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Health insurance & Medicare · Youngstown, Mahoning County

Small-Business Group Health Insurance in Youngstown, Ohio

5.2% of Youngstown workers are self-employed, below the Ohio figure of 8.0%. Self-employed people have no employer plan for health, life or disability coverage. 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 Youngstown 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 Youngstown

Mahoning County has 5,391 employer businesses, and 5,071 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.

5.2% of Youngstown 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.

Youngstown by the numbers

  • 5.2% of Youngstown workers are self-employed, below the Ohio figure of 8.0%. Self-employed people have no employer plan for health, life or disability coverage.
  • 10.6% of Youngstown adults aged 19 to 64 have no health insurance, above the Ohio rate of 8.8%.
  • The median household income in Youngstown is $34,746, well below Ohio's $69,680, the lowest median household income of the 13 Northeast Ohio communities on this site.
  • 26.2% of Youngstown households include children under 18, below the Ohio figure of 28.3%.

Employers in Mahoning County

MeasureMahoning CountyOhio
Employer businesses5,391253,934
With fewer than 50 employees5,071236,701
Share that are small (under 50)94.1%93.2%

Youngstown and nearby communities

PlaceSelf-employedUninsured adults 19–64Median household income
Youngstown5.2%10.6%$34,746
Cleveland6.6%10.7%$39,187
Akron7.3%12.7%$48,544
Canton6.6%13.8%$39,754
Ohio8.0%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 Youngstown

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 Mahoning County?

5,071 of the 5,391 employer businesses in Mahoning County have fewer than 50 employees (U.S. Census Bureau County Business Patterns 2023).

Do I need to visit an office in Youngstown?

No. Olive works with Youngstown and Mahoning County 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.