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Best Small Business Health Insurance

Are you a small business owner looking to offer health insurance to your employees? Check out our picks for the top five best small business health insurance providers.

    Kymberlin Bush
  • Last updated onUpdated

  • Kate Hoots
  • REVIEWED BY

    Kate Hoots

    Expert Analyst & Reviewer

Advertiser Disclosure: Our unbiased reviews and content are supported in part by affiliate partnerships, and we adhere to strict guidelines to preserve editorial integrity.

If you’re looking for small business health insurance, you’ve come to the right place.

Knowing what to look for in small business health insurance plans can be tricky, and the options can keep overwhelming. We’re here to break down some of our favorite providers and walk you through the pros/cons of each.

Read on to learn more about our favorite small business health insurance providers.

Learn More About Our Top Picks

CompanyBest ForNext StepsBest For
Kaiser Permanente

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  • Best for integrated & comprehensive care
  • Completely integrated network, Thrive Local community referral program, and easy-to-use quote tool
  • Available in CA, CO, GA, HI, MD, OR, VA, WA, and D.C.
  • Best for integrated & comprehensive care
  • Completely integrated network, Thrive Local community referral program, and easy-to-use quote tool
  • Available in CA, CO, GA, HI, MD, OR, VA, WA, and D.C.

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BlueCross BlueShield

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  • Best for widespread coverage
  • Partnered with over 1.7 million doctors and hospitals
  • Robust workplace wellness plans
  • Available in 50 states and Washington, D.C.
  • Best for widespread coverage
  • Partnered with over 1.7 million doctors and hospitals
  • Robust workplace wellness plans
  • Available in 50 states and Washington, D.C.

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UnitedHealthcare

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  • Best for additional and unique coverage
  • Partnered over 1.3 million doctors,
  • Available in 49 states and D.C.
  • Best for additional and unique coverage
  • Partnered over 1.3 million doctors,
  • Available in 49 states and D.C.

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Oscar

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  • Best for telehealth services
  • $0 virtual urgent care available 24/7 and convenient mobile app
  • Available in GA, TN, CT, some counties in AZ and CA, Philadelphia metro area, Kansas City, Chicago, and St. Louis
  • Best for telehealth services
  • $0 virtual urgent care available 24/7 and convenient mobile app
  • Available in GA, TN, CT, some counties in AZ and CA, Philadelphia metro area, Kansas City, Chicago, and St. Louis

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Aetna

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  • Best for self-insured plans
  • Self-insurance, HSA accounts, and $0 copays for 24/7 MinuteClinic visits
  • Available in all 50 states and D.C.
  • Best for self-insured plans
  • Self-insurance, HSA accounts, and $0 copays for 24/7 MinuteClinic visits
  • Available in all 50 states and D.C.

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Read more below to learn why we chose these options.

Table of Contents

Why Do You Need Small Business Health Insurance?

Small business health insurance plans are important for business owners like you for a number of reasons.

  • It May Be A Legal Requirement: You may be legally required to offer health care to your employees depending on the size of your business. If your business is considered an Applicable Large Employer (ALE) with 50 or more full-time employees for more than six months out of the year, then you will need to provide your employees with health insurance as a legal requirement of the Affordable Care Act.
  • Happy & Healthy Employees Are Better For Business: You can do your part to keep your employees happy and healthy, which leads to a better and more productive work environment. Worries about money and health are high on the list of what creates stress in an employee’s life, but health insurance can relieve that stress and make an employee feel valued.
  • Keeps You Competitive In The Job Market: Your competitors are most likely already offering it, so staying competitive in the job market will often come down to health care benefits. The reality is that employees want health insurance and are looking for businesses that offer it. These target employees may not consider job offers that come without the benefit of health insurance.
  • Helps With Taxes: You can even save on taxes by offering a health care plan depending on the size of your company and your annual income. If you have fewer than 25 employees, your average yearly income is less than $50,000, and you offer health insurance, then you may be eligible for tax credits. Even if you aren’t, the money you spend on employee health is tax deductible. Employee-paid premiums are tax-exempt. Talk to your accountant or tax professional to see if you qualify.

To learn more about small business health insurance and why you should be offering it to your employees, check out our ultimate guide to small business health insurance.

The 5 Best Small Business Health Insurance Providers

The best small business health insurance options will be affordable, have ample features for both business owners and employees, and offer unique coverage for your unique business. The best options include Kaiser Permanente, BlueCross BlueShield, United Healthcare, Oscar, and Aetna.

