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Health Insurance for Roofers in Wisconsin

Ranked 5 of 15 states · median $687/mo · CMS PY2026

Licensed Independent Agent · NPN #22052447 · 23 States

Wisconsin ranks 5 of 15 on cost for Roofers

A 40-year-old roofer 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.

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What actually matters for a roofer

Trade work concentrates cost into rare, expensive events rather than spreading it across the year. That inverts the usual shopping logic: a lower premium with a $9,200 ceiling is a worse deal than a higher premium with a $6,000 one, because the ceiling is what you actually hit. These rankings follow the ceiling.

Occupational context: One of the highest fall-fatality rates of any US trade; heat illness.

Worth being clear about what this does and does not affect: a carrier in Wisconsin cannot ask what you do for a living, cannot charge a roofer 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.

What it costs county by county in Wisconsin

Premium is set by rating area, so a roofer 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:

CountyCheapest Silver @40IssuerDeductibleCarriers
Rock$543MercyCare$6,0002
Ozaukee$575CareSource (Common Ground Healthcare)$5,0004
Pierce$602HealthPartners$3,8003
Marathon$623Aspirus$6,0004
Oneida$633Security$6,0002
Crawford$643Dean$3,5004

The spread across just these six is $100/month — $1,204 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 statewide plan data for 2026

Wisconsin — worst-case exposure2026
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 roofer, 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.

How Wisconsin compares for Roofers

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

Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a roofer 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.

Self-employed Roofers in Wisconsin

Self-employed Roofers in Wisconsin typically deduct: Tools, truck, fall-protection gear, liability insurance. Health premiums sit separately, above the line under IRC §162(l), and only when neither you nor a spouse could have joined an employer plan — eligibility disqualifies you even if you declined the coverage.

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.

Common questions

How much is health insurance for a roofer in Wisconsin?

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.

Can a roofer be charged more for health insurance in Wisconsin?

No. Wisconsin exchange plans are guaranteed issue and community rated, so a roofer pays exactly what anyone else of the same age in the same ZIP pays. Occupation is not on the application as a rating factor.

Does Wisconsin have PPO plans on the exchange?

Yes. Plan types filed for 2026: EPO, HMO, POS, PPO.

Is Wisconsin a cheap state for health insurance?

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.

Wage benchmark and the 2026 subsidy cliff

$49,690median annual wage, Roofers in Wisconsin
318%of the federal poverty level
$62,6002026 subsidy cliff, single-person household

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.

Median annual wage by state, Roofers400% FPL — $62,600Illinois$66,940Ohio$56,420Michigan$56,290Colorado$55,800Indiana$55,640Maryland$52,010Utah$49,800Wisconsin$49,690Nevada$49,180Virginia$48,920South Dakota$48,320North Carolina$48,090Georgia$47,460Kansas$47,400Oklahoma$47,020Florida$46,230Nebraska$45,970South Carolina$45,860Texas$45,440Alabama$45,220Arkansas$45,120

What this figure is. It is the median annual wage BLS reports for Roofers (SOC 47-2181) 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 roofer. 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.

Sources
  1. U.S. Bureau of Labor Statistics. Occupational Employment and Wage Statistics, May 2024. State-level annual median wage (A_MEDIAN), detailed occupation. https://www.bls.gov/oes/. Retrieved 2026-08-03. Figures used unmodified; suppressed cells are omitted, not estimated.
  2. U.S. Department of Health and Human Services. Annual Update of the HHS Poverty Guidelines. 90 FR 5917, 17 January 2025. https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines. Retrieved 2026-08-03. The 2025 guidelines govern premium tax credit eligibility for plan year 2026 coverage. The 2026 guidelines apply to 2027 coverage.
  3. Full dataset for all occupations and states: CSV · JSON (CC BY 4.0).

How Wisconsin compares with every other state →

Going deeper on Wisconsin

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 Roofers in Wisconsin and a blog covering deductibles, subsidies and special enrollment.

← Roofers in all 21 states · All occupations

Looking ahead to 2027 as a roofer in Wisconsin

The Wisconsin market currently runs to 12 carriers over 72 counties. Carriers re-file every year, and for Roofers the question that actually decides your renewal is which of them are still there in November.

Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Wisconsin has not finalised, so treat exact local 2027 pricing as unavailable rather than unknown.

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 Roofers than the monthly figure.

A head start beats a scramble

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:

Map my 2027 options →

Wisconsin Roofers: your county sets the price, not your trade

Rates for Roofers in Wisconsin are set by county, not by occupation. Start with your ZIP and I will show you the plans actually filed where you live.

One field. No account, no phone call unless you ask for one.