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Small business health insurance in Texas

Small Business Health Insurance in Texas

If you run a Texas business with 2 to 50 employees, you qualify for a small-group health plan. It usually costs less per person than buying alone, and no one on your team can be turned down because of their health. We compare every Texas carrier and show you what you should actually pay.

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Who qualifies

Texas employers with 2 to 50 employees

In Texas, a small group is an employer with 2 to 50 full-time-equivalent employees. That includes full-timers, part-timers counted together, and the owner if they are on payroll. If your headcount falls in that range, every major Texas carrier must offer you a small-group plan.

2 to 10 employees

Even a tiny team qualifies. A group plan spreads risk across more people, so premiums are usually lower per person than individual coverage.

Qualifies

11 to 25 employees

Mid-size teams get the same guaranteed-issue protection. Carriers cannot cherry-pick or raise rates based on anyone's health history.

Qualifies

26 to 50 employees

At the upper end of the small-group market, you still get ACA protections and community-rated pricing. We make sure you are not overpaying for it.

Qualifies
Cost comparison

A group plan usually costs each person less than buying alone

When employees buy health insurance on their own, they pay individual-market rates with no employer contribution. A group plan pools everyone together, spreads the risk, and splits the cost.

Most Texas employers pay 50 to 70 percent of the employee premium. The employee pays the rest, usually through pre-tax payroll deductions. That means lower take-home cost for them and a tax-deductible expense for you.

Why group beats individual

  • Pooled risk means lower per-person premiums
  • Employer contributions cut the employee's share
  • Premium payments are tax-deductible for the business
  • Pre-tax payroll deductions lower the employee's taxable income
  • Better networks and richer benefits than most individual plans
Guaranteed issue

No employee can be turned down for their health

Texas small-group plans are guaranteed-issue. That means a carrier must cover your business and cannot charge more because someone has a pre-existing condition, takes medication, or has been sick before. Every qualifying employee gets in, period.

I

Pre-existing conditions are covered

Asthma, diabetes, heart disease, cancer history, it does not matter. The plan covers it from day one, with no waiting period and no higher rate.

II

No medical underwriting

Carriers cannot ask for health records, run tests, or use employee health to set the premium. The price is based on age, location, and plan choice only.

III

Maternity and mental health included

Texas small-group plans must cover essential health benefits, including maternity, mental health, prescription drugs, and preventive care.

IV

Renewals are protected too

When it is time to renew, the carrier cannot drop an employee or raise their individual share because of claims or health changes.

Plan types

The three ways most Texas small groups structure coverage

Every plan type trades flexibility against cost. We walk you through the real-world differences so you pick the one that fits your team and your budget.

PPO

The most flexible option. Employees can see any doctor, in-network or out, without a referral. Premiums are higher, but the freedom is worth it for teams who value choice.

Most flexible

HMO

Lower monthly premiums in exchange for staying in-network and getting a primary care doctor's referral for specialists. A strong fit when cost control is the priority.

Lowest premium

HDHP + HSA

A high-deductible health plan paired with a tax-advantaged Health Savings Account. Lower premiums plus pre-tax dollars from you and your employees for medical expenses.

Tax savings
Pricing

What makes the price go up or down

There is no single sticker price. Your real premium depends on a handful of factors, and carriers will not volunteer the cheapest combination. We will.

Most Texas employers contribute 50 to 70 percent of the employee-only premium. The rest comes out of the employee's paycheck pre-tax. We run quotes from multiple carriers so you see every option side by side.

Get real numbers

What drives your quote

  • Number of employees who enroll
  • Ages of everyone on the plan
  • Plan type and deductible level
  • How much of the premium you cover
  • Your Texas county and ZIP code
  • Whether you add dental or vision

Get a free quote for your Texas small business

Compare carriers, see real numbers, and stop overpaying.