Kaiser Permanente: Best Integrated Health Care

Kaiser Permanente


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Pros

  • Low co-pays for members
  • Wide access to variety of programs
  • Easy to get a quote

Cons

  • Limited availability
  • Can’t see doctors out of network
  • Expensive treatment for chronic conditions

Kaiser Permanente is hands down your best option for integrated small business health insurance. With an easy-to-use quote tool that will get you the numbers you need in under 15 minutes, Kaiser is an easy option for busy small business owners.

Why We Chose Kaiser Permanente For Small Business Health Insurance

Kaiser Permanente is a nonprofit, integrated healthcare delivery organization. These organizations are also called integrated managed care consortiums. Kaiser takes a coordinated and connected approach to care, which provides convenience and savings for its members.

By offering comprehensive medical, dental, vision, and specialty coverage in their own facilities, Kaiser is able to provide a consistent member experience across each region more easily. They also save members money by ensuring they don’t have to see providers or use pharmacies/labs that might be out-of-network. The convenience of seeing a provider, getting tests done, filling your prescriptions, and scheduling your next appointment with a different provider, all in the same building on the same day, cannot be understated.

If you value integrated care, are located in a state where Kaiser operates, and don’t want to worry about balancing multiple providers for your employees, Kaiser Permanente is the best option for you.

Kaiser Permanente Pricing

Pricing for Kaiser will vary based on your location, number of employees, and chosen coverage. They make it easy for you to get a quote in under 15 minutes online. You can get three different kinds of quotes:

  • All available plans quote
  • Select plans quote
  • Detailed quote (quote given for individual employees and their situations)

Kaiser Permanente Small Business Health Insurance Features

  • Thrive Local community partner network
  • Integrated care through a personal care team
  • Telehealth
  • Mobile app for medical records and communication

Kaiser Permanente Coverage Areas

Kaiser’s coverage is currently limited to California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia, Washington, and Washington, D.C. While they have plans to continue expanding, Kaiser is at a slight disadvantage to other insurance providers because they don’t contract with other hospitals/facilities and have to build their own.

Get Started With Kaiser Permanente

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BlueCross BlueShield: Best Provider Network

BlueCross BlueShield


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Pros

  • Partnered with over 1.7 million providers
  • Blue365 provides discounts on products and services
  • Highly rated by small businesses in most regions

Cons

  • Poor customer satisfaction in some locations
  • Benefits can vary greatly
  • Agent must be involved in order to get a quote

BlueCross BlueShield (BCBS) has one of the largest provider networks in the country. It is accepted by over 95% of physicians and 96% of hospitals. This provider is unique in that BCBS isn't one singular entity; it is comprised of 34 independent companies operating under the BCBS name.

BCBS isn't integrated healthcare in that each provider you'll see is a BCBS provider, but it will be easy to find providers that contract with BCBS and are considered "in-network."

Why We Chose BlueCross BlueShield For Small Business Health Insurance

BCBS has a specific dedication to serving small businesses. BCBS companies provide coverage for around 7.3 million small business employees.

BCBS is America’s oldest health insurance provider (making it one of the most experienced) and is committed to providing health care coverage that’s high-quality and affordable.

If you’re looking to change insurance providers or offer health insurance for the first time, BCBS is a good option to consider. Because there are so many different providers and facilities that partner with or fall under the BCBS umbrella, there’s a good chance that your employees wouldn’t have to find a new PCP or doctor’s office.

BCBS does offer better options than Kaiser Permanente to those in need of specialty care/procedures, complex care, and management of chronic conditions through their Blue Distinction Specialty Care and Total Care plans.

If you have remote employees in different states/regions, want to work with local providers, or want to take advantage of workplace wellness plans, BCBS is the best choice for you.

BlueCross BlueShield Pricing

In order to obtain a quote from BCBS for your small business, you will have to work with an insurance agent/broker. This means you’ll be waiting longer for your quote.

BlueCross BlueShield Small Business Health Insurance Features

  • Workplace wellness plans
  • Blue365 health product discount program
  • Local community-based insurance companies
  • Telehealth through Anthem
  • Chronic/Specialty care management plans

BlueCross BlueShield Coverage Areas

BCBS is available in all 50 states and Washington, D.C., and even offers some international coverage, unlike the other options on our list.

