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All 50 States + ACA Compliance

Employee Health Insurance by State

Navigating employee health insurance requirements across all 50 states is complex. From California's individual mandate to states with no requirements beyond federal ACA, Key HR helps small businesses offer affordable, compliant health coverage to every employee.

50
State Healthcare Guides
4
States with Individual Mandates
5
States with Disability Insurance
50+
FTEs Trigger ACA Mandate
Showing 50 states
Alabama
Southeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Alaska
Northwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Arizona
Southwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Arkansas
South
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
California
West
State MandateNone
State DisabilityRequired
ACA Threshold50+ FTEs
Colorado
Mountain West
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Connecticut
Northeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Delaware
Mid-Atlantic
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Florida
Southeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Georgia
Southeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Hawaii
Pacific
State Mandate⚠ Yes
State DisabilityRequired
ACA Threshold50+ FTEs
Idaho
Mountain West
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Illinois
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Indiana
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Iowa
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Kansas
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Kentucky
South
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Louisiana
South
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Maine
Northeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Maryland
Mid-Atlantic
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Massachusetts
Northeast
State Mandate⚠ Yes
State DisabilityNone
ACA Threshold50+ FTEs
Michigan
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Minnesota
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Mississippi
South
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Missouri
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Montana
Mountain West
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Nebraska
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Nevada
Southwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
New Hampshire
Northeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
New Jersey
Mid-Atlantic
State MandateNone
State DisabilityRequired
ACA Threshold50+ FTEs
New Mexico
Southwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
New York
Northeast
State MandateNone
State DisabilityRequired
ACA Threshold50+ FTEs
North Carolina
Southeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
North Dakota
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Ohio
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Oklahoma
South
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Oregon
Pacific Northwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Pennsylvania
Mid-Atlantic
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Rhode Island
Northeast
State MandateNone
State DisabilityRequired
ACA Threshold50+ FTEs
South Carolina
Southeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
South Dakota
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Tennessee
South
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Texas
South
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Utah
Mountain West
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Vermont
Northeast
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Virginia
Mid-Atlantic
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Washington
Pacific Northwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
West Virginia
Mid-Atlantic
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Wisconsin
Midwest
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs
Wyoming
Mountain West
State MandateNone
State DisabilityNone
ACA Threshold50+ FTEs

How Key HR Makes Health Insurance Affordable in Every State

The biggest challenge for small businesses isn't finding health insurance — it's affording it. Individual and small-group market rates are significantly higher than large-group rates. Key HR's PEO model solves this by pooling thousands of employees across all 50 states.

Large-Group Rate Access
Pool with thousands of employees nationwide for rates 20-35% lower than small-group market.
ACA Compliance Management
Automatic tracking of employer mandate thresholds, variable-hour employees, and required ACA reporting.
Multiple Carrier Options
Choose from PPO, HMO, and HDHP plans from top carriers in your state.
Full Benefits Administration
Open enrollment, COBRA, carrier communications — Key HR handles it all.

Stop Overpaying for Employee Health Insurance

Key HR gives small businesses in all 50 states access to large-group health insurance rates. Get a free, no-obligation quote and see how much your business can save.

Get a Free Health Insurance Quote
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