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Small Group Health Insurance for Florida Businesses — 2026 Guide

Florida small business owners with 2 to 50 employees can purchase group health insurance that is often more affordable than individual ACA marketplace plans.

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Florida Small Group Health Insurance: Eligibility and Rules

Any business with 2 to 50 full-time equivalent employees can purchase a small group plan. Group plans cannot deny coverage based on pre-existing conditions.

ICHRA: The New Alternative to Traditional Group Plans

The Individual Coverage Health Reimbursement Arrangement (ICHRA) allows Florida employers to reimburse employees tax-free for individual health insurance premiums instead of offering a traditional group plan.

Florida Group Carriers and Plan Options

Florida small group carriers include Florida Blue, UnitedHealthcare, Aetna, Cigna, Humana, and Ambetter. Plan types include HMO, PPO, POS, and HDHP with HSA.

Frequently Asked Questions — Small Group Health Insurance in Florida

How many employees do I need for group health insurance in Florida?

Florida requires a minimum of 2 full-time equivalent employees to qualify for a small group plan. The maximum is 50 FTEs.

Can a sole proprietor get group health insurance in Florida?

Generally no. A sole proprietor without W-2 employees cannot purchase a small group plan. However, if they pay themselves W-2 wages and employ at least one other person, they may qualify.

What is an ICHRA and how does it work in Florida?

An ICHRA lets employers reimburse employees tax-free for individual health insurance premiums. Employees choose their own plan. Employers set a monthly allowance.

How much does small group health insurance cost in Florida?

Small group premiums average $400 to $700/month per employee for a Silver-level plan. Employer contribution is typically 50 to 75% of the employee-only premium.

Can I offer both group insurance and an ICHRA?

No. You cannot offer a traditional group plan and an ICHRA to the same class of employees. However, you can offer different options to different classes.

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