plan year, ranked highest to lowest
Carrier Requested average change Detail
Coordinated Care Corp. 27.82% ~97,979 individuals affected
UnitedHealthcare (Oregon entity) 26.41% ~6,759 individuals; morbidity adj. 1.195
Molina Healthcare of WA 25.84% ~30,845 members
Community Health Plan of WA 24.52% ~36,854 members
Premera Blue Cross 24.0% Expanding into 15 additional counties
LifeWise Health Plan of WA 21.2% ~25,628 enrollees
Regence BlueCross (Oregon entity) 17.37% Sells across the WA border region
Asuris Northwest Health 14.89% Off-exchange only
WellPoint Washington 13.7% Morbidity adjustment 1.031
BridgeSpan Health 12.65% $1,113.77 per-member-per-month
Kaiser Foundation Health Plan of WA 14.03% ~40,341 enrollees; carrier range −19.65% to 18.56%
Kaiser Foundation Health Plan of the NW 9.5% Carrier range 7.69%–10.90%
Regence BlueShield 8.64% ~16,000 members, the smallest request filed

Nine of the thirteen carriers requested 13% or higher. Kaiser's two Washington entities sit at opposite ends of the pack: Kaiser Foundation Health Plan of the Northwest requested a comparatively modest 9.5%, while Kaiser Foundation Health Plan of Washington requested 14.03% on a much larger block of roughly 40,341 enrollees, with a carrier-reported range running from a 19.65% decrease for some plans up to an 18.56% increase for others. That spread inside a single carrier's own book is a reminder that a statewide average, or even a single carrier's average, hides real variation by plan and by rating area, which is exactly why we build this dataset at the county level instead of publishing one number for the whole state.

The 21 counties where ICHRA wins

Washington's qualifying counties cluster in two places: the southern half of the Puget Sound corridor (Pierce, Thurston, Mason and Snohomish Counties) and a broad band of rural counties in central, southeastern and southwestern Washington, from Chelan and Douglas near Wenatchee to Walla Walla and Whitman on the Idaho border, plus the Olympic Peninsula counties of Clallam, Jefferson, Grays Harbor and Pacific. Savings run from about 21.2% to 26.7% below the small-group benchmark.

Washington's 10 largest qualifying counties by population, 2026
County Population Savings vs. small group Est. annual savings / employee
Pierce County 918,993 26.7% $1,203
Snohomish County 828,337 21.2% $956
Thurston County 294,272 26.7% $1,203
Grant County 99,145 25.0% $1,210
Chelan County 79,076 25.0% $1,210
Clallam County 77,333 26.5% $1,360
Grays Harbor County 75,672 26.5% $1,360
Mason County 66,053 26.7% $1,203
Walla Walla County 62,150 26.4% $1,225
Whitman County 47,141 26.4% $1,225

Pierce County, home to Tacoma, is both the largest qualifying county by population and one of the highest-savings counties in the state at 26.7%. Snohomish County, the second largest, qualifies too, but at a noticeably thinner 21.2% spread, a reminder that "Seattle metro" is not one market: Snohomish sits just north of King County and still clears the bar, while King itself does not.

How Washington's 21 qualifying counties break down by savings tier

Number of counties in each savings band, 2026 plan year. Source: repo county dataset, cross-verified against CMS public-use files.

21–23% savings 2
23–25% savings 1
25–27% savings 18

Most qualifying Washington counties (18 of 21) cluster in the 25–27% savings band. Illustrative and rounded; not an offer of insurance or a guarantee of savings.

See the full Washington savings breakdown for every qualifying county, or the national savings map to check a specific county by name.

Why King County isn't on the list

King County, home to Seattle, Bellevue and Redmond and the state's most populous county by a wide margin, does not currently appear on the qualifying list. Neither does Spokane County in eastern Washington or Whatcom County in the north.

