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How Realtors in New York Pay Less for Health Insurance (Real Examples)

By Martin Elefant · Licensed insurance agent · Updated October 2026 · 5 min read

Three representative scenarios from New York agents, with the numbers. These are illustrations, not guarantees — your price depends on your age, health and ZIP.

Example 1: the over-the-cliff agent, New York City

Age 47, healthy, $140,000 in commissions. Was paying about $820/month full price on NY State of Health. Moved to a private PPO on MagnaCare PPO at about $410/month with a lower deductible. Savings: roughly $4,900 a year.

Example 2: the agent who actually qualified, Long Island

Age 38, gross $78,000, but after expenses and a SEP-IRA contribution MAGI was $54,000 — under the line. Had never applied through NY State of Health. A subsidized Silver plan came in around $190/month versus the $610 she was paying directly to a carrier.

Example 3: the family, Buffalo

Couple, 52 and 50, two teens, $190,000 household. Full-price family marketplace plan: about $2,100/month. Private family PPO: about $1,150/month. Savings: roughly $11,000 a year. Both parents healthy; the plan was underwritten and approved in two days.

What they had in common

None of them had ever seen both markets side by side. New York (and New York City) income taxes are among the highest in the country, so the self-employed premium deduction is worth real money here.

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ME
Martin Elefant
Licensed insurance agent · NPN 20765405 · Lyons Life LLC · New York Private Health

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