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Health Insurance for Small Business Owners in Georgia: Solo to 20 Employees

By Martin Elefant · Licensed insurance agent · Updated October 2026 · 5 min read

The right answer changes with headcount. Here's the path for Georgia business owners.

Just you (and family)

You're an individual buyer. Subsidy-eligible after deductions → Georgia Access. Above the line and healthy → private shared-network PPO on Cigna, Aetna and PHCS PPO. Deduct premiums above the line. Georgia has a flat state income tax, so the self-employed premium deduction helps at both levels.

Two lives — you plus one

A spouse on payroll, a partner, or one W-2 employee opens the small-group market, which is guaranteed-issue with employer-style networks. For two healthy people it's often close to two private plans; for two people where one has a condition, it's frequently the best answer.

3–20 employees

Level-funded and traditional small-group plans. Employer contribution is tax-deductible to the business, and offering coverage is a hiring advantage in Atlanta's labor market. Under 50 employees there's no mandate to offer it — it's a choice.

Mixed 1099 and W-2 teams

Common in Georgia: a couple of W-2 staff and a bench of 1099 contractors. The W-2s go on a group plan; the contractors each buy individually, and we can set them all up through the same office so nobody falls through.

Georgia runs its own marketplace, Georgia Access, and didn't expand Medicaid — so there's a real coverage gap below the subsidy line and a crowded, HMO-heavy market above it.

Check your options — tell us your headcount and we'll map the path.

ME
Martin Elefant
Licensed insurance agent · NPN 20765405 · Lyons Life LLC · Georgia Private Health

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