Ranked 14 of 15 states · median $828/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old bookkeeper 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: Repetitive stress and eye strain from screen work.
None of that changes your price. ACA plans in Arkansas are community rated — premium varies by age, ZIP code, tobacco use and household size only. Your occupation cannot be used to rate you, decline you, or exclude a condition. What it changes is which plan design is the right bet.
Premium is set by rating area, so a bookkeeper 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 |
|---|---|---|---|---|
| Newton | $753 | Octave | $6,000 | 4 |
| Pope | $753 | Octave | $6,000 | 4 |
| Searcy | $753 | Octave | $6,000 | 4 |
| Washington | $753 | Octave | $6,000 | 4 |
| Benton | $753 | Octave | $6,000 | 4 |
| Clay | $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 bookkeeper 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
Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a bookkeeper that is fixed unless you relocate. Where it is actionable is a move already in progress — that is a qualifying life event, and you have 60 days on either side of it.
Expense categories that typically apply to this trade: Software subscriptions, home office, continuing education. Premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or your spouse — a question for your CPA, not your agent.
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.
No. Under the ACA, carriers cannot rate, decline, or exclude based on occupation or health history. Rates vary only by age, ZIP code, tobacco use and household size.
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 Bookkeepers in Arkansas and a blog covering deductibles, subsidies and special enrollment.