Ranked 9 of 15 states · median $765/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old bookkeeper in Kansas pays a median $765/month for a Silver plan before subsidies — 9th of 15 on cost. The cheapest plan in the state is $565 from Oscar in Anderson. On cheapest Silver at age 27, Kansas ranks 11 of 15 for this occupation.
Screen-based work skews younger and healthier, which is exactly the profile a high-deductible plan is built for. The risk is real — you carry the first several thousand dollars yourself — so the tables below show what a healthy buyer pays across the age curve, not just at 40.
Occupational context: Repetitive stress and eye strain from screen work.
This is background for choosing a plan, not for pricing one. Since 2014 every Kansas 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 bookkeeper or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a bookkeeper in one Kansas 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 |
|---|---|---|---|---|
| Clay | $689 | Ambetter from Sunflower | $6,000 | 3 |
| Mitchell | $689 | Ambetter from Sunflower | $6,000 | 3 |
| Chase | $696 | Ambetter from Sunflower | $6,000 | 2 |
| Kingman | $696 | Ambetter from Sunflower | $6,000 | 2 |
| Sumner | $696 | Ambetter from Sunflower | $6,000 | 2 |
| Nemaha | $698 | UnitedHealthcare | $4,000 | 3 |
The spread across just these six is $9/month — $112 a year for the same metal tier. Statewide the range runs $565 to $979. Coverage by County publishes all 105 Kansas counties individually.
| Kansas — the age curve | 2026 |
|---|---|
| Cheapest Silver @27 | $463 |
| Cheapest Silver @40 | $565 |
| Cheapest Silver @60 | $1,200 |
| Cheapest Bronze @40 | $442 — UnitedHealthcare |
| Bronze deductible | $10,600 |
| Lowest deductible in state | $500 |
A 27-year-old bookkeeper in Kansas starts at $463; the same plan class at 60 starts at $1,200 — 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. 3,058 plan records across 105 Kansas counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Michigan ($708), South Dakota ($725), Oklahoma ($731). More expensive: Florida ($789), Utah ($805), Texas ($807).
Side-by-side: Kansas vs South Dakota · Kansas vs Oklahoma · Kansas vs Florida · Kansas vs Utah
A caveat on the table above: rating is by residence, not by job site. A bookkeeper living in Kansas and working across a state line still buys Kansas 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 bookkeeper, the categories that usually show up are: Software subscriptions, home office, continuing education. 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 Kansas is $565 per month from Oscar, with a state median of $765. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. Kansas exchange plans are guaranteed issue and community rated, so a bookkeeper pays exactly what anyone else of the same age in the same ZIP pays. Occupation is not on the application as a rating factor.
No. Only EPO plans were filed for 2026.
Kansas ranks 9 of 15 states covered here, at a median $765 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
This page compares states. For Kansas specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Bookkeepers in Kansas and a blog covering deductibles, subsidies and special enrollment.