FAQ

Insurance Questions? We Have Straight Answers.

Insurance is confusing — and that's by design. We're changing that. Here are honest, plain-English answers to the questions our clients ask most.

QUESTIONS

Floor-trade FAQs.

Plain answers, sorted by topic.

Kneeling work means knee, meniscus, and IT-band injuries are the most common claims for tile setters and flooring installers. We recommend an ACA plan with strong outpatient orthopedic coverage — typically a Silver or Gold tier with a low specialist copay — plus an accident insurance rider that pays a cash benefit for knee injuries, MRIs, and surgical procedures. Many installers also add an orthopedic supplement that covers physical therapy visits with no deductible.

Most ACA major medical plans cover respiratory and skin conditions caused by occupational chemical exposure as long as the plan is in force at the time of diagnosis. We help installers pick plans with strong dermatology and pulmonology specialist networks, and pair them with disability coverage in case a chronic exposure issue keeps you off the job. Workers' comp covers acute on-the-job exposure for W-2 employees; 1099 installers need their own disability plan.

Yes. Group health plans are available for businesses with 2 or more eligible employees. For a 7-installer shop, we typically build a small-group plan with a 50/50 employer-employee premium split, dental and vision riders, and an optional short-term disability rider. The employer's contribution is fully tax-deductible. We can run a 48-hour quote with three carrier options.

Most likely yes. If your household income is between 100% and 400% of the Federal Poverty Level you qualify for premium tax credits. For a single 1099 installer earning $30,000–$60,000/year, subsidies often reduce a Silver-tier premium to $0–$150/month depending on age and ZIP. We calculate your exact subsidy at no cost.

Yes. Tile setters are primarily indoor and kneeling — knee and back claims dominate. Masonry workers are outdoor, lifting heavier material, exposed to weather and silica dust. Masons benefit more from respiratory coverage, weather-injury riders, and stronger short-term disability for cold-weather slowdowns. Tile setters benefit more from outpatient orthopedic and PT coverage.

Possibly. A drop in household income that changes your subsidy eligibility is a qualifying life event triggering a 60-day Special Enrollment Period. Losing job-based coverage (including end of a contract job) also triggers SEP. We can review whether your seasonal pattern qualifies you for an off-Open-Enrollment plan change.

Self-employed installers operating as a sole prop or single-member LLC can typically deduct 100% of their health insurance premium as an above-the-line deduction. Multi-member LLCs and S-corps have different rules — usually involving owner reimbursement through an HRA or accountable plan. Always confirm with your CPA, but we can structure the coverage so the deduction is straightforward.