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Utah contractors and builders

Here's how general contractors and builders in Utah are saving money on their health insurance this year

Utah builders can still access nationwide PPO coverage. That's especially useful around St. George, where marketplace choices are much more limited than in Salt Lake. Here's how contractors across southern Utah are finding coverage for their households.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. Health insurance is my entire business, and I'm licensed in Utah. We can take care of everything with a phone conversation.

St. George and its surrounding communities have experienced remarkable construction growth. New subdivisions, vacation properties and retirement developments throughout Washington County have provided steady projects for builders and remodelers. Many contractors came from the Wasatch Front, Nevada or Arizona to establish their businesses here. But shopping for family health coverage brings an unwelcome discovery: southern Utah has considerably fewer marketplace options than northern Utah, and none of them are PPOs.

You can still get a nationwide PPO in Utah

No matter where your construction business operates in Utah, I can help you arrange a nationwide PPO.

You won't find a PPO on Utah's marketplace. For 2026, HealthCare.gov lists 57 individual medical plans from 6 insurers throughout all 29 counties. Of those, 37 are HMOs and 20 are EPOs. Neither type generally covers out-of-network treatment except in emergencies. A PPO gives you more flexibility because it contributes toward out-of-network care, although those visits cost you more, and referrals aren't required. If that's the coverage you want, you'll need to consider private plans that review your health before setting your premium.

Southern Utah's shorter menu

Your Utah county makes a substantial difference in available coverage. Washington County, including St. George, has 22 individual medical plans offered by 3 insurers in 2026. Salt Lake County offers 49 plans through 5 insurers. A smaller selection also means fewer provider networks, so the hospital your family prefers or a particular specialist might not participate in the plans within your budget.

For construction business owners, eligibility for the federal premium tax credit depends on net profit rather than total sales. That's the amount remaining after paying subcontractors, buying lumber and concrete, covering vehicles and equipment, obtaining permits and paying business insurance.

Scenario 1 of 3

We build around St. George and we're healthy

Here's the situation I'm addressing: you operate a successful construction company in southern Utah, your family is healthy, and marketplace coverage is limited to a few local networks. Meanwhile, your projects or family activities regularly bring you into Las Vegas, Mesquite and Arizona.

I'd start by comparing a privately offered nationwide PPO with your local marketplace choices. Private insurers review your medical history before deciding whether to approve coverage, deny it or exclude an existing condition. Healthy households generally benefit from premiums below the marketplace's full price. A nationwide network can also include specialists in Salt Lake or Las Vegas rather than restricting you to southern Utah. We'll review the actual benefits of each policy before you decide.

Scenario 2 of 3

Profit puts us in the credit range

Owners of newer construction companies and smaller remodeling businesses frequently have profits within the federal tax credit range. If you qualify, HealthCare.gov typically costs less because its credits cannot be used elsewhere. Southern Utah's limited selection makes checking your doctors' network participation particularly important. And if a strong building season increases your earnings, remember to revise your income estimate.

Scenario 3 of 3

A slow year

A slowdown in construction or the launch of a new company can significantly reduce family income. Utah expanded Medicaid, allowing households earning up to 138% of the poverty level to qualify while business improves. Remember, workers' compensation is limited to injuries occurring at work.

Where the Utah figures come from

  • Utah's individual marketplace runs on HealthCare.gov; Utah is one of the states in the federal 2026 QHP Landscape file Source
  • Utah's marketplace has 57 individual medical plans for 2026: 37 HMOs and 20 EPOs, and none is a PPO. They come from 6 insurers and cover all 29 Utah counties Source
  • In Washington County, home to St. George, 22 individual medical plans from 3 insurers are sold for 2026, compared with 49 plans from 5 insurers in Salt Lake County Source
  • HMO plans generally don't cover care outside their network except in an emergency, EPO plans cover out-of-network care only in an emergency, and PPO plans cover out-of-network care at a higher cost without a referral Source
  • Utah has adopted the Medicaid expansion; adults qualify with income up to 138% of the federal poverty level Source

Questions general contractors and builders ask me

Straight answers, no sales pitch.

How many marketplace plans are sold in St. George?

Washington County offers 22 individual medical plans through 3 insurers in 2026. Salt Lake County has 49 plans offered by 5 insurers.

Are there PPO plans on Utah's marketplace?

No. Utah's 57 HealthCare.gov medical plans for 2026 consist entirely of HMOs and EPOs. I can help healthy builders obtain quotes for private nationwide PPO coverage.

Can a Utah contractor get Medicaid in a slow year?

Possibly. Because Utah expanded Medicaid, households earning 138% of the poverty level or less may be eligible.

Is workers' comp the same as health insurance?

No. Workers' compensation applies to workplace injuries. You'll need health coverage for illnesses, routine visits and family medical needs.

Tell me about your southern Utah builds

Let me know your county, the family members needing coverage and approximately what your company earned in profit last year. I'll review the plans offered in your area, compare their costs with other choices and let you know whether your current coverage is worth keeping.

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