2022’s Top Health Insurance Companies for Small Business Owners


If you manage a small company and are wanting to recruit new workers as well as hold on to the ones you already have, offering health insurance to your staff may be an effective strategy. 56% of respondents to a survey carried out in 2018 by American Health Insurance Plans stated that the availability of health insurance benefits had a role in their decision to remain employed at their present place of employment.

“This is especially true if your employees are highly skilled, earn good salaries, and can easily find jobs that offer benefits,” says Bruce Jugan, president of BenefitsCafe.com, an insurance broker located in Montebello, California. “You’ll want to offer good health benefits to attract these workers,” says Bruce Jugan. “You’ll want to offer good health benefits to attract these workers.”

We completed the preliminary research for you and ranked the health insurance companies that are the best for small company owners because the market for health insurance is so wide. Continue reading to find out which businesses made it onto our list.

The editorial staff at Forbes Health evaluated U.S. insurance companies that offer plans nationwide to determine which ones will be the best health insurance providers for small business owners in 2021. The criteria that were taken into consideration included the benefits that the companies provide, the sizes of their provider and hospital networks, how simple it is to enrol in the plans, and the companies’ reputations among rating agencies such as A.M. Best and FitchRatings (which assess a company’s financial health).
What are the nuts and bolts of health insurance for small businesses?

Although some states use alternative criteria, the Patient Protection and Affordable Care Act (ACA) considers a company to be considered a small employer if it has fewer than 50 full-time equivalent employees (FTE). In the state of California, for example, a company is considered to be tiny if it has less than one hundred full-time equivalent employees. There is no requirement under the law for owners of small businesses to offer their employees health insurance, but those who choose to do so must adhere to certain guidelines.

After enrolling their firm in a group health insurance plan provided by a private insurance provider, the owner of a small business gives the opportunity to their staff members to join the same plan to those employees. The employee is normally liable for their own deductibles, copayments, and any services that are not covered by the plan. The company typically pays a portion of the monthly premiums that are required of the employee.
Options for Health Insurance for Small Businesses

Small business owners now have the opportunity, as a result of the Affordable Care Act (ACA), to purchase health insurance for their employees through the Small Business Health Options Program from among a pool of approved insurance firms (SHOP). Employers who get their health insurance through the SHOP Marketplace are eligible for the Small Business Health Care Tax Credit, which can assist them financially with the expense of providing coverage to their employees. This is one of the benefits of getting insurance through the SHOP Marketplace.

Small business owners also have the option of working with an insurance broker who, at no additional cost, will undertake all of the plan research and comparisons necessary to discover the best plan for their particular business.

Bronze, silver, gold, and platinum are the several “metal” tiers that are available for small businesses to choose from when purchasing group plans. People who prefer to pay higher monthly premiums for more extensive coverage and people who’d rather pay a lower monthly premium and risk higher coverage costs in the event that they need to seek care are both catered to by the various tiers, which feature different premiums, deductibles, copays, and out-of-pocket limits. In other words, people who prefer to pay higher monthly premiums for more extensive coverage have more options to choose from. There is a degree of leeway afforded to employers in terms of the kinds of plans they can choose to provide for their workforce.
Prerequisites for Obtaining Health Insurance in a Small Business

There is no legal requirement for owners of small businesses to provide their employees with health insurance benefits. Should they make the decision to do so, they are obligated to comply with the following requirements established by the ACA. These standards could be different from state to state.

Inclusion: It is required that health insurance be made available to all employees, not just supervisors or any other type of specialised group.
Coverage of essential health benefits The Affordable Care Act mandates that a health plan provided by a small business owner must include coverage for essential health benefits. These benefits include coverage for emergency services, care and services related to pregnancy, maternity and newborn care, outpatient care, prescription drugs, and a variety of other services.
According to Jugan, the Affordable Care Act (ACA) stipulates that in order for small businesses to be eligible for the Small Business Health Care Tax Credit, the companies must make a minimum contribution equal to at least fifty percent (50%) of the cost of the monthly premium for the plans that they provide to their employees. For instance, the state of New Jersey mandates that owners of small businesses pay at least ten percent of the entire cost of the plan. According to Jugan, “the less an employer contributes, the more the employee needs to pay,” which might be a disadvantage for some workers, who may decide to look for another employment with a health plan that is less expensive.

According to Jugan, in addition to these regulations, states often demand a minimum percentage of employee participation in health insurance plans that are offered by small enterprises. “The rationale for this [regulation] is that if a company has 10 employees but only three enrol in the plan, it’s quite likely that all three of those individuals are seriously ill,” Individuals of varied health conditions should be included in the entire enrolment pool in order to achieve more equitable distribution of the expenditures.
The Typical Annual Premium for a Small-Scale Health Insurance Policy

When it comes to health insurance, the cost that a small company owner pays relies on the plan that is selected as well as the amount that the employer is willing to pay. According to Jugan, the typical monthly expenditure for a small business owner is between $400 and $500 for each employee. He continues by saying, “If the company has a large number of older employees, then it can cost more.”
The Step-by-Step Guide to Obtaining Health Insurance for Your Small Business

When it comes to finding the best plan alternatives for your small business, you can choose from a few different avenues, including the following:

You should do your own research. Small company owners have the ability to sort through the various possibilities provided by various insurance firms, compare pricing and services, and sign up for a plan that is tailored to their specific requirements. The majority of providers of medical insurance provide small businesses with a variety of coverage options. You may view the available plan options as well as the associated fees by providing some basic information into the online forms on their websites (such as your ZIP code and the number of employees).
Consult an insurance broker for assistance. Insurance brokers are well-versed in the intricacies of various health insurance policies and are familiar with both state and federal regulations. Jugan assures me that “we can compare the plans and figure out everything for you.” “It’s a burden on the administrative side of things, but we can help ease that. Because insurance is so difficult to understand, many owners of small businesses choose to avoid thinking about it. He further states that there are no costs associated with hiring insurance brokers because the costs of doing so are covered by the insurance companies. Make sure that the broker you engage with is agnostic or independent so that they can present you with all of the options that are accessible to you that are tailored to match your requirements in the most effective manner.
Explore the SHOP Marketplace on healthcare.gov to find clear choices for high-quality group insurance plans, assistance from insurance industry professionals, and useful calculating tools.


In order to establish which insurance firms offer the best policies for proprietors of small businesses in 2021, the editorial staff of Forbes Health analysed providers of insurance plans across the country based on the following criteria:

What is the total number of states where they offer coverage?
The size of the provider and hospital network
Benefit options and information
How simple it is to sign up for one of their plans.
How rating organisations such as A.M. Best and Fitch Rating positioned them in terms of their overall economic viability (which impacts how reliable an insurer is when it comes to paying claims)