Healthcare - HRA Spousal Incentive HRA Employers incent participant to enroll in the spouse’s group health plan.Expenses are determined by the employer, typically out-of-pocket medical/dental/vision expenses. Why? Participant Benefits Offers additional funds to pay for eligible 213(d) medical expenses for employees that opt-out of employers GHP for spouses GHP.Don’t pay taxes on employer contributions.Improves financial & mental wellbeing. Employer Benefits All contributions are tax-deductible.Improves recruiting, retention and engagement.Saves on health care costs.Greater ability to control costs.