This is not a data gap. It reflects the same mechanical pattern that shows up in every state we've mapped: a county's individual-market and small-group benchmark premiums land close together, or the individual benchmark lands above small group, in markets with deep employer-sponsored-insurance penetration and more competing individual-market carriers holding prices down relative to small group. King County sits inside one of the country's largest concentrations of large-employer, benefits-rich jobs, in technology, aerospace and corporate headquarters, all of which lean heavily on group coverage and keep the small-group market itself relatively price-competitive. That dynamic doesn't make ICHRA a bad idea for a Seattle-area employer. It means that, for the specific 2026 rate filings behind this dataset, the individual-versus-small-group spread there hasn't opened up the way it has in Tacoma, Olympia or rural Washington.

For an employer headquartered in Seattle, the practical takeaway isn't "ICHRA doesn't work for us." It's "check every county your workforce actually lives in, not just your headquarters address." A professional-services firm based in downtown Seattle with remote staff in Tacoma, Olympia or Everett already has part of its workforce inside a qualifying county today. And because carriers file new rates every plan year, especially with the sharp 2027 individual-market moves already in motion, King County entering the qualifying list for a future plan year is a realistic scenario worth rechecking at the next renewal, not a permanent no.

ICHRA isn't better than small group in Washington. It's better in 21 specific counties, and Seattle currently isn't one of them.

Mike Moore
Infographic titled Where ICHRA Wins in Washington, a comparison card. Pierce County (Tacoma): 26.7 percent estimated savings, qualifies. Thurston County (Olympia): 26.7 percent estimated savings, qualifies. Snohomish County (Everett): 21.2 percent estimated savings, qualifies. King County (Seattle): does not qualify for 2026. Source: ICHRA Savings qualified counties dataset, 2026 plan year, estimates not quotes.

A worked example: Tacoma versus Seattle

Here's what the county-level math actually looks like for a small employer with a split Washington workforce, using real 2026 rate data for a qualifying county and a non-qualifying one. Assume a 20-employee company with 12 employees in Pierce County (Tacoma metro, qualifying) and 8 employees in King County (Seattle, not currently qualifying).

Here's the math

In Pierce County, the 2026 individual-market benchmark premium is $275 a month against a small-group benchmark of $375 a month, a savings of $100 a month, or $1,203 a year per employee. In King County, the individual-market benchmark currently sits at or above the small-group benchmark, so the ICHRA math does not clear the bar there for 2026 using benchmark figures.

For this hypothetical 20-person company: 12 employees × $1,203 (Pierce) = an estimated $14,437 a year in aggregate savings on the Tacoma-area half of the workforce alone, using benchmark-level ICHRA contributions, with the Seattle-based employees requiring a separate conversation about whether small group, a different ICHRA contribution strategy, or another benefit approach fits best. This is an illustrative estimate using real county rate data and a hypothetical headcount split; your actual result depends on your employees' ages, exact counties, and the plan levels they choose.

Notice what this example does not do: claim a single statewide "Washington saves X%" figure. A headline like that would hide the fact that Pierce's math clears easily while King's, as of this dataset, doesn't clear at all. Checking counties individually, not trusting a state average, is the entire argument for county-level data, and it's more true in Washington than in many states, because its biggest county and its best-performing qualifying county sit less than 40 miles apart yet land on opposite sides of the line.

Scale the same math to a bigger, more realistic Washington employer. A 50-person Tacoma-area firm with staff spread across Pierce and Thurston Counties, both qualifying at 26.7%, could see an estimated $60,156 a year in aggregate savings if it funded ICHRA contributions at the benchmark level across the board (50 × $1,203). That is not a guarantee. It assumes every employee enrolls in a plan priced near the benchmark, and real households will land above or below it depending on age, plan choice and household size. It is, however, a real number built from real 2026 rate data, not a sales estimate.

The affordability test, in plain numbers

Every ICHRA has to clear the IRS's affordability test to avoid pushing an eligible employee's premium tax credit decision the wrong way. Under IRS Revenue Procedure 2026-26, the required contribution percentage for plan years beginning in 2027 rises to 10.22% of household income, up from 9.96% for 2026, the highest the percentage has been since it was first indexed. In plain terms: an employer's ICHRA is considered affordable for an employee if that employee's own required monthly contribution toward the lowest-cost silver plan in their rating area doesn't exceed 10.22% of their household income, divided by 12.

