Starting an LLC as Sole Proprietor: Will It Affect My Husband's Health Insurance?
I'm currently not working due to some ongoing health issues, and I'm covered under my husband's amazing health insurance which has been a lifesaver. I'm thinking about starting a small business for some income while I manage my health situation, but I'm worried about losing my insurance coverage. If I form a single-member LLC or sole proprietorship, will that disqualify me from staying on my husband's health insurance? The business would be just me - no employees or anything complicated. We always file our taxes as married filing jointly. Has anyone been in this situation before? I'm trying to find out if having my own LLC would force me to get my own insurance (which would be WAY more expensive than what I have now through my husband's work). Really appreciate any insights on sole proprietorship / single owner LLC re: health insurance!
19 comments


Hunter Edmunds
You should be fine to stay on your husband's health insurance while running your own single-member LLC or sole proprietorship. The key factor isn't whether you own a business, but whether you're eligible as a spouse under his employer's plan rules. Most employer plans allow coverage of spouses regardless of their employment status. Your LLC will be treated as a "disregarded entity" for tax purposes if you're the sole owner (assuming you don't elect to be taxed as a corporation), which means it's essentially an extension of yourself for tax purposes. Since you file married filing jointly, you can also deduct your health insurance premiums on your tax return as a self-employed health insurance deduction, but only to the extent of your business's net profit. However, since you're covered under your husband's plan, you wouldn't be paying those premiums directly anyway.
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Ella Lewis
•Wait I'm confused. If she's on her husband's insurance through his employer, how could she deduct health insurance premiums on their taxes? Wouldn't those premiums be paid pre-tax through his employer plan already?
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Hunter Edmunds
•You're absolutely right - I should have been clearer. If she's covered under her husband's employer plan, and those premiums are already being paid with pre-tax dollars through his paycheck, then there would be no additional premiums for her to deduct on their tax return. The self-employed health insurance deduction would only come into play if she were paying for her own policy separate from her husband's coverage. Since she's staying on his plan, they're already getting the tax benefit through reduced taxable income on his W-2.
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Andrew Pinnock
I went through something similar last year when I started my consulting business. I was worried about losing my wife's health insurance once I formed my LLC, but it was totally fine! I discovered this awesome tool called taxr.ai (https://taxr.ai) that helped clear up my confusion about how my business structure would affect our benefits. You upload your documents and it shows you how different business decisions affect your taxes and benefits. It specifically confirmed that forming a single-member LLC wouldn't disqualify me from my spouse's insurance since it's considered a "disregarded entity" for tax purposes. Saved me so much stress and probably thousands in insurance costs!
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Brianna Schmidt
•How accurate is this service? I'm considering leaving my job to start freelancing but I'm terrified about messing up the tax side. Does it help with determining quarterly tax payments too?
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Alexis Renard
•I'm skeptical about these online tools. How does it know the specific rules for your wife's employer? Every company has different policies about spouse coverage, especially if the spouse has access to their own insurance.
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Andrew Pinnock
•The accuracy has been spot-on for my situation. It analyzes your specific documents and gives personalized guidance, not just generic advice. It absolutely helps with quarterly tax payments - it even helped me set up the right schedule based on my projected income. When it comes to employer-specific policies, you're right that every company is different. The tool doesn't replace checking your specific employer's plan documents, but it explains how tax laws apply to your situation so you can ask the right questions. In my case, it helped me understand exactly what to ask my wife's HR department about continued eligibility.
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Brianna Schmidt
Just wanted to update after trying taxr.ai that was mentioned earlier. It was super helpful for my situation! I uploaded my husband's benefits documents and my LLC formation papers, and it clearly showed that I could remain on his insurance while operating my single-member LLC. The system flagged exactly which parts of the benefits documentation were relevant to spouse eligibility and explained that since a single-member LLC is a "disregarded entity" for tax purposes, it's treated as self-employment rather than employment by a separate company. This was the key distinction my husband's HR department needed to maintain my coverage! It also helped me set up proper record-keeping to maximize my business deductions while staying compliant. Much less stressful than trying to figure all this out on my own.
