Ranked 5 of 15 states · median $687/mo · CMS PY2026
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A 40-year-old general contractor in Wisconsin pays a median $687/month for a Silver plan before subsidies — 5th of 15 on cost. The cheapest plan in the state is $526 from Network Health in Calumet. On highest out-of-pocket maximum, Wisconsin ranks 15 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: Falls, struck-by injuries, and heavy-equipment exposure.
This is background for choosing a plan, not for pricing one. Since 2014 every Wisconsin 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 general contractor or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a general contractor in one Wisconsin 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 |
|---|---|---|---|---|
| Langlade | $633 | Security | $6,000 | 2 |
| Milwaukee | $642 | Network Health | $6,000 | 3 |
| Douglas | $656 | Medica | $3,500 | 4 |
| Jackson | $683 | Medica | $3,500 | 4 |
| Pepin | $731 | Security | $6,000 | 4 |
| Waushara | $526 | Network Health | $6,000 | 4 |
The spread across just these six is $205/month — $2,459 a year for the same metal tier. Statewide the range runs $526 to $1,062. Coverage by County publishes all 72 Wisconsin counties individually.
| Wisconsin — worst-case exposure | 2026 |
|---|---|
| Lowest annual out-of-pocket maximum | $2,000 |
| Highest annual out-of-pocket maximum | $10,600 |
| Cheapest Gold plan @40 | $531 — Group Health Cooperative-SCW |
| Gold deductible | $1,500 |
| Cheapest Silver @40 | $526 — Network Health |
| Cheapest Silver @50 | $735 |
For a general contractor, the gap between $2,000 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. 2,651 plan records across 72 Wisconsin counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Ohio ($625), South Carolina ($636), Alabama ($680). More expensive: Michigan ($708), South Dakota ($725), Oklahoma ($731).
Side-by-side: Wisconsin vs South Carolina · Wisconsin vs Alabama · Wisconsin vs Michigan · Wisconsin vs South Dakota
A caveat on the table above: rating is by residence, not by job site. A general contractor living in Wisconsin and working across a state line still buys Wisconsin plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
Expense categories that typically apply to this trade: Tools, truck, liability insurance, bonding, licensing. 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 Wisconsin is $526 per month from Network Health, with a state median of $687. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. Wisconsin exchange plans are guaranteed issue and community rated, so a general 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.
Wisconsin ranks 5 of 15 states covered here, at a median $687 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Above the cliff. At this income a single-person household receives no premium tax credit for 2026 and pays the full premium.
This occupation sits above the cliff in 20 of the 21 states reported and below it in the other 1, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for First-Line Supervisors of Construction Trades and Extraction Workers (SOC 47-1011) in Wisconsin. 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 general 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 Wisconsin specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for General Contractors in Wisconsin and a blog covering deductibles, subsidies and special enrollment.
Right now 12 carriers file plans across the 72 counties of Wisconsin. Participation is reset annually, which is why General Contractors should check the roster in November rather than assume this year’s options carry over.
Nobody can tell you your 2027 Wisconsin premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
The window opens November 1, 2026, and December 15 is the date worth writing down — it is what secures January 1 cover in Wisconsin and everywhere else. You will find later dates quoted; they stem from a 2025 rule that was vacated in June 2026 and is under appeal.
Check before renewing: PPOs are sold in 15 of Wisconsin’s 72 counties, not all. Whether yours has one decides how much out-of-network care is covered — usually a bigger question for General Contractors than the monthly figure.
Nothing about 2027 is urgent yet, which is exactly why it is worth ten minutes now. Come November you will be choosing between Wisconsin’s carriers under a deadline; today you can do it without one.
Give me a ZIP and I will tell you three things:
There is no single Wisconsin price. Enter your ZIP and I will pull what is filed in your county, then work out what help you qualify for.