Here's the math on affordability

Take a Pierce County employee earning $45,000 a year. Under the 2027 required contribution percentage of 10.22%, their household's monthly contribution toward the lowest-cost silver plan is considered affordable if it does not exceed $383.25 a month (10.22% of $45,000, divided by 12). If Pierce County's individual-market benchmark premium runs near $275 a month and the employer's ICHRA contribution covers, say, $200 of it, the employee's remaining share is well under $383.25, so the ICHRA is affordable for this employee, meaning they must waive the premium tax credit to use it. A smaller contribution can still clear the line for a mid-income employee; a much smaller one, or a lower-income employee, can flip the answer. Modeling this test against your actual census, not a rule of thumb, has to happen before you set a contribution amount.

Say this plainly to employees

Taking an employer's ICHRA contribution generally means an employee waives the federal premium tax credit for that month, unless the ICHRA is unaffordable under the IRS test, in which case they can decline it and keep shopping the marketplace with a subsidy instead. Anyone modeling their own numbers needs to understand which side of that line they're on before they decide.

Stat card titled Washington by the Numbers 2026, with four figures. 21 of 39: Washington counties where ICHRA beats small group. 22.4 percent: average requested 2027 individual-market rate increase, source Washington Office of the Insurance Commissioner. 10.22 percent: 2027 IRS ICHRA affordability threshold, source IRS Revenue Procedure 2026-26. 2.8 million: Washingtonians living in a qualifying county. Footer: ICHRA Savings, 2026 plan year, estimates not quotes.

Why more employers are looking at this now

Washington's rate filings aren't happening in a vacuum. The HRA Council, an industry association that aggregates anonymized enrollment data from its member organizations, released its newest annual report on August 12, 2026: Growth Trends for ICHRA & QSEHRA, Vol. 5. It found that more than 20,000 US businesses now offer ICHRA or QSEHRA, covering at least 500,000 employees, and that Applicable Large Employers are the fastest-growing segment of ICHRA adoption, more than doubling on average since last year. Among small employers, more than two-thirds of those offering ICHRA, and 93% of those newly offering QSEHRA in 2026, had previously offered no health coverage at all. Nearly a third of small employers adopting ICHRA in 2026 switched over from a small-group plan, so it isn't purely a "first benefit" story anymore either.

That distinction matters for a Washington employer weighing this for the first time. For most small businesses in the state's 21 qualifying counties, the realistic comparison isn't "ICHRA versus our current group plan." It's "ICHRA versus offering nothing," which is a much easier case to make when you're competing for talent against employers who already offer some kind of benefit, and a much more urgent one with 2027 individual-market rates already filed up 22.4%. The IRS, DOL and HHS final rule that created ICHRA in 2020 sets no employer size minimum at all; a single-employee company can offer one on the same terms as a 500-person company, which is part of why adoption keeps climbing fastest among the smallest employers in the HRA Council's data.

New coverage, not always a switch

Two-thirds-plus of 2026 small-business ICHRA adopters had never offered coverage before.

Large-employer adoption is accelerating

ALE ICHRA adoption more than doubled on average year over year, per the HRA Council.

The affordability bar moved too

The 2027 affordability percentage is 10.22% of household income, the highest since indexing began.

How ICHRA Savings helps

None of the county math above requires talking to anyone. The savings map lets you look up every Washington county by name and see the same individual-market and small-group benchmark premiums used in this article, so you can check whether your specific workforce sits inside a qualifying county before you spend time on anything else. Beyond the map, we help employers design and set up an ICHRA: building employee classes correctly, modeling affordability against your real census instead of a rule of thumb, and getting the required employee notice right and on time. We don't pick your employees' plans for them; that decision, and the choice of network, stays with each person buying their own coverage. Our part is the budget, the design and the compliance scaffolding around it.

