Analyzing ACA

Small Biz Health Care Survey: Affordability Still a Major Concern

Top 5 Affordable Care Act Tips to Help Small Businesses
Prepare Before Closing of Open Enrollment Period

WASHINGTON, DC – Over 66% of small business owners responding to a new survey conducted by the National Association for the Self-Employed (NASE) ranked “decreasing monthly premiums” as the one thing they would change about their current health care plan.

The new survey of small business owners released today by NASE, the nation’s leading advocate and resource for the self-employed and micro-business community, comes days before the closing of the 2015 health care open enrollment period. The survey, conducted October 27, 2014 through January 19, 2015, gauges the opinions of 188 small business owners and self-employed entrepreneurs nationwide on the issue of health care. In addition to the overwhelming majority of respondents citing the monthly premium costs as a major concern, 53% of those surveyed said they had either “low” or “very low” confidence they will be able to obtain both affordable and comprehensive health care coverage in 2015.

Health care affordasbility still front-of-mind for small business owners

“Affordability of health care coverage continues to be a major concern of small business owners across the country,” said Katie Vlietstra, Vice President for Government Relations and Public Affairs for NASE. “Greater than 23% of those we surveyed are budgeting to spend more than $10,000 on health care expenses alone this coming year. That level of spending on health care costs hurts the bottom lines of America’s smallest businesses and it impedes their ability to save, grow and create new jobs. The small business community is the engine of our nation’s economy and the cost of health care coverage continues to clog the fuel line.”

Much of the recent attention around the new health care law has focused on the availability of tax subsidies to help offset or defray costs for some low-income Americans. However, more than 80% of the survey’s respondents answered that they did not qualify for these tax subsidies and therefore would not be eligible for any assistance. Vlietstra recently called on the Administration and Congress to work together on ensuring more affordability and flexibility in the health care system.

The small business community is the engine of our nation’s economy and the cost of health care coverage continues to clog the fuel line

Click here to view the full survey and results

With just two-weeks until the end of open enrollment, NASE also released an infographic highlighting the top five tips to prepared small business owners for purchasing health insurance. 56% of respondents in NASE’s health care survey released today said they were planning on making changes to their health care coverage in 2015.

These top five tips are intended to help those small business owners and entrepreneurs better prepare to make those changes:

  • Do a full assessment of your current health care needs
  • Have your 2013 tax filing information ready and available
  • Make a full list of your current doctors
  • For those already enrolled previously in the exchange, do you need to increase or decrease coverage?
  • Establish a realistic business budget that includes calculating health care costs.


The National Association for the Self-Employed (NASE) is the nation's leading resource for the self-employed and micro-businesses, bringing a broad range of benefits to help entrepreneurs succeed and to drive the continued growth of this vital segment of the American economy. The NASE Small Business Locator helps identify and connect our nation’s smallest businesses. In addition, NASE’s new health care portal helps small business owners navigate the nation’s health care marketplace. The NASE is a 501(c) (6) nonprofit organization and provides big-business advantages to hundreds of thousands of micro-businesses across the United States. For more information, visit the association's website at