Pike County employers: you may be overpaying $306–$691 per employee, every month
Same tier. Same age. Same county. The lowest-cost small group plan in Pike County costs $678–$1,478/mo per employee, while the individual-market equivalent runs $372–$786/mo. Most companies here have never priced the difference.
How many employees do you have?
See What My Company Could Save →30-second estimate. No contact info needed.
What the two markets actually cost here
Every row below compares the lowest-cost plan available in Pike County on each market, at the same metal tier and the same age, in the same plan year. Nothing is annualised across years and nothing is projected.
| Tier and age | Individual | Small group | Monthly difference |
|---|---|---|---|
| Bronze, age 27 | $372 | $678 | $306 |
| Silver, age 27 | $367 | $754 | $387 |
| Gold, age 27 | $461 | $867 | $406 |
| Bronze, age 50 | $634 | $1,156 | $522 |
| Silver, age 50 | $626 | $1,285 | $659 |
| Gold, age 50 | $786 | $1,478 | $691 |
Estimates for plan year 2026, per employee per month. Individual-market premiums from the CMS Marketplace Public Use Files; small group from Ideon. Same plan year on both sides. Your actual numbers depend on your census, ages, family composition, plan design and contribution strategy.
Why this number is not unique to Pike County
Ohio sets health premiums by rating area, not by county, so Pike County prices identically to Ross, Scioto. That is worth knowing for two reasons: a competitor one county over faces the same economics, and if your staff are spread across the area their marketplace pricing does not change when they cross the county line.
What genuinely differs is the employer base. Pike County's largest target sectors are construction (42 establishments, about 522 employees), manufacturing (34 establishments, about 930 employees) and transportation & warehousing (28 establishments, about 610 employees).
What this could mean for your company
The figures below are illustrative ranges built from the county rate difference above, not quotes. Real savings are capped by what you contribute today, and depend on your census.
- A 37-employee company: an estimated $135,864–$306,804 a year of difference.
- A 75-employee company: an estimated $275,400–$621,900 a year.
- Employees keep ACA-compliant major medical coverage; the allowance is tax-free to them and deductible to you.
- If the maths does not work for your census, we tell you and you keep your group plan.
See what your Pike County company could save
Send your census, get the real number for your company against plan year 2026 rates. Free, and if it does not favour a switch we say so.
An estimate from county-level market data, not a quote.
Questions Pike County employers ask
How much are Pike County employers overpaying for group health insurance?
On plan year 2026 data, the lowest-cost small group plan in Pike County runs $678–$1,478 per employee per month depending on metal tier and age, while the equivalent lowest-cost individual-market plan runs $372–$786. That estimated $306–$691 monthly difference per employee is what an ICHRA strategy can potentially capture. Actual results vary with your census, ages, family mix and contribution strategy.
Is the Pike County number different from neighbouring counties?
Not on its own. Ohio sets health premiums by rating area rather than by county, so Pike County prices identically to Ross, Scioto. What differs county by county is the employer base: Pike County has roughly 42 construction establishments employing about 522 people.
What is the alternative to a small group plan for a Pike County company with 25–250 employees?
An Individual Coverage HRA (ICHRA) lets you give each employee a fixed, tax-free monthly allowance to buy their own ACA marketplace plan instead of buying one group policy for everyone. Where individual plans cost materially less than group plans, the same benefits budget goes further. The tax treatment mirrors employer-sponsored insurance, and employees keep ACA-compliant major medical coverage.
How much could a 75-employee Pike County company save?
Illustratively, at the county's plan year 2026 rate difference of $306–$691 per employee per month, a 75-employee company could see an estimated annual difference of $275,400–$621,900, capped by what it actually contributes today. A 37-employee company would be in the $135,864–$306,804 range. These are estimates from county-level market data, not quotes.
What does the free analysis include, and what if the numbers do not work?
We run your actual employee census against real plan year 2026 Pike County rates on both markets and show you the real number, free. If the maths does not favour a switch for your company, we say exactly that and you keep your group plan. Roughly a third of the companies we analyse are better off staying where they are.
Methodology
Individual-market premiums come from the CMS Marketplace Public Use Files for plan year 2026. Small group premiums come from Ideon for the same plan year. Both sides of every comparison are the lowest-cost plan at the same metal tier and age in Pike County (FIPS 39131); no figure mixes plan years. Employer counts are from the Bureau of Labor Statistics Quarterly Census of Employment and Wages, 2024 Q2, private sector. Population from the US Census Bureau. All savings figures are ranges and estimates, not guarantees or quotes.
See what your company could save
County-specific 2026 numbers, about 30 seconds, no contact info needed.
How many employees do you have?
See What My Company Could Save →30-second estimate. No contact info needed.