The document discusses a report from PeopleKeep on how nonprofits and religious organizations are offering health benefits to employees in 2019. It finds that many small nonprofits are using a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) to provide tax-free health reimbursements. Over 100 nonprofit and religious organizations currently offering QSEHRAs were surveyed. Most organizations recommend QSEHRAs to others and see the need for software to help administer the plans. Many nonprofits also want more alternatives to traditional group health insurance from the government.