Comprehensive Healthcare: How to Buy if You Are Self-Employed

Are you self-employed and want to know how to buy health insurance from the ACA Health Insurance Marketplace?

Do you operate an LLC and need to purchase health insurance for you and your team?

Or are you self-employed, a sole proprietor or work as an independent contractor?

Have you been freelancing and want to know more about your health coverage options?

Operating a small business, whether it’s an LLC or a sole proprietorship, comes with its fair share of difficulties. Choosing health insurance doesn’t have to be one of them.  Self employment already offers plenty of other challenges.

The health insurance market place offers several different options for obtaining affordable health insurance if you’re self-employed.

This blog covers the various ways your business can get health insurance coverage, how to choose the right path for your business entity, and how to buy if you are self-employed or freelancing.

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Comprehensive Healthcare Coverage for Self-Employed Individuals

The Affordable Care Act was designed to give Americans access to health insurance that is affordable and comprehensive. This includes giving access to self-employed individuals, freelancers, contractors, and owners of small businesses.

The first thing you’ll want to determine as a self-employed individual is whether you qualify to sign up for an Obamacare Health Insurance Plan during a Special Enrollment Period or if you need to wait for open enrollment to qualify for health insurance. You’ll be eligible for a Special Enrollment Period if you lose your health insurance or have an eligible change in your life, such as gaining a new dependent or moving to a new state.  There are many other qualifying life events that you need to be aware of as well, which are discussed on this and other blogs on this site.  They are spelled out in the Patient Protection and Affordable Care Act, which was signed into law on March 23, 2010.

Open enrollment for 2023 is from November 1, 2022, to December 15, 2022. In some cases, you may only qualify to purchase health insurance if you apply and choose a plan during the open enrollment period. A licensed Fiorella Insurance broker or agent can help you determine whether you can apply for coverage now or if you need to wait for open enrollment.

The next thing you’ll want to determine is whether you need coverage for yourself or yourself and employees. There are some differences in the path you’ll take in the market place, so pay attention to the options for choosing health insurance as a self-employed individual or small business owner.  It always best to consult the internal revenue service website for any changes to the rules.

Choosing Healthcare for Small Businesses and Self-Employed Individuals

There are different choices in health coverage depending on whether you are self-employed, or you own a business with employees.

1. Health Insurance Options for Sole Proprietorships

If you operate a sole proprietorship and do not pay any employees, you can apply for individual or family health insurance coverage through the market place. You’ll provide income differently than if you were applying for coverage as someone who isn’t self-employed.

After providing your estimated net income – not last year’s income – for the year you’re getting coverage, you’ll find out if you qualify for any health insurance premium tax credits that may reduce your health insurance costs.

2. Health Insurance Options for Freelancers and Contractors

As  with sole proprietorships, applying for health insurance through the market place is simple for freelancers, independent consultants, and contractors. You just provide your estimated net income and choose a plan that works best for you.

Have you recently become a freelancer or independent contractor? If you lost health insurance coverage, you may qualify for a Special Enrollment Period. Otherwise, you’ll be eligible to apply for coverage during the 2023 open enrollment period.

3. Health Insurance Options for an LLC

Choosing health insurance plans if you have one or more employees is a little bit different than choosing health insurance plans as a self-employed individual or freelancer. The Small Business Health Options Program, also known as SHOP, gives small businesses an opportunity to offer health insurance.

Your small business may qualify for the Small Business Health Care Tax Credit, so using the health insurance marketplace gives employers the flexibility to offer better plans at discounted rates. There is no open enrollment period with SHOP – your business can apply at any time.  Offering health insurance this way may help make it easier to hire employees because offering health insurance is something new hires are looking for.

How to Buy Health Insurance if You Are Self-Employed

Now that you’ve determined whether you need to apply through the health insurance marketplace or the Small Business Health Options Program, it’s time to figure out how to buy if you are self-employed.

Fortunately, the health insurance marketplace makes it simple to buy health insurance if you are self-employed or own a small business.

Here is a quick overview of what you’ll need to do to get health insurance coverage as a self-employed individual or freelancer:

  • Apply through the health insurance market place: Whether you qualify for a Special Enrollment Period or have to wait until open enrollment, you’ll still need to fill out an application through the health insurance market place. Some information may be stored if you’ve applied before.
  • Compare coverage limits and plan options: After you’ve applied and know if you’ll receive premium tax credits, you’ll want to compare plans. Think about health insurance premiums, deductibles, copayments, and out-of-pocket expenses you (or your employees) will need to pay.
  • Choose a plan during the open enrollment period: Once you’ve compared plans and know which option works best for you and your family, choose your plan before the open enrollment deadline and make the first monthly premium payment. Your coverage will begin on January 1st!  

If you are a small business owner and using SHOP to get coverage for you and your employees, you’ll be able to offer them options to choose from if you want. You’ll also be able to pay part of the premiums for your employees through SHOP.

Using an Insurance Agent or Broker as a Self-Employed Individual

One of the great things about the ACA health insurance market place is that you don’t have to figure it out on your own. Regardless of whether you’re applying as a self-employed individual or a small business owner, you can use a registered insurance agent or broker to apply for health coverage.

A licensed Fiorella Health Insurance Agent can help you choose insurance that’s right for you.

This means you’ll have someone dedicated to helping you fill out your application, compare plans and coverage options, and choose the health insurance that works for your situation.

Do you need help figuring out how to buy health insurance if you are self-employed? Contact Fiorella Insurance Agency to get the most comprehensive information about your health insurance options.


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