The Navigator Resource Guide has not been updated for 2025 Open Enrollment. For more current information please visit:
cms.gov/marketplace/in-person-assisters/information-partners.
QUESTION

I work full time for a small business (fewer than 50 employees). Does my employer have to offer me health benefits?

Individuals with coverage | Coverage for Employees of a Small Employer |
ANSWER

No, small businesses are not required to offer health benefits to either full-time or part-time employees, or to their dependents. Small businesses are not subject to tax penalties when they don’t offer health benefits. If your small employer doesn’t offer health benefits, you (and your family) can apply for coverage in the Marketplace and you can apply for premium tax credits that may reduce the cost of coverage in the Marketplace. Subsidies are calculated based on the price of available plans and household income; lower income individuals are eligible for greater subsidy amounts. Some higher income individuals may not receive subsidies. (26 C.F.R. § 1.36B-2).

Individuals with no coverage
Individuals with coverage
Coverage for small employers
Post enrollment issues