There is a federal tax credit that refunds up to half of what a small business spends on employee health insurance premiums — and in my experience talking to business owners, most of the ones who qualify have never heard of it.
It's called the Small Business Health Care Tax Credit, it's been in the tax code since 2010, and the reason it goes unclaimed is simple: it has a purchasing requirement most businesses accidentally break before they ever learn the credit exists. This guide covers who qualifies in 2026, how much it's worth, and the one mistake to avoid.
The Four Requirements
You qualify if your business checks all four boxes:
- Fewer than 25 full-time-equivalent (FTE) employees. Two half-time employees count as one FTE, so a shop with 28 part-timers can still qualify.
- Average annual wages below the indexed threshold — roughly $56,000–$67,000 depending on the tax year's inflation adjustment (check the current IRS figure when you file).
- You pay at least 50% of each enrolled employee's self-only premium. This is the same contribution floor most carriers already require, so if you offer a group plan you likely meet it.
- The coverage was purchased through the SHOP marketplace (healthcare.gov/small-businesses in most states; Colorado and Maryland use their state exchanges). This is the requirement that trips everyone up.
The Owner Exclusion Works in Your Favor
Here's a detail that surprises people: owners don't count. Sole proprietors, partners, S-corp shareholders owning more than 2%, and their family members are excluded from the FTE count and the wage calculation.
That's usually good news. If you pay yourself $120,000 and your five employees average $40,000, your "average wage" for credit purposes is $40,000 — not the blended number. Many businesses that look over the wage threshold on paper qualify comfortably once owner compensation comes out of the math.
The flip side: your own premiums don't generate any credit. The credit applies only to what you contribute for non-owner employees.
How Much Is It Worth? A Worked Example
The maximum credit is 50% of employer premium contributions for for-profit businesses (35% for tax-exempt organizations). The full percentage goes to businesses with 10 or fewer FTEs and average wages at the low end; it phases down gradually as headcount approaches 25 and wages approach the ceiling.
Example: 8-person landscaping company
- 8 FTE employees (owner excluded), average wage $38,000
- Group plan through SHOP: $520/month employee-only premium
- Employer pays 60% = $312/employee/month
- Annual employer contribution: $312 × 8 × 12 = $29,952
- Credit at 50%: $14,976 back — each year, for two years
Nearly $30,000 over two years, for coverage the business was going to buy anyway.
The credit also stacks with the ordinary deduction: premium contributions remain a deductible business expense for the portion not covered by the credit.
The Two-Year Window
You can claim the credit for two consecutive tax years (the two-year clock starts the first year you claim it, not the first year you offer coverage). The smart play is to start the clock deliberately: claim it in years when your contribution — and therefore the credit — is as large as possible.
The Mistake That Disqualifies Most Businesses
The coverage must be purchased through SHOP. The plan itself is usually identical to what the carrier sells directly — same network, same premium — but if you enroll directly with the carrier instead of through the SHOP channel, the credit is off the table for those years.
This is where most eligible businesses lose the money: they call a carrier or buy through a payroll company, get a perfectly good plan, and unknowingly forfeit five figures of tax credits. If there's any chance you qualify, route the purchase through SHOP. A licensed broker can do this for you at no cost — broker commissions are built into the premium either way, so using one doesn't raise your price.
How to Claim It
- Buy (or renew) your group plan through the SHOP marketplace. In most of the 21 states I serve that's healthcare.gov/small-businesses; Colorado uses Connect for Health Colorado and Maryland uses Maryland Health Connection.
- Track your premium contributions for non-owner employees for the tax year.
- File IRS Form 8941 (Credit for Small Employer Health Insurance Premiums) with your business return. Tax-exempt organizations claim it on Form 990-T — and for them it's refundable, meaning a nonprofit with no tax liability still gets a check.
- Repeat the following year to use the full two-year window.
Your CPA handles the form; my job as a broker is making sure the coverage is structured so the credit is available in the first place — SHOP enrollment, the 50% contribution floor, and plan selection that keeps your premium spend efficient.
Quick Self-Check
- Fewer than 25 FTEs (not counting owners and their families)? ✓
- Average non-owner wage under ~$56K–$67K? ✓
- Willing to pay at least half of each employee's self-only premium? ✓
- Haven't already used your two credit years? ✓
If you checked all four, you're likely leaving real money unclaimed. I'll run the numbers for your actual roster for free — call (713) 575-9904 or find your state's small business guide below for local carrier and pricing details.