SOW + Scope Tools
Read-only SOW sections and a downloadable template. This is not a fillable builder and does not save state.
ICHRA Ecosystem Scope of Work Template
Roles, responsibilities, service boundaries, and implementation governance for the employer's ICHRA ecosystem.
How to Use This SOW
Use as a practical operating document, not a plan document or legal opinion. Identify ecosystem parties, define service boundaries, and attach evidence.
Purpose and Operating Philosophy
Define roles, service boundaries, handoffs, escalation paths, and evidence requirements so critical tasks are not assumed.
Role Coding and Responsibility Types
Use Lead, Support, Review, Informed, and Excluded language to clarify external scope records without creating live assignment tracking.
Parties, Scope, and Baseline Assumptions
Document employer, HR, finance, counsel, brokers, administrator, enrollment support, payment support, compliance support, payroll, continuation support, carrier or issuer, and employee-facing support lanes.
Governance Model and Decision Rights
Name who can approve plan design, contribution levels, class structure, vendor scope, privacy terms, payroll treatment, notice delivery, and employee-facing language.
Escalation Standard
Coverage-risk, payment-risk, privacy, notice-deadline, payroll, continuation, claims, Medicare, Marketplace, or state-specific questions should be escalated to the assigned qualified reviewer or vendor lane.
Strategy & Plan Design
Coordinate feasibility, market review, contribution modeling, class design, affordability assumptions, plan-year timing, and employer approvals.
Finance & Funding
Document funding controls, payment setup, premium support, payroll coordination, reconciliation, discrepancies, and failed payment escalation.
Operations & Implementation
Organize census intake, eligibility validation, employee classes, new hire process, termination/offboarding, QLE/SEP routing, support pathways, and launch readiness.
Compliance & Governance
Coordinate plan documents, SPD/SMM/SAR resources, ICHRA/QSEHRA notices, continuation rights, privacy, reporting support, claims/appeals, and audit evidence.
Employee Experience
Create support maps, education resources, FAQ cards, plan shopping instructions, enrollment support, reimbursement guidance, payment support, and escalation paths.
Notices, Forms, Evidence, and Reporting Matrix
Retain final versions, recipient lists, delivery logs, approval records, source references, and reviewer notes where applicable.
Data, Systems, Privacy, and Security
Maintain data maps, secure portals, access controls, BAA or no-BAA determinations, privacy contacts, and incident escalation references.
Exclusions, Dependencies, and Disclaimers
Exclude legal, tax, payroll, fiduciary, continuation, privacy, claims, Medicare, Marketplace, and state-specific advice unless separately engaged and permitted by law.
Acknowledgment and Signatures
Collect external sign-off for roles, service boundaries, decision rights, evidence ownership, and escalation paths.
Role Code Reference
Employer / Plan Sponsor
Employer
Employer HR
Internal
Finance / Payroll
Internal
Legal / Compliance Counsel
Review
Employee
Employee
Employer-Side Broker / Consultant
Advisor
Individual Market Broker
Advisor
Enrollment & Illustration Vendor
Vendor
Payment / Reimbursement Vendor
Vendor
ACA / ERISA Compliance Vendor
Vendor
Responsibility-Code Guide
Accountable / Final Approver
Final employer-side accountable party for a function. Document externally before relying on it.
Lead / Primary Lane
Primary lane for coordinating a function in a SOW or exported record.
Support / Contributor
Supports the lead lane with inputs, execution help, or escalation.
Review / Approve
Reviews specialized questions before a communication or conclusion is used.
Informed
Receives information but is not the primary lane for the resource.
Excluded / Not in Scope
Not included unless separately documented in an external scope record.