PlansFor1099

Health insurance for 1099 first-line supervisors of construction trades and extraction workers

What a general contractor pays for 2027 health insurance on a 1099: the BLS median ($75,840) against the $63,840 line, the deduction, networks.

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The short answer: BLS puts the national median pay for first-line supervisors of construction trades and extraction workers at $75,840 (May 2024; that series counts employees, so a 1099 general contractor billing their own clients can sit well above or below it). $75,840 is $12,000 above the 2027 credit line for one person ($63,840), so there is no premium tax credit at that income and the full filed price applies.

Two things make a 1099 general contractor’s price different from an employee’s. First, there is no employer paying part of the premium, so the whole filed price, or the whole price after the credit, is yours. Second, the credit is measured on net income after business expenses, and the premium itself is deductible, which pulls that income down further. The page below walks through both, state by state.

Start with your ZIP and your income, not with a plan name

Premiums are set county by county and the credit is set by income, so no table can give a 1099 worker a final number. Enter your ZIP and a licensed agent prices every plan filed where you live against what you actually expect to earn.

Takes about 30 seconds. No account, and you choose how you are reached.

“I run my own business and my time is valuable. Daniel handled everything — compared the private options, explained what I was actually getting, and had me covered fast. Way better experience than trying to navigate it myself.”
Mark T., client

What the credit does at a general contractor’s income

The 2027 premium tax credit caps what you pay for the benchmark Silver plan at a share of income, from 2.15% near the poverty line to 10.22% between 300% and 400% of it, and nothing at all above 400%: $63,840 for one person, $86,560 for a couple, $132,000 for a family of four. At the national median for first-line supervisors of construction trades and extraction workers:

Income here is modified adjusted gross income for the year: Schedule C profit after expenses, minus half of self-employment tax, minus the health insurance deduction itself. A general contractor who grosses the median usually nets less, which moves the credit up. Estimate the net figure you would defend to the IRS in April, and update the marketplace mid-year if it moves: from the 2026 tax year on there is no cap on repaying credit you were advanced but did not qualify for.

The deduction a 1099 general contractor gets and an employee does not

A self-employed person deducts health, dental and vision premiums for the household above the line (Form 7206, carried to Schedule 1), without itemizing, up to the net profit of the business, in any month there was no eligible employer plan available through a job or a spouse’s job. The deduction lowers taxable income and, because it lowers adjusted gross income, it also lowers the income the credit is measured on; the IRS publishes an iterative method for the two together. It does not reduce self-employment tax. A general contractor with an S corporation takes the same deduction only if the corporation pays the premium and adds it to Box 1 of the W-2.

Illustration, not advice: a $600-a-month premium is $7,200 a year; at a 22% federal bracket that is roughly $1,584 less federal income tax, before any state effect. A tax professional owns the return.

What matters in the plan for a general contractor

Falls, struck-by injuries, and heavy-equipment exposure. Typical costs of the trade: Tools, truck, liability insurance, bonding, licensing. A plan is priced the same whether you buy it through an agent or not; the network and the deductible are what differ, and for a general contractor the network is the one to read first: a plan that pays nothing outside its network is a bad fit for anyone who works across county or state lines.

First-Line Supervisors of Construction Trades and Extraction Workers pay against the credit line, state by state

BLS median for first-line supervisors of construction trades and extraction workers in each state where it is published, whether that median clears the 2027 line for one person, the state’s median filed Silver premium at 40 (full price), and the monthly cap the credit would set at that income.

StateBLS medianCredit lineMedian Silver @40Benchmark cap
Arkansas$62,200under the line$780$530/mo cap
Alabama$64,030over the line$782no credit
Mississippi$64,740over the line$851no credit
Florida$71,040over the line$848no credit
Oklahoma$71,090over the line$775no credit
Tennessee$71,840over the line$902no credit
North Carolina$73,310over the line$866no credit
Texas$73,420over the line$909no credit
South Carolina$74,240over the line$767no credit
Kansas$75,730over the line$973no credit
South Dakota$75,840over the line$812no credit
Utah$76,080over the line$916no credit
Nebraska$76,740over the line$991no credit
Michigan$77,020over the line$774no credit
Ohio$77,750over the line$692no credit
Indiana$80,570over the line$616no credit
Wisconsin$81,460over the line$801no credit

Over the line at the state median in Alabama, Colorado, Florida, Georgia, Illinois, Indiana, Kansas, Maryland, Michigan, Mississippi, Nebraska, Nevada, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin. The cap is the most the benchmark plan costs after the credit; cheaper plans cost less, dearer ones more. Where the median is over the line, the full filed price applies and the private market is usually the comparison worth making.

Where no marketplace plan is a PPO

In 11 of the 24 states on this site, every 2027 marketplace plan is an HMO, EPO or POS: Indiana, Iowa, Kansas, Mississippi, Missouri, Nebraska, Ohio, South Carolina, Tennessee, Texas, Utah. A general contractor who travels, or who wants a hospital across a state line, buys a private plan with a national network there or accepts the network. The state pages show the plan types filed.