Ranked 3 of 15 states · median $636/mo · CMS PY2026
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A 40-year-old flooring contractor in South Carolina pays a median $636/month for a Silver plan before subsidies — 3th of 15 on cost. The cheapest plan in the state is $456 from Ambetter from Absolute Total Care in Abbeville. On highest out-of-pocket maximum, South Carolina ranks 11 of 15 for this occupation.
Injury exposure means the number that matters is the out-of-pocket maximum, not the premium. A single ER visit and follow-up can hit that ceiling in one month, so these pages rank states by worst-case annual exposure rather than by monthly cost.
Occupational context: Knee and back injury; adhesive and dust inhalation.
Worth being clear about what this does and does not affect: a carrier in South Carolina cannot ask what you do for a living, cannot charge a flooring contractor more than a librarian of the same age in the same ZIP, and cannot exclude anything you were already treated for. Occupation only tells you which plan structure to shop for.
Premium is set by rating area, so a flooring contractor in one South Carolina 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 |
|---|---|---|---|---|
| Cherokee | $641 | First Choice Next | $6,000 | 5 |
| Horry | $497 | BlueCross BlueShield of South Carolina | $7,900 | 3 |
| Kershaw | $518 | BlueCross BlueShield of South Carolina | $7,900 | 5 |
| Jasper | $540 | Ambetter from Absolute Total Care | $6,000 | 3 |
| Berkeley | $553 | Molina Healthcare | $7,000 | 4 |
| Richland | $569 | BlueCross BlueShield of South Carolina | $7,900 | 4 |
The spread across just these six is $144/month — $1,726 a year for the same metal tier. Statewide the range runs $456 to $931. Coverage by County publishes all 46 South Carolina counties individually.
| South Carolina — worst-case exposure | 2026 |
|---|---|
| Lowest annual out-of-pocket maximum | $3,400 |
| Highest annual out-of-pocket maximum | $10,600 |
| Cheapest Gold plan @40 | $476 — Ambetter from Absolute Total Care |
| Gold deductible | $2,000 |
| Cheapest Silver @40 | $456 — Ambetter from Absolute Total Care |
| Cheapest Silver @50 | $637 |
For a flooring contractor, the gap between $3,400 and $10,600 in annual out-of-pocket maximum is worth more than any premium difference on this page. One serious injury reaches that ceiling regardless of which plan you picked.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 2,518 plan records across 46 South Carolina counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Indiana ($558), Ohio ($625). More expensive: Alabama ($680), Wisconsin ($687), Michigan ($708).
Side-by-side: South Carolina vs Indiana · South Carolina vs Ohio · South Carolina vs Alabama · South Carolina vs Wisconsin
Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a flooring contractor 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: Tools, van, materials, knee protection, liability insurance. 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 South Carolina is $456 per month from Ambetter from Absolute Total Care, with a state median of $636. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. South Carolina exchange plans are guaranteed issue and community rated, so a flooring contractor pays exactly what anyone else of the same age in the same ZIP pays. Occupation is not on the application as a rating factor.
Yes. Plan types filed for 2026: EPO, HMO, POS, PPO.
South Carolina ranks 3 of 15 states covered here, at a median $636 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2026.
This occupation sits above the cliff in 1 of the 21 states reported and below it in the other 20, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Floor Layers, Except Carpet, Wood, and Hard Tiles (SOC 47-2042) in South Carolina. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed flooring contractor. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For South Carolina specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Flooring Contractors in South Carolina and a blog covering deductibles, subsidies and special enrollment.
The South Carolina market currently runs to 6 carriers over 46 counties. Carriers re-file every year, and for Flooring Contractors the question that actually decides your renewal is which of them are still there in November.
On price the only honest number today is national: the Peterson-KFF read of 2027 filings puts the median proposed rise near 15%, spanning −1% to 54%. Final South Carolina rates are not approved, so any precise 2027 figure quoted for this state is guesswork.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, South Carolina included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
All 46 counties in South Carolina sell a PPO, which is unusual and useful. For a flooring contractor covering ground, it is the plan type that travels best.
Nothing about 2027 is urgent yet, which is exactly why it is worth ten minutes now. Come November you will be choosing between South Carolina’s carriers under a deadline; today you can do it without one.
Give me a ZIP and I will tell you three things:
Coverage for Flooring Contractors is priced county by county across South Carolina. Enter your ZIP and I will show you what is on the table.