Health Insurance · Free calculator

Small Business Health Insurance Cost Calculator

Estimate group health plan costs for your team — per-employee premiums, employer share, and the small-business tax credit.

Short answer

Small Business Health Insurance Cost Calculator

$28,867Estimated employer cost per year

The small-business health care tax credit covers up to 50% of premiums for firms under 25 employees averaging under ~$65K wages — worth $15,808/yr to you, but only through SHOP plans and for two consecutive years.

How it's calculated: $620/mo per employee × 8 × 75% employer share, minus $15,808 tax credit. Adjust the inputs below to recalculate for your own numbers.

Disclaimer: Estimates only — not insurance, tax, or legal advice. Actual premiums depend on underwriting, state, carrier, claims history, and plan details. Confirm numbers with a licensed agent, broker, or Healthcare.gov before acting.

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8
36
1
75%
$42,000
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Formula used

Cost = employees × per-employee premium × employer % − credit

Small-group premiums are community-rated by age band and area — no medical underwriting. The federal tax credit (up to 50% of the employer share) applies to SHOP plans for firms under 25 FTEs with average wages under about $65K.

Employer cost = headcount × tier rate × age factor × 12 × share − small-business tax credit
Avg employer cost/employee
~$7,500/yr
Tax credit maximum
50% of premiums
Employer mandate threshold
50 FTEs
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Alternatives when group quotes hurt

ICHRA lets you reimburse employees tax-free for individual-market plans they choose — fixed budget for you, choice for them, and employees can stack ACA subsidies if your contribution isn't 'affordable'. Level-funded plans suit healthy teams of 5–50. PEOs pool you into a large group but add admin fees.

  • Under 50 FTEs, offering coverage is optional — but it's deductible and a hiring edge.
  • Owner-only businesses can't buy group plans; look at individual + HRA structures.
  • Most carriers require ~70% participation — waivers for spousal coverage count.

FAQ

How much does health insurance cost per employee for small business?

Employers typically pay $400–650/month per employee for single coverage (75% employer share of a silver plan). Family coverage roughly doubles the gross premium.

What is the small business health care tax credit?

Up to 50% of the employer's premium contribution for businesses with fewer than 25 FTEs, average wages under ~$65K, purchasing through the SHOP marketplace, for up to two consecutive years.

Can I reimburse employees for their own plans instead?

Yes — an ICHRA (individual coverage HRA) lets you set a monthly tax-free allowance employees use on marketplace plans. It's now the fastest-growing small-business arrangement.

How this calculator is built

Independently maintained

Written by Sam Doshi and the RevenueLab editorial team. We don't sell the data feeds this tool is built on.

Sourced from primary data

Benchmarks come from public AdSense / Stripe / IRS disclosures and reader-submitted data — never third-party "$X per view" claims. Full methodology.

Last editorial review

Reviewed on a rolling quarterly cycle. Dated reviews are published on the methodology record for each calculator.

Editorial standards

See our editorial policy and disclaimer. Results are estimates, not advice.

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