The Upper Echelon Health Blog

Health coverage, explained.

Plain-English guides to the questions we answer for clients every day, written down so you can share them with your family, your team or your accountant.

Open Enrollment 2027 · 7 min read

Open Enrollment 2027: an 8-step checklist before you renew

Enrollment starts November 1. Why your renewal notice may be wrong, and what to check before you click "renew."

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ACA & Subsidies · 8 min read

The ACA subsidy cliff is back: what it means for your premium

Enhanced subsidies expired after 2025. Who the 400% cliff hits, the repayment risk and legal ways to keep your credit.

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Truck Drivers & OTR · 9 min read

Health insurance for truck drivers and owner-operators: the 2026 guide

Company plans, Marketplace subsidies based on net profit, the tax write-off and what an OTR plan needs.

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Truck Drivers & OTR · 7 min read

Why OTR drivers need a nationwide network, and how to check one

Local, regional or OTR: match the network to your miles. What's protected out of state, and what isn't.

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Travel Nurses · 8 min read

Travel nurses: take the agency plan or buy your own?

How agency coverage works, the multi-state network question, tax home and residency.

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Travel Nurses · 7 min read

Between travel nurse contracts? 4 ways to cover the gap

COBRA, Marketplace, short-term or your own year-round plan, and the 60-day rule that protects you.

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Plan Basics · 7 min read

PPO vs HMO vs EPO: which plan type is right for you?

Referrals, out-of-network care, cost, and why PPOs can be hard to find on the Marketplace.

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Plan Basics · 6 min read

Deductibles, copays, coinsurance and out-of-pocket max, explained

A simple example of how the pieces work together, so you compare plans on total cost.

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Turning 26 · 7 min read

Turning 26? How to get your own health insurance with no gap

When your parent's plan really ends, the 60-day window and your five options.

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Employer Coverage · 8 min read

Employer health insurance too expensive? Here are your options

The 9.96% affordability test, the family glitch fix and six ways to pay less.

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Life Changes · 7 min read

COBRA vs a Marketplace plan: which costs less?

Why COBRA is so expensive, when it's still worth it, and the timing trap to avoid.

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Enrollment Rules · 7 min read

Missed Open Enrollment? The life events that let you enroll

Every qualifying life event, the 60-day rule and what doesn't count.

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1099 & Self-Employed · 7 min read

Self-employed? How the health insurance deduction works

Who qualifies, what counts, the spouse-plan rule and how it interacts with ACA subsidies.

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Small Business · 8 min read

Small business group health insurance: how small is too small?

Eligibility, participation rules, the November 15–December 15 window, ICHRA and the tax credit.

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