3 Health Insurance Options for the Self-Employed
Entrepreneurship October 1st, 2007Try telling your friends, family, or co-workers that you’re thinking of leaving your “real” job and striking out on your own. No doubt the #1 most common question will be:
But what will you do for health insurance?!
1. Private Insurance
We thought we had a good answer. I can’t speak for the rest of the country (or world) but BCBS in Chicago has very reasonable private plans- no corporate employer required. You just fill out an application that’s about 473 pages long, wait several weeks for the initial approval, and all is well. Or so we thought.
I’ll let my wife give you the gory details in another post, but the short version is that they eventually reversed their decision and we were dropped from coverage. (as a side note, we recently watched Sicko and had a lot more empathy).
2. COBRA
COBRA is not a specific plan or company. Rather, COBRA is simply a government mandated option that allows you to continue the exact same coverage, with the exact same insurance company, that you had when you left your employer. Nice right? Well, there’s at least one major hitch: you get to pay the full premium. It’s at this point that you start wishing your employer’s coverage wasn’t quite so good. For us it means $1400+ a month. Ouch.
3. Your own company
We eventually set up a group insurance plan through the company I’ve had in place for the past few years. To be eligible, we needed to have at least two employees, so I officially hired myself and my wife. We each clock 30 hours a week at a “reasonable” rate, which pegs us as eligible full time employees. Despite the initial mountain of paper work involved in both hiring employees and applying for insurance, this arrangement has a few nice benefits. Our monthly premiums total about $450.
It’s all a write-off
There’s nothing stopping an employer from deciding to pay 100% of its employees insurance premiums, except for protecting its bottom line. Since I own the company, I get to decide how generous that company will be, and it so happens that this company pays 100%. The payback comes in the fact that insurance premiums are completely deductible for a business, but generally aren’t for employees.
Tailored to suit
My wife and I have separate plans (given the 2 employee minimum). That brought an unexpected bonus: it turns out it was cheaper for my wife to claim our daughter (guess they have less faith in a 30-year old male’s ability to manage health and well-being of a toddler). We put the two of them onto a slightly more expensive plan with better coverage and lower dedictables, given my wife’s innate ability to become pregnant, and our daughter’s accident-prone toddler-ness. Meanwhile, I’m on a high deductible plan which is cheaper and makes me eligible for an HSA.
Health Savings Account (HSA)
What do you get when you combine the benefits of a Flexible Spending Account with a Roth IRA? An HSA. I’ll save the details for another post, but for the right situation an HSA can be a great tool.
Whatever your situation, don’t let health insurance be the one thing stops you from making the jump and pursuing your own ideas!
Disclaimer: I am not an attorney, nor an accountant, nor a certified insurance rep. Please consult with all 3 of these about your own situation before making financial or legal decisions!
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October 1st, 2007 at 6:03 pm
We love our HSA for it’s flexibility, investment options and the fact that you only pay for what you use….unlike a normal insurance premium.
Best,
Michael
http://www.familyhack.com
October 16th, 2007 at 3:00 pm
Even though you’ve just chosen a company - I can’t help but share my recent experience with a high deductible plan with HSA. Our 6 person company went with Destiny Health (http://www.destinyhealth.com). I believe they actually started in Chicago and just recently became available in Texas.
At any rate, our plan is a high deductible plan with HSA and I love it. But here is where it gets unbelievable. They have a program called vitality that gives you points for doing health promoting activities. They also have levels (bronze, silver, gold, platinum) for reaching certain points levels. You can use these points for merchandise (I got a video ipod and a new hard drive camcorder). But what’s even more amazing is the cash rewards. I got to platinum this year (my first year on the plan), by getting a routine physical, 6 month fitness assessment (painful - but worth it), and participating in events like fun runs and 5k’s.
For my efforts (at the platinum level) I got a $500 rebate on gym memberships. And here’s the crazy part that makes them the best choice in insurance if you’re willing to get to platinum - at the end of the year I will get a 100% match on my remaining HSA balance up to $2,625. Now that stays in your hsa, but still - you’re talking about getting back at least half of you premium payments. For me - since my company pays the majority of the premium - this is just free hsa money. I still can’t believe the program - I guess they bank on most people not going through the effort. But I’ve become an envangelist around our company (most people didn’t even read enough about the program to realize it’s awesomeness) and I couldn’t help but post since you live in one of the two locations (IL and TX) where this company has a strong presence.
November 25th, 2007 at 10:34 pm
Please tell me how you have health insurance for $450 a month. I pay $1000/mo with BCBS. It is me, my wife and two boys (1 and 4 years old). I have my own business.
January 5th, 2008 at 10:35 pm
Link to this post copied and sent to my wife… she too has the innate ability to become pregnant, and our TWO daughters are very accident-prone. Great idea to put them on one plan and you on another… especially now that you’re Mr. health at 30 lbs. lighter!
January 12th, 2008 at 1:38 pm
Thank you for this informative post. I’ve been planning to do the 4HWW later this year and one of my concerns for going solo is the health insurance issue. I hadn’t thought about setting your own company up for group insurance. The tax benefits are fantastic. I’m gonna book mark this and forward to my partner.
Question: Which company do you have the group plan with?
Thanks so much!
Tina
January 12th, 2008 at 2:54 pm
@Dave and @Tina-
Unicare is the provider. It was not a simple process to get it all set up (lots of application paperwork), but has been working out really well for us.