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Navigating Health Insurance Options as a Small Business Owner

As a small business owner, there are numerous responsibilities that come with running your own venture, and one of the most crucial is ensuring the health and well-being of your team members. Offering health insurance benefits not only takes care of your employees’ medical needs but also enhances your company’s appeal in a competitive job market. Let’s take a deeper dive into the health insurance options available to small business owners and the important considerations to keep in mind when selecting a suitable plan. As a quick side note, you should ALWAYS consult with a health insurance agent who will be more knowledgeable than anyone else in this matter.


Understanding Health Insurance Options


As a business owner, you have a variety of health insurance options to choose from. If your team consists of fewer than 50 members, you are not legally obligated to offer a group insurance plan. However, providing health insurance benefits can be a significant competitive advantage in attracting and retaining top talent. Again, to find the best fit for your business, it is essential to collaborate with a knowledgeable health insurance agent who can help you navigate through the different options and tailor a plan that meets your specific needs.


Tailoring Your Health Insurance Plan


While it may be challenging to compete with larger companies that provide 100% health insurance coverage, offering some form of coverage can still have a positive impact. Here at Incite Tax, when our team grew to about 20 members, we introduced a Flex Spending Arrangement (FSA) and it turned out to be a prudent move. An FSA allows employees to set aside pre-tax dollars to cover qualified medical expenses, reducing their taxable income and easing their financial burden.

As your business expands and attracts higher-level team members with increased salaries, it might be time to consider a Health Reimbursement Arrangement (HRA). The advantage of the HRA is that it offers higher limits than the FSA, making it an attractive option for employees with more substantial medical needs. By offering both an FSA and an HRA, tailored based on salary ranges, you can provide a solution that can accommodate your team members’ diverse needs.

Personal Insurance and Health Subsidies


As a business owner, you should also consider your personal health insurance needs. If you do not have a group plan, you will have the option to choose private health insurance. Talking to a qualified health insurance agent will help you find the best individual plan based on your income and requirements. Depending on your income level, you might be eligible for health subsidies, which can make insurance coverage more affordable. A health insurance agent can guide you through the process and help you take full advantage of potential subsidies.


Health Insurance for S Corporation Owners


IMPORTANT: For S Corporation owners, handling health insurance can be a bit more complicated than for regular employees. As an S Corp owner there are three things you need to make sure you are doing in order to stay compliant.

  1. Make sure to pay for your health insurance out of your S Corporation’s bank account.
  2. Working with your payroll company you are required to report your health insurance amount as wages on your W2.
  3. You must report your that same health insurance amount as “Adjustment to Income”. There will be a section on your W2 where you will list this. This makes sure that the health insurance that you pay for is considered a write-off.

To navigate this situation, it is highly advised that you seek professional assistance. An experienced accountant can help ensure that your health insurance expenses are recorded correctly in your books and reflected accurately on your tax return. This maximizes your tax benefits and avoids any potential pitfalls associated with health insurance deductions.




In conclusion, health insurance benefits are an essential consideration for any small business owner. Offering such benefits not only demonstrates your commitment to your employees’ well-being but also enhances your company’s competitiveness in the job market. As your business grows, it becomes more important to explore and tailor health insurance options to meet your team’s diverse needs.

Collaborating with health insurance agents and accounting professionals will help you make informed decisions and optimize tax benefits associated with health insurance.

Remember, profit is a choice, and investing in the health and happiness of your team members is an investment in the long-term success of your business. So, take the time to understand your health insurance options and seek expert guidance to create a comprehensive plan that serves your business and your team members alike.

Schedule a time to talk to a Tax Professional today! We’re here to answer any questions and we want to make sure you are maximizing your tax savings while still being compliant with IRS standards.


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