Self-Employed Health Insurance Estimator for Connecticut (Access Health CT)
A rough estimate for self-employed people in Connecticut. See whether your household may qualify for a premium tax credit on Access Health CT, about what the benchmark silver plan would cost after the credit, and how much you could deduct as a self-employed person.
Estimates for education only, not tax, legal, or insurance advice.
Health insurance for the self-employed in Connecticut
When you leave an employer plan to work for yourself, Connecticut's marketplace, Access Health CT, is where most people buy coverage. Depending on income, you may get a premium tax credit, qualify for HUSKY Health (Connecticut's Medicaid) or Covered Connecticut, or pay full price.
How the premium tax credit works
The credit is based on the benchmark plan, which is the second-lowest-cost silver plan for your household in your county. Based on your income as a percentage of the federal poverty line, the law sets how much of your income you're expected to pay for that plan. For 2027 coverage that runs from 2.15% of income at the low end to 10.22% for households between 300% and 400% of the poverty line. The credit pays the difference, and you can use it on any metal level.
The 400% cliff is back
The enhanced credits that removed the upper income limit expired at the end of 2025, and Congress hasn't restored them as of October 2026. For 2026 and 2027 coverage, households above 400% of the poverty line get no credit at all. For 2027 coverage that line is $63,840 for one person and $132,000 for a family of four. For self-employed people near the line, a SEP-IRA or solo 401(k) contribution can lower your income below it and save thousands.
Lower-income options
- HUSKY Health: adults 19 to 64 with income up to 138% of the poverty line generally qualify for Medicaid coverage with no premium.
- Covered Connecticut: adults 19 to 64 up to 175% of the poverty line who don't qualify for HUSKY may get no-cost coverage when they enroll in a silver plan with full financial help.
- Children: HUSKY covers children in households up to 323% of the poverty line.
Estimating income when you're self-employed
The marketplace uses projected modified adjusted gross income (MAGI). For most self-employed people, that's net profit minus half of self-employment tax and other adjustments, plus other income. Update Access Health CT during the year if your income changes. Any credit you take in advance is reconciled on your tax return, so a big underestimate can mean paying some back.
The self-employed health insurance deduction
If you have net self-employment profit, you can usually deduct the premiums you actually pay for yourself, your spouse and dependents as an adjustment to income on IRS Form 7206. You can't deduct the portion paid by the tax credit, and you can't deduct more than your business profit. You also can't claim it for months when you could have joined a subsidized employer plan, including a spouse's plan.
Timing
Open enrollment for 2027 coverage began October 23, 2026. Outside open enrollment you generally need a qualifying life event, such as losing job-based coverage, to sign up. HUSKY and Covered Connecticut accept applications all year.
Sources and assumptions (updated Oct 2026)
- IRS Rev. Proc. 2026-26: 2027 applicable percentages: under 133% 2.15%; 133–150% 3.23–4.30%; 150–200% 4.30–6.78%; 200–250% 6.78–8.66%; 250–300% 8.66–10.22%; 300–400% 10.22%.
- CMS (citing IRS Rev. Proc. 2025-25): 2026 applicable percentages 2.10%–9.96%; 400% FPL limit reinstated after the enhanced credits expired December 31, 2025.
- HHS 2026 poverty guidelines (used for 2027 coverage): $15,960 for one person + $5,680 per additional person. 2026 coverage uses the 2025 guidelines: $15,650 + $5,500 per person.
- KFF: 2026 Connecticut average benchmark (second-lowest silver) premium for a 40-year-old: $870/mo. The 2027 default of $968 is our estimate: $870 increased by the 11.3% average individual-market rate increase the CT Insurance Department approved for 2027. An official 2027 benchmark wasn’t published when this page was updated.
- County: Connecticut has 8 county rating areas, but county-level benchmark premiums weren’t available to us, so the estimate uses the statewide average for every county. Enter your county’s benchmark for a better estimate.
- CMS federal default age curve (used by Connecticut): age 21 = 1.000, 40 = 1.278, 64+ = 3.000; children 0–14 = 0.765 (children are estimated at that factor).
- CT DSS HUSKY income guidelines (March 1, 2026): adults 138% FPL; children up to 323% FPL. Covered Connecticut: up to 175% FPL, ages 19–64.
- IRS Form 7206: self-employed health insurance deduction, limited to net self-employment earnings and reduced by the premium tax credit.
- Not modeled: cost-sharing reductions, the interaction between the deduction and the credit, immigration-status rules, employer-coverage affordability tests, tobacco surcharges, and HUSKY A parent rules.
Estimates for education only, not tax, legal, or insurance advice.
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