Get Started With BlueCross BlueShield

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UnitedHealthcare: Best Additional Coverage

UnitedHealthcare


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Pros

  • Largest insurance provider in America
  • Additional coverage beyond medical
  • Offers short-term plans

Cons

  • Some legal action over wrongfully denied claims
  • No platinum health insurance plan

The largest insurance provider in the country (and our choice for our Merchant Maverick team), UnitedHealthcare (UHC) is a great choice for business owners looking for more than just medical coverage for their employees. UnitedHealthcare includes options for part-time and seasonal employees, as well as short-term insurance plans.

Why We Chose UnitedHealthcare For Small Business Health Insurance

UHC understands the critical nature of small business health insurance both in retaining/recruiting employees and sustaining productivity/satisfaction. Their small business health insurance plans are designed to help you save money while still providing for your employees’ well-being. They focus on the simplest experience, affordable coverage, and quality supported care for their members.

UHC offers specific plans for businesses with 2-50 employees through their Small Business Store. You can obtain a quote, compare popular plans, and purchase your perfect plan through this store.

Their plans all offer or sometimes even include additional coverage for your employees, like dental, vision, behavioral health, disability, life, and even pet insurance!

If your business has part-time or seasonal employees, you want to provide your employees with other forms of insurance beyond medical or want to take advantage of workplace wellness programs, UHC could be the best choice for you!

UnitedHealthcare Pricing

Like Kaiser Permanente, UHC makes it easy for you to obtain a quote. Using their Small Business Store, you’ll be able to see what deductibles, copays, and premium amounts are most popular for businesses like yours and get a quote in under 10 minutes.

If you happen to be in a state where the Small Business Store is unavailable, UHC will still provide a quote to you; just visit its website and choose your state.

UnitedHealthcare Small Business Health Insurance Features

  • Benefit options for part-time and seasonal employees
  • Telehealth
  • In-app services
  • Bundle discounts
  • Vision, dental, hearing, disability and absence, pet, and life insurance benefits

UnitedHealthcare Coverage Areas

UHC is available in 49 states (excluding New York) and Washington, D.C.

Get Started With UnitedHealthcare

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Oscar: Best Telehealth

Oscar


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Pros

  • $0 virtual urgent care available 24/7
  • Convenient and easy-to-use mobile app
  • Access to Cigna’s large provider network

Cons

  • Limited availability
  • Difficult to get a quote as an employer

Oscar's telehealth experience is far beyond most insurance providers. Alongside their easy-to-use and helpful technology, Oscar is partnered with Cigna, which gives their members access to Cigna's national and local providers. Oscar offers two network options, but both include the Cigna Behavioral Health Network and do not require specialist referrals.

Why We Chose Oscar For Small Business Health Insurance

Oscar is about more than just health insurance. They are a company that claims to be there for its members no matter the question or issue, and their 24/7 customer support backs that up.

The Oscar app allows your employees to speak to a doctor online for no cost (for most plans), refill their prescriptions, message their care team, track deductibles, and even receive rewards for meeting fitness goals. From the comfort of home and $0, members are able to talk to a provider 24/7.

Cigna + Oscar also boasts $3 prescriptions for commonly prescribed medications, a team of care guides and a nurse who can answer questions and save members money, and providers dedicated to understanding the language, race, ethnicity, and health situation of every member.

If you’re a company that values accessibility, technology, and resides in one of their limited areas of coverage, Oscar is a great choice for you and your employees.

Oscar Pricing

Cigna + Oscar small business health insurance is similar to BlueCross BlueShield in that you have to work directly with one of their agents to get a personalized quote.

Through their system of $0 virtual urgent care, $0 care teams, and no referrals, Oscar’s website claims that they can save your employees $600 on average per year, according to their 2018 data.

Oscar Small Business Health Insurance Features

  • 24/7 customer support
  • $0 virtual urgent care
  • Access to Cigna’s network
  • Easy-to-use mobile app
  • Telehealth

Oscar Coverage Areas

Oscar has fairly limited availability at this time. Oscar is available in Georgia, Tennessee, Connecticut, some Arizona counties, some California counties, the Philadelphia metro area, Kansas City, Chicago, and St. Louis.

Because this is a newer and unconventional insurance provider, Oscar is expected to continue to expand to larger areas in the near future.

Get Started With Oscar

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Aetna: Best For Self-Insured

Aetna


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Pros

  • No out-of-pocket expenses for preventative care
  • Members choose their own coverage options
  • Saves you up to 25% on monthly coverage costs

Cons

  • High NAIC customer complaint index score
  • Subject to IRS reporting requirements

Aetna is our pick for the best self-insurance for small businesses. Opting for self-insurance for your company can save you up to 25% monthly, and the insurer returns a 50% surplus to your business. Aetna also boasts an Excellent financial strength rating, above-average member satisfaction, and $0 copays to visit MinuteClinic locations.

