Ranked 11 of 15 states · median $805/mo · CMS PY2026
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A 40-year-old real estate agent in Utah pays a median $805/month for a Silver plan before subsidies — 11th of 15 on cost. The cheapest plan in the state is $559 from Select Health in Davis. On counties covered, Utah ranks 15 of 15 for this occupation.
Coverage that only works where you sleep is not coverage if you spend the week elsewhere. The binding question is whether the plan pays out of area at all, and beyond emergencies many HMOs simply do not. States below are ordered by network reach, with the no-PPO states flagged.
Occupational context: High driving exposure; irregular hours; showing-related risk.
None of that changes your price. ACA plans in Utah 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 real estate agent in one Utah 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 |
|---|---|---|---|---|
| Juab | $798 | Select Health | $6,000 | 4 |
| Uintah | $798 | Select Health | $6,000 | 4 |
| Tooele | $574 | Select Health | $5,900 | 4 |
| Rich | $768 | Select Health | $6,000 | 3 |
| Grand | $798 | Select Health | $6,000 | 2 |
| Sevier | $798 | Select Health | $6,000 | 2 |
The spread across just these six is $224/month — $2,694 a year for the same metal tier. Statewide the range runs $559 to $1,125. Coverage by County publishes all 29 Utah counties individually.
| Utah — network reach | 2026 |
|---|---|
| Counties in the state | 29 |
| Counties with only one carrier | 1 (3%) |
| Plan types available | EPO, HMO |
| PPO available on exchange | No |
| Carriers filing in the state | 6 |
| Cheapest Silver @40 | $559 — Davis |
Utah has no PPO plans on the exchange at all. For a real estate agent covering distance, that single fact outweighs premium: 1 of 29 counties here are served by one carrier, so an HMO bought in one metro may leave you out of network for the rest of your route.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 699 plan records across 29 Utah counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Oklahoma ($731), Kansas ($765), Florida ($789). More expensive: Texas ($807), North Carolina ($828), Arkansas ($828).
Side-by-side: Utah vs Kansas · Utah vs Florida · Utah vs Texas · Utah vs North Carolina
A caveat on the table above: rating is by residence, not by job site. A real estate agent living in Utah and working across a state line still buys Utah 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 real estate agent, the categories that usually show up are: Vehicle, licensing, MLS dues, E&O insurance, marketing. 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 Utah is $559 per month from Select Health, with a state median of $805. 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.
No. Only EPO and HMO plans were filed for 2026.
Utah ranks 11 of 15 states covered here, at a median $805 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 is below the cliff in all 20 states reported.
What this figure is. It is the median annual wage BLS reports for Real Estate Sales Agents (SOC 41-9022) in Utah. 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 real estate agent. 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 Utah specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Real Estate Agents in Utah and a blog covering deductibles, subsidies and special enrollment.
Right now 6 carriers file plans across the 29 counties of Utah. Participation is reset annually, which is why Real Estate Agents should check the roster in November rather than assume this year’s options carry over.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Utah has not finalised, so treat exact local 2027 pricing as unavailable rather than unknown.
Mark November 1, 2026 to open and December 15 to act. That second date guarantees cover from January 1 in Utah regardless of how the current litigation over the enrollment window resolves.
There is still no PPO on the Utah marketplace — not in any of its 29 counties. Every plan is an HMO, EPO or POS, which for a real estate agent working across a wide area is the binding constraint, not price.
Because Utah sells no PPO in any of its 29 counties, the thing that will decide your 2027 experience is which network your providers sit in — and that is far easier to check now than during the rush.
Give me a ZIP and I will tell you three things:
There is no single Utah price. Enter your ZIP and I will pull what is filed in your county, then work out what help you qualify for.