Small business owners and entrepreneurs throughout the US are facing impossible choices because of the skyrocketing costs of health insurance premiums, and, in many cases, the lack of access to coverage. Here are some of their stories.
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Nightbird Books | Fayetteville, Arkansas
For Bookstore Owner, Offering Quality Coverage is Key to Attracting Quality Employees
Lisa Sharp
Nightbird Books
Fayetteville, Arkansas
Founded: 2006
Employees: 2 full-time, 3 part-time
Health Coverage: Purchased with state subsidy
After 5 years in business, Nightbird Books owner Lisa Sharp was finally able to get her hands on health insurance for her employees. Yet Lisa knows the plan she offers, which is the only one she can afford right now, is far from comprehensive and hopes to one day be able to offer something better.
Lisa opened Fayettevilleâs Nightbird Books in April 2006. She says itâs been easier to find quality full-time employees since fall 2010 when she started offering coverage. She purchases insurance with a state subsidy, but Lisa looks forward to the Affordable Care Actâs 2014 health insurance exchanges, which will help her attract prospective employees by allowing her to offer better coverage at an affordable price.
Since Lisa has offered health insurance, âitâs been easier to hire people.â
A few years ago, Lisa saw premium rates for her husbandâs small architectural firm quadruple in just a decade. The Sharpâs family plan, purchased through Robertâs small group plan, had risen to a whopping $1,200 per month. Her husband had to cancel the group coverage altogether, leaving his employees and his family without health insurance. For her family and her own business, Lisa decided to look into a state subsidy.
With the new subsidy, Lisa purchases insurance for herself, her husband, and one of her two full-time employees for $25 a month per person. But qualifying for the subsidy was complicated, and rules about income levels can render prospective employees ineligible for the coverage, potentially deterring them from taking a job. Also, the coverage is less than comprehensive. The plan pays for limited hospital visits each year and 2 prescriptions per month. While sheâs glad she can extend coverage to her employees, the insurance she provides is a far cry from what she wishes she could offer.
âItâs better than nothing,â but âthis insurance isnât amazing by any means.â
While one of her adult children is insured through a job and another is covered by a bare bones college plan, Lisa, her husband and her employees are under a limited group plan. For these reasons, Lisa looks forward to 2014âs health insurance exchangesâonline marketplaces where she can pool with other small business owners to purchase health insurance at an affordable cost. Ideally she âcould find something better and split the costâ with all her employees, including her 3 part-time workers. With exchanges in place, that means an alternative to plans where participants have to hold their breath to get through the year with limited doctorâs visits, and relief from plans where a healthy family shells out more than a grand every month for coverage. The exchanges will ensure that for small business owners like Lisa, âsomething betterâ means something comprehensive and something affordable.
Fortunately for Lisa, the exchanges arenât the only provision of the ACA that will make insurance more affordable. Lisa is eligible for the Affordable Care Actâs small business tax credit, available since the 2010 tax year. Given Lisaâs number of employees and their average annual wages, she qualifies for the maximum tax credit, or 35% of her healthcare premium costs this year. In 2014 with exchanges in place, the maximum will rise to 50%. With the saved money Lisa says sheâll âpay a bill, Iâm sure.â If in 2014 that bill happens to be for health insurance, it wonât cost Lisa an arm and a leg.