Why We Chose Aetna For Small Business Health Insurance

Aetna provides health insurance support specifically designed for small businesses. They offer benefits typically reserved for larger groups, like surplus sharing, lower taxes and fees, and high-cost claims protection.

As an employer, you can receive a monthly payment based on the health trends of your employees for up to 25% savings upfront. You can also access online benefits shopping, enrollment, administration, and other simple and helpful features for you and your employees.

Aetna also offers public exchange options in select states through their Small Business Health Options Program (SHOP) coverage.

Health expense funds included in their consumer-directed plans benefit both employers and employees. Employers receive tax savings from salary deductions, and employees get great care that encourages smart spending.

If you value 24/7 care at little to no cost, want to offer self-insurance to your employees, and want to offer more than just medical coverage, Aetna is a good choice for you!

Aetna Pricing

Like BlueCross BlueShield and Oscar, Aetna’s quoting process is not instant. You will be contacted by an agent with plan options that would work for your business once you complete the information request form.

Aetna Small Business Health Insurance Features

  • Self-insurance funding options
  • HSA accounts
  • $0 copays for MinuteClinic services
  • Medicare, dental, vision, supplemental, and Medicaid plans
  • Convenient mobile app
  • Telehealth

Aetna Coverage Areas

Aetna is available in all 50 states and Washington, D.C. Keep in mind that not all covered regions have MinuteClinic locations, so that benefit might not apply to your plan.

Get Started With Aetna

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Our Methodology For Choosing The Best Health Insurance Options For Small Business

We considered more than 10 different small business health insurance providers to create this list. We rated these providers based on how easy it is to get a quote, the type of plans offered, features specifically designed to benefit small businesses, member satisfaction, and overall coverage.

We specifically looked at each provider’s personalized quote process. The best companies offer fast, easy, and accurate quotes for prospective new members and tailor their process specifically for owners of small businesses.

We also weigh unincentivized reviews from actual members. That means checking review sites like the Better Business Bureau, G2, and Consumer Reports. We consider members’ experience with these insurance providers and use that to supplement our ranking factors.

We gathered information from each company’s website and representatives to create this list. The Merchant Maverick editorial team reviews information to ensure accuracy.

What You Should Look For In A Health Insurance Provider

When deciding on a small business health insurance provider, you need to keep a few things in mind. You want to make sure that you’re getting the best balance of coverage for your employees and cost as a business owner.

The biggest things that will impact the cost of your insurance coverage are:

  • Medical history
  • Prescription drug coverage
  • Number of doctor visits per year
  • Available specialists
  • Specific employee medical needs
  • Plans for pregnancy, surgery, etc.

While it is illegal for you as an employer to ask your employees for health information, you need to ask yourself the following questions: What benefits do my employees need? How much choice am I giving them? What will their out-of-pocket costs be?

Once you receive a quote from a prospective insurance provider, you will need to evaluate it based on the following criteria:

  • Quality of medical care
  • Member experience ratings
  • Wellness Programs
  • Administrative ranking

Learn more about how to understand your small business health insurance quote.

Which Small Business Health Insurance Provider Is Right For Your Business?

This answer is going to depend on all of the factors we’ve gone over today. Do you want excellent telehealth? Integrated care? Get a quote and compare prospective insurance providers to make sure you’re offering the best small business health insurance plans for your employees.

Want more guidance on your small business health insurance journey? Check out our how-to guide and learn how you can offer insurance even if you only have one employee.

Small Business Health Insurance FAQs

How do I get health insurance for my small business?

To get health insurance for a small business, you’ll need to set a budget, decide on benefits, gather documents, shop around, and compare insurance quotes. Check out our how-to small business health insurance guide.

How much does health insurance cost for a small business per employee?

The cost of health insurance for a small business per employee is going to depend on the insurance provider, benefits, and type of plan. The average cost for small business owners as of 2021 was $547 per employee and $1,175 for family coverage per month.

How much does small business health insurance cost?

The average cost for small business owners as of 2021 was $547 per employee and $1,175 for family coverage per month. Read more about how to understand your business insurance quote.

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Kymberlin Bush

Kymberlin Bush

Staff Writer
Kymberlin started contributing to Merchant Maverick as a freelancer in 2022 and joined the team as the full-time small business health insurance expert in 2023. She earned her Bachelor of Arts in Creative Writing from Pacific University in 2020 and continues to reside in Portland, Oregon.
Kymberlin Bush
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