Before anything else, check whether your county is one where this works: https://ichrasavings.com/ichra-savings-map/. Ten minutes there tells you whether the rest of this process is worth starting.

Setting up an ICHRA in Washington

Washington does not add state-specific ICHRA rules on top of the federal framework. The same IRS, DOL and HHS final rule that governs ICHRA everywhere applies here, and the setup sequence is identical to any other state:

  1. Pull your census by county, not by office address. A company headquartered in Seattle with warehouse or field staff in Pierce or Thurston County has two very different rate-spread stories.
  2. Check each employee's county on the savings map. Don't assume a statewide average applies, and don't assume your Seattle address rules it out for your whole team.
  3. Model affordability using the 2027 threshold. At 10.22% of household income, the required contribution percentage is higher than it has ever been, which changes how much an ICHRA contribution needs to cover to count as affordable.
  4. Define employee classes carefully, if you use them. An employee class is a group defined by an objective factor the IRS permits, such as full-time versus part-time status, geographic location, or salaried versus hourly work. Class rules carry minimum-size requirements and cannot offer the same class a choice between ICHRA and group coverage.
  5. Send the required notice on time. Under the federal ICHRA final rule, eligible employees generally need written notice at least 90 days before the plan year starts, with specific required content about the offer and its effect on subsidy eligibility.
  6. Budget for onboarding support. Employees who have never shopped Washington's individual marketplace on their own need guidance, once, at enrollment.

See our full ICHRA setup timeline for the detailed rollout plan, including the exact notice content requirements.

Run your counties first

Before scheduling a single meeting, look up every county where you have employees on the savings map. If your Washington workforce sits mostly inside King, Spokane or Whatcom County, you have a different, more nuanced conversation ahead than an employer centered on Tacoma, Olympia or rural Washington.

Where small group still wins

The honest limits of this data

  • King, Spokane and Whatcom Counties currently favor small group. The rate spread ICHRA relies on hasn't opened up there yet under 2026 filings.
  • Rates move every plan year. With 2027 individual-market filings already up an average of 22.4%, next year's qualifying list could look different from this year's; recheck before every renewal, not just once.
  • Older or higher-risk workforces change the calculation. Individual-market premiums are age-rated more steeply than small-group in some Washington rating areas, which can narrow real-world savings for an older team.
  • A qualifying county is not a guarantee of savings for your specific workforce. It means the benchmark comparison favors ICHRA; model your actual census before committing.

How these numbers are calculated

Every county figure in this article comes from the same dataset that powers our savings map, not from a survey or a sales estimate. For each of Washington's 39 counties, we compare a 2026 individual-market benchmark premium, the second-lowest-cost silver plan available to a representative enrollee, the same benchmark the federal government uses to calculate premium tax credits, against a small-group benchmark premium built from comparable small-group plan filings for that county's rating area. Both figures are cross-verified against CMS public-use marketplace files before publication. A county "qualifies" when the individual benchmark sits below the small-group benchmark; the percentage and dollar savings figures in this article are the gap between those two numbers, expressed as an annual per-employee figure at 12 times the monthly difference. The separate 2027 rate figures in this article, the 22.4% individual-market average and the carrier-by-carrier table, come from filings published by the Washington Office of the Insurance Commissioner and are not yet reflected in the county-level qualifying dataset, which will update once 2027 rates are finalized.

Three limitations are worth stating plainly. First, benchmark premiums are built around a representative enrollee profile, so an unusually young or unusually old workforce will see a different real-world spread than the county average implies. Second, these are benchmark plans, not every plan on the market; an employee who chooses a richer or leaner plan than the benchmark will see a different premium, though the relative spread tends to hold directionally. Third, rates are filed and refreshed annually, so a county that qualifies for 2026 is not guaranteed to qualify for 2027 once the current filings are approved, and a county that doesn't qualify today, including King County, could qualify next year. We rebuild this dataset each plan year rather than reusing prior-year figures, and we recommend employers do the same before every renewal.

