Non-Marketplace Health Solutions

Where Do We Find Ourselves Today?
I spoke to more families than ever before considering going without insurance in 2026.
Many feel stuck. With Marketplace changes like subsidy-cliffs, a 200-300% higher than normal health insurance cost increase and less government help to pay for these increases – people are asking us: “How are we supposed to pay to cover our family and our employees this year?”
It is clear:
many of our local residents are feeling uncertain, scared and desperate.
Perhaps you find yourself in a scenario like these:
- A young couple getting married, or having your first child
- A family losing their health benefits after losing your job
- Turning 26 and losing your parent’s coverage
- Graduating from college and losing your university health plan, often with significant debt
- Work is paying little or nothing for your spouse or kids’ coverage
- Your retirement is coming but looming Medicare premiums are obstacles
- Or perhaps you are simply paying thousands of dollars for a plan you rarely ever use
If your health plan feels like adding an involuntary second mortgage to your budget, what are your alternatives?
There is an important distinction in the health space we need to touch on:
Not all
plans
are created equal.
Understanding Options: True Health Insurance vs. Health Shares
True health insurance is regulated by each state's department of insurance. This means that, if you receive a medical bill that should be covered based on your policy, you can hold your insurance company accountable with the support of state agencies. In contrast, Health Shares are not considered insurance. They are non-insurance organizations that collect monthly fees with the promise of covering medical bills. With a Health Share, you have no legal recourse with the state to compel coverage. If things go wrong, your only option is to pursue a civil lawsuit. Many families would prefer to stay outside of a court room, especially during a major medical crisis. Additionally, no Health Share gives you access to a Health Savings Account (HSA).
For many of my clients, their best strategy has been to either combine an Aflac-style supplemental insurance plan and add to savings each month (think “buy term, invest the difference”), or to opt for an underwritten plan perhaps with an HSA attached.
Marketplace Alternatives: Private Underwritten Medical Plans
One marketplace alternative is Private, Underwritten Medical plans. These plans are available all year – often starting coverage mid-month. Many are HSA-eligible and some cover maternity and delivery. One major advantage is your monthly cost will not change, even if your speculative investments in bitcoin suddenly turn into a windfall. The IRS is not involved and you avoid the tax-season panic with marketplace plans. Though private, underwritten plans often have pre-existing health exclusions you will want to be well informed of.
Employer Group Benefit Plans
If you’re unable to qualify for underwritten plans, or you need something more closely aligned with marketplace plans, Employer Group Benefit Plans might be a great option. If you own a business with at least two employees (even just you and your spouse), you can choose a Group Benefit plan. These plans offer coverage similar to marketplace plans without pre-existing condition exclusions. You may receive tax benefits by paying through your business, and certainly avoid the pitfalls of marketplace subsidy cliffs as your income rises.
However, recent changes to Utah state law require at least 10 employees to be enrolled in an underwritten group benefit plan for eligibility, with some carriers setting a 15-enrollment minimum.
The Chamber’s Group Benefit Plan
If the cost of a group benefit plan is prohibitive, or if underwritten plans do not fit your needs, you are not out of luck! Your local Valley Crossroad Chamber of commerce offers members a group benefit plan. As a member, your family and employees are eligible to participate in our Association Group Benefit Plan—providing marketplace-like coverage at better rates.
In Conclusion
If you're struggling with an involuntary second mortgage from your medical plan, you have options! Each option has its own pros and cons. Most people just want to know what to expect and find a solution to meet their family’s needs.
I’m here to help! Whether you want to discuss your options with the Chamber, or work directly with me, don’t hesitate to reach out. Let’s walk through the best options together.
Schedule a meeting with Josh HERE
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