Ranked 14 of 15 states · median $828/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old accountant in Arkansas pays a median $828/month for a Silver plan before subsidies — 14th of 15 on cost. The cheapest plan in the state is $753 from Octave in Arkansas. On cheapest Silver at age 27, Arkansas ranks 15 of 15 for this occupation.
Desk-based work usually means low claim volume and a younger buyer, which makes a high-deductible plan paired with an HSA the mathematically better bet in most years. These pages rank states by what a healthy buyer actually pays at ages 27 and 40.
Occupational context: Sedentary strain: eye strain, repetitive stress, and Q1 stress load.
This is background for choosing a plan, not for pricing one. Since 2014 every Arkansas exchange plan has been guaranteed issue and community rated: same age, same ZIP, same tobacco status means the same filed premium whether you are a accountant or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a accountant in one Arkansas county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Yell | $753 | Octave | $6,000 | 4 |
| Calhoun | $753 | Octave | $6,000 | 4 |
| Columbia | $753 | Octave | $6,000 | 4 |
| Desha | $753 | Octave | $6,000 | 4 |
| Greene | $753 | Octave | $6,000 | 4 |
| Jefferson | $753 | Octave | $6,000 | 4 |
The spread across just these six is $0/month — $0 a year for the same metal tier. Statewide the range runs $753 to $879. Coverage by County publishes all 75 Arkansas counties individually.
| Arkansas — the age curve | 2026 |
|---|---|
| Cheapest Silver @27 | $617 |
| Cheapest Silver @40 | $753 |
| Cheapest Silver @60 | $1,599 |
| Lowest deductible in state | $1,450 |
A 27-year-old accountant in Arkansas starts at $617; the same plan class at 60 starts at $1,599 — roughly 2.6× as much. If a Bronze plan here is HSA-qualified, the deduction plus low claim volume usually beats Silver on total annual cost. Confirm HSA eligibility on the plan document, not the metal tier.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 3,900 plan records across 75 Arkansas counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Utah ($805), Texas ($807), North Carolina ($828). More expensive: Nebraska ($875).
Side-by-side: Arkansas vs Texas · Arkansas vs North Carolina · Arkansas vs Nebraska
A caveat on the table above: rating is by residence, not by job site. A accountant living in Arkansas and working across a state line still buys Arkansas plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
If you file a Schedule C as a accountant, the categories that usually show up are: Software, licensing, CPE credits, home office. The health premium itself is normally an above-the-line deduction under IRC §162(l), which reduces AGI rather than requiring you to itemize. Your CPA should confirm it against your actual situation.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The cheapest Silver plan for a 40-year-old in Arkansas is $753 per month from Octave, with a state median of $828. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in Arkansas uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
Yes. Plan types filed for 2026: POS, PPO.
Arkansas ranks 14 of 15 states covered here, at a median $828 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
This page compares states. For Arkansas specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Accountants in Arkansas and a blog covering deductibles, subsidies and special enrollment.