Trending in Founder Health

Health insurance for startup founders and their first hires.

Solo-founder ACA plans, small-team group health, and HSA-compatible options that respect your runway. Free advisor consultation. No fee to you.

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Trusted by startup founders from
YC, Techstars, and beyond.

Founding team collaborating

We found a plan that saved us $400/mo!

Top Rated

Founder Approved

YC - Techstars - Antler

HSATriple Tax Advantage
50
States Licensed
1-10
Person Teams Welcome
ACA
SHOP - HSA - ICHRA
$0
Fee to You
Solo or Team

Wherever you are
on the journey.

Different stages, different coverage. Toggle between solo founder and small team to see the plans we shop for each.

Solo founder working alone at a laptop

Pre-seed bootstrapper

Building on savings or credit. ACA subsidies typically take you to $0-$80/mo. We file your subsidy paperwork.

^ 312 founders

Funded solo founder

Post-raise, paying yourself a small salary. ACA still wins for most, with HSA stacking on top.

^ 287 founders

Solo founder + family

Covering a spouse or kids. Family ACA + pediatric dental/vision bundled into one monthly payment.

^ 241 founders
Plan Types for Founders

Coverage that scales
from solo to Series A.

Four plan types we shop for every founder. Pick the one that matches your stage - we'll compare 200+ options in your state.

ACA Marketplace

^487
312 founders chose this

For solo founders pre-revenue or post-raise. Subsidy-eligible if your AGI is low - many founders land at $0/mo.

  • Subsidy analysis included
  • PPO + HMO + EPO options
  • Mental health coverage
  • Open & special enrollment
Learn more ->

Group SHOP Plan

^324
198 teams chose this

For teams of 2-50. Lock in tax-advantaged group rates the moment your first hire signs. Scales with hiring.

  • Pre-tax employer contribution
  • Add dependents easily
  • Dental + vision bundles
  • Onboarding-friendly
Learn more ->

HSA + HDHP

^261
174 founders chose this

Lower premium + triple-tax-advantaged HSA. Smart for healthy founders who want a long-term tax wedge.

  • $4,300 individual cap (2026)
  • Pre-tax - grows tax-free
  • Tax-free medical withdrawals
  • Investable balance
Learn more ->

Self-Employed (1099)

^198
121 founders chose this

For 1099 founders, indie hackers, and equity-only co-founders. Deductible premiums plus subsidy stacking.

  • Schedule 1 deduction
  • Stack with ACA subsidies
  • Flexible enrollment dates
  • Spouse + dependent friendly
Learn more ->
The Burn-Rate Question

Coverage that respects
your burn rate.

You're not a Fortune 500 employee. You're not a household with two W-2s. You're a founder - maybe pre-revenue, maybe paying yourself a haircut, maybe staring at 14 months of runway wondering if you can afford to get sick.

We get it. Your advisor has placed coverage for solo bootstrappers, seed-stage CEOs, and 8-person Series A teams. The plan they recommend will fit the cash you actually have - not the cash a salaried 1099-laden insurance website assumes you have.

Health coverage shouldn't be the thing that kills your startup. It's our job to make sure it isn't.

Founder at office window thinking about runway
How we keep your burn down
No-fee advisor consultation
Your advisor is paid by the carrier, not you. Free analysis, free comparisons, free enrollment.
Subsidy analysis for early-stage founders
Pre-revenue or low-salary? We file the paperwork to land you premium tax credits - often dropping your cost to $0-$80/mo.
HSA strategy for tax-advantaged savings
Pair an HDHP with an HSA to lower your premium AND build a triple-tax-advantaged wedge for medical or retirement.
Group plans scale when you hire, not upfront
Start solo on ACA. Switch to Group SHOP the moment you hire your first W-2 employee. No prepayment, no annual contracts.
The Process

Three steps.
No deck required.

Built for founder velocity. From first form to fully enrolled in under 48 hours.

