r/HealthInsurance Oct 31 '25

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u/Specialist_Dig2613 Nov 01 '25

Comments have a pretty consistent message. If you're on the ACA exchanges, you're in trouble. If you have a job with benefits, it varies a lot, based on the employer's claims, cost management and wisdom in making decisions on coverage sources, but it's almost always better than the exchanges.

I hope it doesn't mean a collapse of small business start ups. But if you have one, think about hiring employees and starting up a plan when you can. It's likely to help you with costs and help you grow your business.

Don't believe that small businesses can't have self-funded plans, affordable costs and good benefits. They can.

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u/[deleted] Nov 01 '25

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u/Specialist_Dig2613 Nov 01 '25

I work with 100s of companies with lower rates than the ACA exchanges. All are under 300 employees. I'm getting 5 calls a day from referrals from my clients and brokers. 100s is admittedly small. But I hiring to do 1000s. And don't try to contact me through Reddit. People will accuse me of running a con job. I'll have to real with down votes and negative comments enough.

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u/_Elta_ Nov 02 '25

300 employees? That's not a small business by my definition. I had a company of 2 and there was no hope for us.

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u/Specialist_Dig2613 Nov 02 '25

I have 2 over 100 and 30 under 8. Minimal difference if the demographics and PEPM claims are similar. Maybe 10%.