Top Right Image


  • Stubbuilder
  • Jun 19, 2024

What Exactly is ER Health on a Pay Stub?

Understanding the various components of a pay stub can be confusing for many employees. One term that often raises questions is ER Health. This article aims to clarify what ER Health means, its significance, and how it impacts both employees and employers.

Understanding Pay Stubs

A pay stub, also known as a paycheck stub, wage slip, or pay advice, is a document issued by employers to employees. It details the earnings for a specific period and provides a breakdown of gross pay, deductions, and net pay.

Key Components of a Pay Stub

  1. Gross Pay: This is the total amount of money earned before any deductions are taken out.
  2. Net Pay: Also known as “take-home pay,” this is the amount left after all deductions.
  3. Deductions: These include taxes, health insurance premiums, retirement contributions, and other withholdings.

Among these deductions, ER Health is a crucial component that many employees might not fully understand.


What Is ER Health?

ER Health stands for Employer Health. It refers to the health insurance premiums paid by the employer on behalf of the employee. This is a part of the overall benefits package that employers provide to their employees.


Significance of ER Health

  • Cost Sharing: Health insurance premiums can be expensive. By contributing to these costs, employers help reduce the financial burden on employees.
  • Employee Benefits: Offering health insurance is a significant benefit that can attract and retain employees. It demonstrates that the employer values the well-being of their workforce.
  • Tax Implications: Employer contributions to health insurance premiums can have tax advantages for both the employer and the employee.


How ER Health Appears on a Pay Stub

Typically, ER Health is listed under the deductions or contributions section of the pay stub. Here’s what to look for:

  • Employer Contributions: This section will show the amount the employer has contributed towards the employee’s health insurance premium for that pay period.
  • Employee Contributions: If the employee also contributes to their health insurance, this will be listed separately.


Example Breakdown

Let’s consider an example where the total health insurance premium is $500 per month. If the employer agrees to pay $300 and the employee pays $200, the pay stub might look something like this:

  • Gross Pay: $3,000
  • Deductions:
    • Federal Tax: $300
    • State Tax: $100
    • Employee Health Insurance Contribution: $100 (for a bi-weekly pay period)
  • Employer Contributions:
    • ER Health: $150 (for a bi-weekly pay period)

In this example, the ER Health amount reflects the employer’s share of the health insurance premium for that specific pay period.


Benefits of Employer Health Contributions


For Employees

  1. Reduced Financial Burden: By sharing the cost of health insurance premiums, employees have more disposable income.
  2. Access to Quality Healthcare: Employer-sponsored health plans often provide access to better healthcare options than individual plans.
  3. Increased Job Satisfaction: Comprehensive benefits packages, including health insurance, can lead to higher job satisfaction and loyalty.


For Employers

  1. Attracting Talent: Offering competitive health benefits can attract top talent to the organization.
  2. Employee Retention: Good health benefits can reduce turnover rates by increasing employee satisfaction.
  3. Tax Benefits: Employers can often deduct the cost of health insurance premiums from their taxes, reducing their overall tax liability.


ER Health and Legal Requirements

Employers are often required by law to provide health insurance benefits, depending on the size of the company and the regulations of the state or country. The Affordable Care Act (ACA) in the United States, for example, mandates that employers with 50 or more full-time employees must provide health insurance or face penalties.


Compliance and Reporting

Employers must comply with regulations regarding health insurance and accurately report their contributions. Failure to do so can result in legal penalties and fines. Therefore, it is crucial for employers to:

  • Maintain Accurate Records: Ensure all contributions and deductions are correctly documented.
  • Provide Clear Information: Clearly communicate the details of health insurance contributions to employees through pay stubs and other means.


Common Questions About ER Health

Is ER Health Taxable?

Generally, employer contributions to health insurance premiums are not considered taxable income for employees. However, specific tax rules can vary, so it’s important to consult with a tax professional.

Can Employees Opt Out of Employer Health Insurance?

Yes, employees can often choose to opt out of the employer-provided health insurance plan, especially if they have coverage through another source, such as a spouse’s plan. However, opting out may affect their eligibility for certain benefits and contributions.

How Often Can ER Health Contributions Change?

Employer contributions to health insurance premiums can change during the open enrollment period, which typically occurs once a year. Changes can also happen if there are significant life events, such as marriage, the birth of a child, or changes in employment status.


Choosing the Right Check Stubs Maker

When selecting a check stubs maker, consider the following factors:

  • Ease of Use: Choose a platform with a user-friendly interface that allows you to quickly input your information and generate stubs.
  • Customization: Ensure the tool allows you to customize your pay stubs with accurate details such as company name, logo, and specific deductions.
  • Security: Select a check stubs maker that ensures your personal and financial information is secure.
  • Cost: Compare pricing options to find a tool that offers the best value for the features you need.



Understanding ER Health on a pay stub is essential for both employees and employers. It represents the employer’s contribution to health insurance premiums, which is a significant part of an employee’s overall compensation and benefits package. By sharing the cost of health insurance, employers help reduce the financial burden on employees, provide access to quality healthcare, and enhance overall job satisfaction. For employers, offering health benefits is a strategic move to attract and retain talent while also taking advantage of potential tax benefits.