Universal HealthcareBy NextBestFit

End employer-sponsored insurance for covered services

Year 4 · Employers; DOL; OPM (FEHB); state & local governmentsDiscuss this step
← All costs for this step

Employer: Small business, no coverage

12 employees, $550k payroll, doesn't offer insurance.

Result
−$22,500

How it's calculated

#StepArithmeticValue
1
Annual payroll
$550,000
2
Health premiums paid before
$0
3
Payroll above the $250,000 exemption
max(0, $550,000 − $250,000)$300,000
4
Health payroll tax at 7.5%
$22,500
5
Change (positive = employer saves)
$0 − $22,500−$22,500

Inputs used

InputKindValue
Payroll exempt per employerpolicy, high confidence$250,000
Employer health payroll tax ratepolicy, high confidence7.5%
Trade-off: A new cost of $22,500 a year (4.1% of payroll). Its workers gain coverage they didn't have.
Sources: KFF (2025)