ResourcesSmall Business Health Care Hub
How to fund your health insurance plan
There are several ways to pay for your health insurance—some you may not have considered before. Each option comes with its own considerations, including cost, flexibility, and the level of financial risk your business is comfortable taking.
Your choice will depend on your company’s size, risk tolerance, and financial goals.
The video introduced your options — now use the tool to see which funding model fits your business.
Try the Funding Options ToolWhich funding options are right for me?
There are several ways to fund your business's health insurance, each with different advantages and drawbacks. Use this tool to explore options and identify choices that fit your company's size, risk tolerance, and financial strategy.*
Use the filters below to select which cost, risk and flexibility options meet your company’s needs:
Cost
How much your business may spend on health insurance, including premiums and, in some funding arrangements, health care claims. Some options offer more predictable monthly costs, while others may vary based on employee health care usage.
Financial risk
The level of responsibility your business assumes for employees’ health care costs. Some funding arrangements provide predictable costs and transfer risk to an insurance carrier, while others may offer potential savings in exchange for greater exposure to claims variability./p>
Plan flexibility
How much you can customize your benefits for your employees. Some funding arrangements offer limited customization, while others provide greater flexibility to tailor a plan to your workforce.
* This material is intended to offer general guidance and should not be considered a personalized recommendation for selecting any specific health insurance plan. Businesses are encouraged to conduct further research and consult with professionals before making a final decision on their health insurance options.
Understanding business size requirements
When you're choosing a health insurance plan for your business, you have to determine the number of full-time employees (FTEs) in your business, which can be complicated if you have seasonal, part-time or other contract workers.
Why does business size matter?
Plans are often bucketed into “small group” or “large group” plans. A "small group" usually means a business with 1 to 50 full-time employees, not including the owner. Some states define "small group" as up to 100 employees. State definitions vary and can affect your plan eligibility and pricing. Find your state’s specific rules on the State Resources page.
How many employees do I need to provide a group plan?
Generally, you need at least one full-time employee who is not the owner or the owner's spouse/partner. Specific requirements and definitions can vary by state. Find resources for your state on the State Resources page.
Need help figuring out your FTEs? You can use the FTE Calculator on Healthcare.gov to make it easier.
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