Health insurance for real estate investors

Here's how real estate investors are saving money on their health insurance this year

Rents arrive monthly, sales arrive all at once, and no one offers you a health plan. Here is how investors are choosing coverage that fits the year they're in.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber, a licensed health insurance broker in Tampa. Real estate investors and property managers have one of the more unusual income pictures I see. Rent arrives every month, sales show up all at once, and repairs and depreciation can make a large portfolio look small on paper. I'm licensed in 36 states and I handle everything by phone.

Whether you own a few doors or manage a few hundred, nobody is providing you a health plan. Here's how investors are working out what to buy and keeping the cost under control.

The first fork

The marketplace sets its help using a version of the adjusted gross income on your tax return. So the question that sorts everything out is this: for the year you're buying coverage, will your household's income come in under the subsidy line?

For an investor that number moves around. Rental income generally goes on Schedule E, after expenses like repairs, management, mortgage interest and depreciation. A property sale can add a large gain in a single year. Wages, a spouse's income and other investment income count as well.

The line is four times the federal poverty level, slightly over $60,000 for one person and more for bigger households. Where you land depends a lot on whether this is a buying year, a holding year or a selling year.

Scenario 1 of 4

My income is well above the line and I'm healthy

Investors with a strong portfolio or a sale on the books usually face the marketplace at full price. That's often more than they want to pay, and the plans sold locally may be HMOs that don't help much when you're looking at properties in another state.

If you're in good health, private underwritten plans are worth pricing. You answer health questions to apply, and if you're approved, your rate reflects your health, which for a healthy applicant often comes in under the full marketplace price. These plans run on PPO networks that reach nationwide, so care is in network whether you're at home or checking on a rental two states over.

Before you apply, know how it works. The answers you give decide whether you're approved, declined, or approved with a condition excluded. Benefits vary from plan to plan, and we compare them line by line.

Scenario 2 of 4

My income swings with sales

A big closing can push one year far over the line, while the next year, with only rents coming in, lands under it. That's why we look at the year you're buying coverage for, not the year you just had.

If you expect a modest year, the marketplace with a subsidy may be your most affordable option. Report an honest estimate and update it if a sale closes mid-year. If you take a subsidy and a sale then lifts your income above what you reported, you may have to repay some of it when you file. When a sale is likely, plan for it before you enroll.

Scenario 3 of 4

I'm over the line and managing a health condition

If you or someone on your plan has an ongoing condition or a medication you can't go without, the marketplace is usually the better home even at full price. It can't turn you away or charge more for your health. An underwritten plan can.

The work then becomes picking the marketplace plan that keeps your doctors in network and covers your prescriptions, at a deductible that fits how your cash comes in.

Scenario 4 of 4

I'm leaving my job to invest full time

If a salaried job has been covering you while you built the portfolio, that plan usually ends with the job. Losing it opens a special enrollment period, usually 60 days, to sign up on the marketplace. COBRA is the other choice. Electing COBRA and then cancelling it on your own doesn't reopen enrollment, so decide which route you want first.

You can still get a nationwide PPO

If your marketplace offers only HMO or EPO plans, or its PPO costs too much, that doesn't mean the PPO is gone for you. Through me, a nationwide PPO is available in every one of the 36 states I'm licensed in. For a healthy investor whose properties aren't all in one place, it's worth a call.

Gather these first

  • Last year's return, including Schedule E
  • What this year looks like: rents, and any planned sales or purchases
  • Who needs coverage, and your zip code
  • Doctors and prescriptions you want to keep

Using me costs nothing. The insurer pays me when you enroll.

Questions real estate investors ask me

Straight answers, no sales pitch.

Can I deduct health insurance premiums if my income is rental income?

That's a question for your tax preparer. The self-employed health insurance deduction is tied to net profit from a business, and rental income is generally reported separately on Schedule E, so how it applies depends on your situation.

Do capital gains push me over the subsidy line?

They can. The marketplace bases help on modified adjusted gross income, and a gain from selling property adds to it for that year. A sale year can move you from under the line to well over it.

Do property managers get health insurance through work?

If a management company employs you, it may offer a plan. If you run your own management business, you buy your own coverage, the same as other self-employed people.

Can a real estate investor get a PPO plan?

Yes. If you're healthy and earning past the subsidy cutoff, private plans built on nationwide PPO networks are available through me in all 36 states where I'm licensed.

Tell me what this year looks like for your portfolio

Last year's return, any sales you expect, and who needs coverage is enough to start. I'll tell you which path fits and what it costs, and if the plan you have now is already right, you'll hear that from me.

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