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The Texas Health Insurance Marketplace

Below is a snapshot of the lowest insurance plans offered in the Texas health insurance marketplace in 2020. Employers with between 1 and 50 full-time equivalent employees can provide insurance through the Small Business Health Options Program (SHOP).

Premiums shown are total prices per employee per month. You can share the cost of these premiums with your employees, if you desire.

Lowest premiums for SHOP health insurance plans in every “metal” group

Need a Custom Premium Quote?

Answer a few questions, and we will show you accessible SHOP plans with premium estimates depending on your business and employees.

Next Steps

See if you can pay even less. If you have less than 25 employees making less than an average of $50,000 per annum, you may be eligible for a tax credit worth up to 50% of your contribution to employees’ premiums.

Need some assistance? Find a SHOP agent or broker. Visit Find Local Help to find a SHOP-registered agent or broker in your area. Employing an agent or broker will not cost you more and can make the process easier.

Small Business Health Care Tax Credit Estimator

Step 1: Are you a tax-exemption employer?
The credit is refundable for tax-exempt employers but is limited to the amount of the tax-exempt employer’s payroll taxes withheld during the calendar year.

Step 2: How many of your workers work 40 hours or more a week?
Full-time employees are employees who worked or who you presume to work the equivalent of 40 hours a week for 52 weeks.

Step 3: How many hours will your part-time workforces work during the applicable year?
Hours for part-time workers who worked or you expect to work less than 40 hours per week, but more than 120 days per year.

Step 4: What are your entire estimated employee wages for the applicable tax year?
The total wages you paid or expect to pay for both full-time and part-time employees should consist of all wages subject to Social Security and Medicare tax withholding (even if an employee’s annual wages are more than the wage base limit).

Step 5: Do you pay or plan to pay 50% or more of your workers’ premiums?
To be eligible for the tax credit, you usually must pay at least 50% of your employees’ medical premium costs and meet other necessities to claim the credit.

Step 6: What is the total amount you will pay toward premiums during the applicable year?

Only include the portion of premiums you paid, or you anticipate to pay, not what your employees paid or what you expect they will pay. You can include premiums paid for temporary employees’ coverage. Also, include any contributions you made toward dependent coverage and dental health insurance.

Resources and References:

• Medicare Taxes