Health insurance & Medicare · Middletown, Butler & Warren Counties
Small-Business Group Health Insurance in Middletown, Ohio
12.9% of Middletown adults aged 19 to 64 have no health insurance, above the Ohio rate of 8.8% (the 2nd-highest uninsured rate for adults 19 to 64 of the 25 Southwest Ohio communities on this site). Group health, dental and vision options for small Ohio employers, plus help comparing a traditional group plan with alternatives such as an individual coverage HRA (ICHRA) or QSEHRA. Olive, a licensed agent with Manna Financial Services in Fairborn, helps Middletown households compare small-business group health insurance by phone or video, and the first conversation is free.
What matters for small-business group health insurance in Middletown
Butler County has 7,537 employer businesses, and 6,983 of them have fewer than 50 employees. Small employers are not required to offer health coverage, but many do to hire and keep staff, and an ICHRA or QSEHRA can be an alternative to a traditional group plan.
7.2% of Middletown workers are self-employed (Ohio: 8.0%). Owners often need to cover themselves as well as their team, so we look at personal and business coverage together.
Middletown by the numbers
- 12.9% of Middletown adults aged 19 to 64 have no health insurance, above the Ohio rate of 8.8% (the 2nd-highest uninsured rate for adults 19 to 64 of the 25 Southwest Ohio communities on this site).
- 7.2% of Middletown workers are self-employed, about the same as the Ohio figure of 8.0%. Self-employed people have no employer plan for health, life or disability coverage.
- The median household income in Middletown is $54,985, below Ohio's $69,680.
- 7.2% of Middletown workers have government jobs, well below the Ohio share of 12.8%.
Employers in Butler County
| Measure | Butler County | Ohio |
|---|---|---|
| Employer businesses | 7,537 | 253,934 |
| With fewer than 50 employees | 6,983 | 236,701 |
| Share that are small (under 50) | 92.6% | 93.2% |
Middletown and nearby communities
| Place | Self-employed | Uninsured adults 19–64 | Median household income |
|---|---|---|---|
| Middletown | 7.2% | 12.9% | $54,985 |
| Springboro | 5.6% | 4.3% | $112,872 |
| Mason | 8.1% | 2.0% | $124,407 |
| West Chester | 7.7% | 6.5% | $111,762 |
| Ohio | 8.0% | 8.8% | $69,680 |
Sources: U.S. Census Bureau, American Community Survey 2019–2023 5-year estimates; U.S. Census Bureau County Business Patterns 2023.
How we help with small-business group health insurance
- Small-group health, dental and vision quotes from several insurers
- Explain contribution and participation requirements
- Compare a group plan with ICHRA or QSEHRA reimbursement
- Employee enrollment support and renewal reviews
Read our full guide to small-business group health insurance
Rules that apply across Ohio
- Ohio residents buy individual and family plans through the federal Marketplace at HealthCare.gov. Plans and prices vary by county.
- Open Enrollment runs November 1 to January 15. Enroll by December 15 for coverage that starts January 1.
- Outside Open Enrollment, a qualifying life event such as losing other coverage, moving, marriage or a new baby opens a Special Enrollment Period.
- Marketplace premiums are the same with or without an agent. Insurance companies pay the agent.
Questions from Middletown
How many employees do I need for a group plan?
Many Ohio small-group plans start at two enrolled employees, one of whom is not the owner or spouse, but rules vary by insurer. We confirm the requirements for your situation.
How many small businesses are in Butler County?
6,983 of the 7,537 employer businesses in Butler County have fewer than 50 employees (U.S. Census Bureau County Business Patterns 2023).
Do I need to visit an office in Middletown?
No. Olive works with Middletown and Butler & Warren Counties households by phone or video, so you can compare options from home. Most applications and signatures can be completed online.
Talk with Olive about small-business group health insurance.
Free, no obligation, by phone or video. Or call or text (937) 795-9877.