PeopleKeep

PeopleKeep administers HRAs for employers that reimburse individual or supplemental medical costs instead of, or on top of, a group plan.

From $12/employee/mo 4.5 on Capterra

Visit PeopleKeep (opens in a new tab)

Bottom line

PeopleKeep is Remodel Health's HRA administration product. Group coverage HRA (GCHRA) is $12 per employee per month plus a $30 company base fee. QSEHRA and ICHRA start at $25 per employee per month plus a $50 base. A three-seat minimum applies on every plan.

Stands out for: Employers pick QSEHRA (under 50 employees, no group plan), ICHRA (any size, individual policies), or GCHRA (a supplement on top of an existing group policy). Unused GCHRA allowance stays with the employer.

Watch out for: Three seats are billed even if you have one or two employees. QSEHRA and ICHRA add a $50 monthly base. Annual QSEHRA is prepaid for the year.

Overview

PeopleKeep lets an employer set a tax-free medical allowance, then employees submit receipts for reimbursement. Live reviewers check each claim against the plan. QSEHRA is the small-employer alternative to group insurance. ICHRA covers individual policies for any headcount, with no charge for opted-out employees. GCHRA sits on top of a group policy and reimburses out-of-pocket medical costs.

Monthly plans charge a company base fee plus a per-seat fee, with a three-seat minimum. GCHRA is $12 per employee per month plus $30 base. QSEHRA and ICHRA are $25 per employee per month plus $50 base. Annual QSEHRA is paid up front. There is no published free trial.

Who it's for

Best for

  • US small employers replacing a group medical plan with a QSEHRA
  • Companies of any size that want an ICHRA instead of, or beside, a group plan
  • Employers that already have group coverage and want a GCHRA for out-of-pocket medical costs
  • HR and finance teams that need receipt review and plan documents without building an HRA in-house

Not ideal for

  • Buyers who want a full PEO, payroll, and benefits suite rather than an HRA administrator
  • Teams outside the US. PeopleKeep administers US HRA rules

Key features

QSEHRA and ICHRA administration. Runs reimbursement plans in all 50 states with legal documents included.

Group HRA. Supplements a group plan with a tax-free reimbursement budget.

Expense review. Reviews employee claims against plan rules.

Payroll deduction support. Feeds reimbursements into payroll.

Pricing

Starting price $12/employee/mo
Free tier –
PlanPriceWhat you get
GCHRA$12/employee/mo + $30 base
QSEHRA$25/employee/mo + $50 baseEmployers under 50 employees
ICHRAFrom $25/employee/mo + $50 baseNo charge for opted-out employees

GCHRA is $12 per employee per month plus a $30 company base fee. QSEHRA is $25 per employee per month plus a $50 base, for employers with fewer than 50 employees. ICHRA starts at $25 per employee per month plus a $50 base, with no charge for opted-out employees. Every plan has a three-seat minimum. Annual QSEHRA is prepaid. Confirm current terms on the vendor site.

Checked 19 Sep 2026. Vendors change prices without notice.

See current pricing on PeopleKeep (opens in a new tab)

Is PeopleKeep expensive?

PeopleKeep starts at $12/employee/mo. We list 25 benefits administration tools in total. 0 have a free tier, and those with a public price typically start around $12 a month.

  • 19 quote-based
  • 0 free tier
  • 5 public price

Worked out automatically from every benefits administration listing, so it updates as the directory changes.

Pros and cons

Pros

  • Published PEPM tables for QSEHRA, ICHRA, and GCHRA instead of a hidden quote
  • GCHRA at $12/employee/mo is a cheap supplement when you already buy group medical
  • Capterra 4.5 from 89 matching PeopleKeep reviews

Cons

  • Three-seat minimum inflates cost for one- and two-person shops
  • QSEHRA and ICHRA add a $50 monthly base on top of $25 PEPM
  • It is HRA administration only, not payroll, dental shopping, or a PEO

What's new at PeopleKeep

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How PeopleKeep compares

See all PeopleKeep alternatives, with what each one does differently and a head to head for every pairing.

ToolFree tierFromMCPAPICompare
PeopleKeep (this tool) –$12/employee/mo––
Thatch Thatch is an ICHRA platform with a monthly per-employee fee and no published PEPM, aimed at startups that want employees to pick individual plans. –Sales-quoted–– Compare
Gusto Gusto is US SMB payroll plus group benefits from $49/mo, not an HRA administrator. –$49/mo✓✓ Compare
Justworks Justworks is a PEO at $8/employee/mo that bundles payroll and group benefits rather than reimbursing individual policies. –$8/employee/mo–– Compare
Employee Navigator Employee Navigator is broker-channel benefits enrollment if you want a multi-carrier group portal instead of an HRA. –Sales-quoted–– Compare
Thatch

Sales-quoted

Thatch is an ICHRA platform with a monthly per-employee fee and no published PEPM, aimed at startups that want employees to pick individual plans.

Gusto

$49/mo MCP API

Gusto is US SMB payroll plus group benefits from $49/mo, not an HRA administrator.

Justworks

$8/employee/mo

Justworks is a PEO at $8/employee/mo that bundles payroll and group benefits rather than reimbursing individual policies.

Employee Navigator

Sales-quoted

Employee Navigator is broker-channel benefits enrollment if you want a multi-carrier group portal instead of an HRA.

Your next step

Shortlisting PeopleKeep?

Frequently asked questions

What is PeopleKeep?
PeopleKeep administers HRAs for employers that reimburse individual or supplemental medical costs instead of, or on top of, a group plan. It covers QSEHRA, ICHRA, and GCHRA in all 50 states. PeopleKeep is listed under Benefits administration in the Work Insiders directory.
Is PeopleKeep free?
No. PeopleKeep is a paid product.
Does PeopleKeep have an MCP server or API?
No. PeopleKeep does not currently list an MCP server or a public API.
What are alternatives to PeopleKeep?
PeopleKeep alternatives worth comparing are Thatch, Gusto, Justworks and Employee Navigator. The comparison table above shows free tier, starting price, MCP and API side by side.