PlansByState

Health Insurance for Business Owners

S-corp, LLC, partnership or 1099 · what changes, across 21 states

Licensed Independent Agent · NPN #22052447 · 23 States

Every owner asks the same two questions: how do I deduct this, and am I anywhere near the subsidy cliff. The first answer depends on how you are taxed. The second depends on where you live, and it varies more than anyone expects — from $3,053 a year in Arkansas down to nothing at all in five states.

21states priced on one basis
$62,600the 2026 cliff, single filer
$3,053widest cost of crossing it at 40

How you are taxed decides the mechanics

If you are a…Your income arrives asAnd the premium is deductedRead
Sole proprietor / 1099Schedule C net profitDeduct on Schedule 1, capped at net self-employment income1099 contractors
Partnership / multi-member LLCGuaranteed payments on your K-1Partnership pays or reimburses; you deduct on Schedule 1LLC owners
S-corp (or LLC taxed as one)W-2 salary plus distributionsPremium must appear on the W-2 before you can deduct itS-corp owners
C-corpSalary; company is a separate taxpayerGenerally a company expense rather than a personal deduction

How much the cliff is worth where you are

A single 40-year-old just under $62,600 pays no more than $519.58 a month for the benchmark plan. Just over it, they pay full price. In five states that is the same number, so the cliff costs nothing at that age; in Arkansas it is $3,053 a year.

See all 21 states ranked →

Questions

Does my business structure change whether I qualify for a subsidy?

No. Eligibility is based on household income and household size. The structure changes how the premium is deducted, which changes the income figure the subsidy is measured against.

I have employees. Is this still the right section?

Partly. These pages are about covering the owner. If you are covering staff as well, the choice is between a small group plan, a QSEHRA and an ICHRA, and it turns on what your employees earn.

Benchmark premiums: the second-lowest-cost Silver plan for a 40-year-old, weighted by county enrollment, from the CMS PY2026 Landscape file, the same figures used across this site. Cliff: 400% of the 2025 HHS poverty guideline (90 FR 5917), $62,600 for a single-adult household. Applicable percentage: 9.96% for 2026 (Rev. Proc. 2025-25). Nothing here is tax advice — the arithmetic is public, the decision is yours and your CPA’s.

What the cliff costs by state · By job · Rankings

Price it for your ZIP →

Price this for your own county

Give me a ZIP and your rough income and I will tell you which side of the line you are on, and what it is worth doing about it.

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