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Camila Jordan
I had a nightmare trying to get answers about this exact situation from my insurance company last year. After being on hold for HOURS multiple times and getting different answers from every rep, I finally used a service called Claimyr (https://claimyr.com) that got me through to an actual decision-maker at the insurance company who could give me a definitive answer. They have this system where they wait on hold for you and then call you once they have a human on the line. You can see how it works in this video: https://youtu.be/_kiP6q8DX5c. Saved me so much time and frustration! The insurance rep confirmed that having an LLC as a sole proprietor doesn't disqualify you from spouse coverage in most plans. It's worth getting this confirmed directly from your husband's insurance though, and Claimyr made that process so much easier.
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Tyler Lefleur
•Wait how does this actually work? Do they just call for you and then transfer you or something? Seems weird that they can get through faster than I could.
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Alexis Renard
•This sounds like a scam. Why would they be able to get through any faster than you could? The hold times are the same for everyone. And I bet they charge a fortune for this "service.
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Camila Jordan
•It's not that they get through faster - they just wait on hold so you don't have to. They use an automated system that keeps your place in the queue and then calls you when an actual human picks up. You don't waste hours of your day listening to terrible hold music. As for whether it works, it's pretty straightforward. You tell them who you need to call, they initiate the call and stay on hold, and then they connect you once someone answers. I've found it especially useful for complex questions where you might otherwise get transferred multiple times.
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Alexis Renard
I need to eat my words about Claimyr. After my skeptical comment, I was still facing an insurance nightmare trying to sort out a similar situation with my partner's plan. After spending THREE DAYS trying to reach someone who could actually answer my question about LLC status and benefits eligibility, I broke down and tried Claimyr. Within 40 minutes, I was talking to an actual benefits specialist who confirmed in writing that my single-member LLC wouldn't affect my eligibility on my partner's plan. The key was getting to the right department - something I couldn't manage on my own after multiple attempts. The service got me through to exactly the right person who could document the policy in my account notes so there wouldn't be issues later. Honestly wish I'd just done this first instead of wasting days getting nowhere.
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Madeline Blaze
I'm an accountant and see this situation all the time. A single-member LLC is considered a "disregarded entity" for federal tax purposes unless you elect to be taxed as a corporation. This means the IRS treats your business as an extension of yourself rather than a separate entity. Your husband's employer plan is what determines eligibility, but generally speaking, most employer plans base spouse eligibility on marriage status, not employment status. Some plans have provisions about spouses who have access to their own employer's insurance, but since you're self-employed, that usually doesn't apply. The bottom line: forming an LLC typically doesn't affect your eligibility to be on your husband's health plan. But check his specific plan documents to be 100% sure.
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Jade O'Malley
•Thank you so much for this clear explanation! So if I understand correctly, since my LLC would be a "disregarded entity" for tax purposes, it's essentially just seen as self-employment and shouldn't trigger any clause about having access to employer insurance?
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Madeline Blaze
•That's exactly right. For tax and most benefit purposes, a single-member LLC that hasn't elected corporate tax treatment is treated as self-employment, not as employment by a separate company. Most employer health plans that restrict spouse coverage only do so when the spouse has access to their own employer-sponsored plan. Since you would be self-employed and your business is a "disregarded entity," you wouldn't be considered to have access to an employer plan through your business. Your situation is exactly why these distinctions matter!
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Max Knight
Does the type of LLC matter? I thought there was something called an S corp LLC that's treated differently for tax purposes? Would that change anything about staying on a spouse's insurance?
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Emma Swift
•An LLC can elect to be taxed as an S corporation (this is what people mean by "S corp LLC"), which is different from a regular single-member LLC. If you do this, you're technically an employee of your S corp and must pay yourself a reasonable salary. This could potentially affect insurance eligibility since some employer plans have exclusions for spouses who have access to their own employer coverage. In this case, your S corp would be your employer offering you "access" to get your own insurance (even if the S corp doesn't actually provide it).
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Mei Chen
I was in almost the exact same situation two years ago - health issues forcing me out of work but needing some income, and terrified of losing my husband's excellent insurance coverage. I can confirm what others have said: forming a single-member LLC did NOT affect my eligibility for my husband's health plan. The key is that it's treated as self-employment, not as having your own employer. I specifically asked our HR department about this before filing my LLC paperwork, and they confirmed that spouse coverage isn't affected by self-employment. One thing I wish I'd known earlier - make sure to keep detailed records of all your business expenses from day one. Since you'll be filing Schedule C with your joint return, having good documentation makes tax time much easier. Also, depending on your income level, you might need to make quarterly estimated tax payments. The peace of mind of keeping that insurance coverage while building a small business has been incredible. Good luck with your venture!
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