Founder typing on a keyboard

Tell us about you and your team

A two-minute form. Stage, headcount, state, and a few coverage preferences. No pitch deck required.

We compare 200+ plans across your state

Your dedicated advisor shops every ACA, group SHOP, HDHP, and 1099-friendly plan that fits - and surfaces the top three.

We enroll, you focus on building

Pick the plan. We handle paperwork, payroll setup, and renewals. Most founders are fully covered within 48 hours.

Founder Stories

What founders are saying.

Illustrative examples of how coverage plays out for founders, from solo bootstrappers to seed-stage teams.

^247

"An illustrative example: a pre-seed founder taking no salary could see ACA subsidies bring a premium into the double digits, with coverage active within a few days once enrollment paperwork clears."

Aisha
Illustrative example - solo technical founder, pre-seed
San Francisco, CA
^189

"An illustrative example: a two-person founding team hiring their third employee can often move from individual ACA to group SHOP with no coverage gap and a lower per-person cost than expected."

Carlos
Illustrative example - co-founder, seed-stage team
Austin, TX
^156

"An illustrative example: a solo indie hacker with modest recurring revenue pairs an HDHP with an HSA so the premium stays low and HSA contributions reduce self-employment taxable income."

Daniel
Illustrative example - indie hacker, solo founder
Brooklyn, NY

These are illustrative examples for common founder scenarios, not verified customer testimonials. Individual results, eligibility, and pricing vary and are not guaranteed.

Free Quote

Get Your Personalized
Coverage Quote

A few quick questions. A licensed Founder Coverage advisor or one of our marketing partners will reach out with plan options that match your needs.

  • Licensed insurance agency in all 50 states
  • Compare plans from 50+ carriers in one place
  • No SSN required to get a quote
  • Free service - no obligation to enroll
  • Talk to a real licensed agent, not a robot
Step 1 of 5Who you are covering

Who are you searching for?

We'll tailor your options based on who needs coverage.

Frequent Founder Questions

Asked by founders,
answered by experts.

Vote up the questions you want answered. We update these every quarter based on what founders ask most.

Almost always yes. ACA premium tax credits are based on your projected Modified Adjusted Gross Income (MAGI). If you're paying yourself nothing or a small founder draw, you'll usually qualify for substantial subsidies - many pre-seed founders land at $0-$80/mo. Your advisor will run the subsidy math before you enroll.

The moment you hire your first W-2 employee, Group SHOP becomes available. For most teams of 2-10, the math favors SHOP because the employer contribution is tax-deductible and pre-tax for employees. We'll model both paths side-by-side before you switch.

An HDHP + HSA combo is one of the strongest tax wedges available to founders. Contributions are pre-tax (or deductible if 1099), the balance grows tax-free, and qualified medical withdrawals are tax-free. Founders with low current income but expected upside especially benefit from front-loading HSA contributions early.

Yes, if your co-founder is a W-2 employee of the company. If both founders are equity-only with no W-2, you'll each enroll in individual ACA. Once one of you is on payroll, you unlock Group SHOP for both.

Every ACA-compliant plan we shop includes mental health and substance-use coverage as essential health benefits - therapy, psychiatry, telehealth, and prescriptions. We surface networks with strong virtual mental health options like Talkspace, BetterHelp partnerships, and modern carriers like Oscar.

On Group SHOP you can offer family coverage and decide how much the company contributes vs. the employee. Most early-stage teams contribute 50-100% of employee premium and 0-50% of dependent premium - we'll help you set a competitive baseline that fits your burn.

Equity-only founders typically use individual ACA plans (often subsidy-eligible if total household income is low) or are added to a spouse's plan. Once the company raises and starts paying salaries, you can roll onto the company's Group SHOP plan.

Yes - many of our founders come through YC, Techstars, On Deck, and accelerator networks. We're familiar with the funding-pause coverage gaps that hit between cohorts, demo day, and term sheet close, and we time enrollments around them.