Questions Washington employers actually ask

Does ICHRA beat small-group insurance everywhere in Washington?

No. It beats small group in 21 of Washington's 39 counties for the 2026 plan year, covering roughly 2.8 million residents, mostly in the Puget Sound south end and rural central and southeastern Washington. Pierce, Thurston, Snohomish, Clallam and Walla Walla Counties are on the list. King County (Seattle), Spokane County and Whatcom County currently are not, so the honest answer depends on where your employees live, not on the state as a whole.

Why doesn't King County qualify yet?

Seattle's individual market carries more competing marketplace insurers and a large employer-sponsored-insurance base tied to the region's technology and corporate employers, which tends to hold individual-market premiums closer to small-group premiums instead of pushing them meaningfully below. That compresses the rate spread ICHRA depends on. It isn't a sign that ICHRA doesn't work near Seattle; it means the specific 2026 rate math there doesn't currently favor it, and that can change at the next annual rate filing.

How much can a Tacoma-area employer expect to save with an ICHRA?

Pierce County qualifies at an estimated 26.7% savings for 2026, about $1,203 per employee per year using benchmark premiums. That is an estimate built from public rate data, not a quote, and your real number depends on your employees' ages, exact counties and the plans they choose.

What's happening with Washington's 2027 health insurance rates?

Thirteen insurers filed individual-market rate requests for 2027 averaging 22.4%, according to the Washington Office of the Insurance Commissioner, the largest requested increase of any state that had filed by that point. Individual requests ranged from 8.6% to 27.8%. The OIC is reviewing every assumption behind those filings and expects to finish before November 2026 open enrollment; approved rates typically land below the initial request.

What is the 2027 ICHRA affordability percentage, and why does it matter in Washington?

The IRS set the 2027 required contribution percentage at 10.22% of household income, up from 9.96% for 2026, under Revenue Procedure 2026-26. It decides whether an employee's ICHRA is considered 'affordable,' which in turn decides whether they must waive their ACA premium tax credit to use it. With Washington's individual-market rates rising, this threshold has more room in 2027, but the exact contribution needed to clear it still depends on each employee's household income.

Does Washington impose any state-specific ICHRA rules?

No. ICHRA is a federal HRA structure created by an IRS, DOL and HHS final rule, and it works the same way in Washington as in any other state. Washington does not layer additional ICHRA-specific requirements on top of the federal rule, though standard state insurance-producer licensing still applies to anyone advising employees on plan selection.

Can I offer ICHRA to my Tacoma employees and keep small-group coverage for Seattle staff?

You can offer different benefits to different permitted employee classes, including a class defined by rating area or primary worksite, but you cannot offer the same class a choice between ICHRA and a traditional group plan. Structuring classes correctly, especially for a split Puget Sound workforce, is one of the most common places employers need help from a benefits attorney or a qualified advisor.

Where can I check whether my specific Washington county qualifies?

Use the savings map to look up any Washington county by name. It shows the 2026 individual-market and small-group benchmark premiums side by side, so you can see the estimated spread for your workforce's counties before you model a rollout.

Sources

Important. This article is general educational information, not tax, legal, HR, or individualized financial advice. ICHRA rules are set by the IRS, Department of Labor, and HHS and can change. Rate figures are estimates drawn from public and industry data for the 2026 plan year, and the 2027 figures cited are requested, not yet approved, rates. Nothing here is an offer of insurance, a quote, or a guarantee of coverage or savings. Taking an ICHRA generally means waiving the premium tax credit for that month unless the ICHRA is unaffordable under the IRS test. ICHRA Savings is a private, independent advisory service and is not connected with or endorsed by the U.S. government, HealthCare.gov, the Washington Health Benefit Exchange, the Washington Office of the Insurance Commissioner, CMS, or the IRS. Consult a qualified tax advisor, benefits attorney, or licensed insurance professional before making decisions for your business.

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