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, offers coverage

15 employees, $750k payroll, 10 enrolled at about $15k employer share each.

Result
+$112,500

How it's calculated

#StepArithmeticValue
1
Annual payroll
$750,000
2
Health premiums paid before
$150,000
3
Payroll above the $250,000 exemption
max(0, $750,000 − $250,000)$500,000
4
Health payroll tax at 7.5%
$37,500
5
Change (positive = employer saves)
$150,000 − $37,500$112,500

Inputs used

InputKindValue
Payroll exempt per employerpolicy, high confidence$250,000
Employer health payroll tax ratepolicy, high confidence7.5%
Trade-off: Saves heavily and must pass savings to wages for 3 years.
Sources: KFF (2025)