Thatch review
ICHRA administration with plan shopping, payroll sync, compliance, and employee support.
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Thatch is a cloud platform for employers using Individual Coverage Health Reimbursement Arrangements, also called CHOICE arrangements. Employers configure monthly health budgets and employee classes, while employees shop for individual medical, dental, and vision plans. Thatch handles enrollment, payroll deductions, premium payments, reimbursements, compliance reporting, benefits advising, and employee support. A healthcare debit card and marketplace extend spending to qualified healthcare expenses, making the product relevant to startups, small businesses, mid-market organizations, and enterprises that prefer an individual-plan approach.
The Standard plan costs $45 USD per enrolled employee per month, billed monthly. It includes automated benefits administration, payroll integration, HIPAA and compliance documentation, AI-driven insights, automated insurance-premium payments, and benefits advising and enrollment support. The Custom plan is designed for employers with 50 or more eligible employees and adds reporting and business services, ACA compliance for large employers, implementation assistance, a dedicated account manager, and onsite enrollment support. Employers should compare the per-enrolled-employee structure with their participation levels before choosing a plan.
For ecosystem fit, Thatch connects with Gusto, Justworks, ADP, Zenefits, QuickBooks, and Paychex, while its API and embeddable components support platform partners. The platform is available through web and API access, with cloud and browser-extension deployment. Support is offered by email, chat, and phone, with 24/7 availability listed. HIPAA compliance and documentation for ACA, PCORI, and ERISA reporting address administrative requirements. Thatch suits employers seeking managed ICHRA administration and individual-plan enrollment; organizations centered on traditional group-plan administration should consider a different category of benefits platform.
Thatch pros and cons
- Where it wins
- Automates individual medical, dental, and vision enrollment
- Syncs payroll deductions and automates premium payments
- Supports HIPAA, ACA, PCORI, and ERISA reporting
- Where it doesn't
- The individual-plan model may not fit group-plan administrators
- Standard billing is tied to each enrolled employee every month
- Custom is intended for employers with 50+ eligible employees
Thatch fact sheet, pricing and score →
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