Mississippi contractors and builders

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

You can still get a nationwide PPO in Mississippi, even after a year when marketplace prices climbed hard. Here's how builders and remodelers on the Gulf Coast and around Jackson are covering their families for less.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. My practice is health insurance, I run it from Tampa, I'm licensed in Mississippi, and every client I work with, I work with by phone.

On the Mississippi Gulf Coast, building runs with the hurricane cycle: years of rebuilding after a big storm, steady elevated homes and renovations in between, and a constant stream of insurance-claim repairs in Gulfport, Biloxi, Ocean Springs and Bay St. Louis. Up around Jackson, the suburbs in Madison and Rankin counties keep growing. Builders who started their own firms in either place buy their own health coverage, and for 2026 the bill went up sharply. That's the builder this page is about.

You can still get a nationwide PPO in Mississippi

You can still get a nationwide PPO in Mississippi through me, wherever in the state you build.

The marketplace doesn't sell one. Mississippi's HealthCare.gov lineup for 2026 is 48 individual medical plans from 5 insurers, covering all 82 counties: 38 HMOs and 10 EPOs, and no PPOs. HMOs and EPOs generally don't pay for care outside the network except in an emergency. A PPO covers out-of-network doctors too, at a higher cost, without a referral. Medically underwritten private plans offer that on national PPO networks, priced on your health.

What full price looks like now

KFF reports the average benchmark marketplace premium for a 40-year-old in Mississippi rose 36.5% from 2025 to 2026. If your household qualifies for the federal premium tax credit, much of that jump is absorbed. If you earn past the credit's reach, it isn't.

For a builder, the income that decides it is profit: what's left once the firm has paid for materials, subs, the trucks and trailers, any machines, permit fees and its own insurance. An established firm doing steady rebuild and new-home work often lands past the credit, and that's where the jump hurts most.

Scenario 1 of 4

We're past the credit range, healthy, and the bill just jumped

This is the family this page is built around: a busy Gulf Coast or Jackson-area builder, a healthy household, and a renewal that rose by about a third for an HMO or EPO tied to one network.

The comparison to make is a medically underwritten nationwide PPO. The company asks about your medical history, then writes the policy, declines it, or writes it with one earlier condition excluded. A clean history is what lets its premium undercut the marketplace's full rate. The national network also helps when you take work in Louisiana or Alabama after a storm, or your kids go to college out of state. Every policy spells out its own benefits, and we read them together.

Scenario 2 of 4

Our profit keeps us in the credit range

Smaller remodelers and young firms often net into the credit range. There, a HealthCare.gov plan with the credit is almost always the least expensive option, since the credit can't be used on private coverage. We'd pick whichever HMO or EPO already lists your doctors, and you'd report it promptly when a busy storm season pushes profit higher than planned.

Scenario 3 of 4

Someone at home needs regular care

When someone in the household lives with an ongoing illness or can't skip a medication, keep the family on the marketplace even without a subsidy. HealthCare.gov plans can't turn you away or charge more because of health; underwritten plans can. We'll find the network that keeps your specialists.

Scenario 4 of 4

A slow year for the company

A lean year is risky in Mississippi, which hasn't adopted the Medicaid expansion; Medicaid is very limited for working adults, and the marketplace credit generally starts at the poverty level. Plan your estimate carefully if the year looks thin. And workers' comp covers job-site injuries only, not illness.

Where the Mississippi figures come from

  • Mississippi's individual marketplace runs on HealthCare.gov; Mississippi is one of the states in the federal 2026 QHP Landscape file Source
  • Mississippi's marketplace has 48 individual medical plans for 2026: 38 HMOs and 10 EPOs, and none is a PPO. They come from 5 insurers and cover all 82 Mississippi counties 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
  • The average benchmark marketplace premium for a 40-year-old in Mississippi rose 36.5% from 2025 to 2026 Source
  • Mississippi has not adopted the Medicaid expansion Source

Questions general contractors and builders ask me

Straight answers, no sales pitch.

Can a Mississippi contractor buy a PPO on HealthCare.gov?

No. The 2026 medical lineup there is HMOs and EPOs only. Healthy builders can still buy a nationwide PPO privately, and I can price one.

Why did my Mississippi premium go up so much?

Prices rose across the market. By KFF's measure, the average benchmark premium for a 40-year-old in Mississippi climbed 36.5% from 2025 to 2026.

Did Mississippi expand Medicaid?

No. Mississippi has not adopted the Medicaid expansion.

Does workers' comp cover a builder's health care?

No. It covers injuries on the job only. Illness, checkups and your family need a health plan.

Tell me about your Mississippi builds

Let me know your county, who's on your plan and about what the company cleared last year. You'll get a straight comparison with real prices, and I'll tell you if keeping your current plan is the smarter move.

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