Shop Owners

Group Plan Math for HVAC Shops With 5–12 Techs

March 8, 20269 min readBy CoolCover Health

If you own a residential or commercial HVAC business and you've lost a good tech in the last 18 months over benefits, this article is for you. We'll walk through the three group-plan structures available to a shop your size and what each actually costs against the retention math.

The three structures, side by side

ICHRA (Individual Coverage HRA)

You set a fixed monthly reimbursement per tech (say $400). Each tech buys their own ACA plan, you reimburse tax-free. Lowest admin load, highest flexibility. Best for shops with mixed family situations (some single, some family-of-four).

Level-funded group health

Looks like a fully-insured plan to your techs — fixed monthly premium, clean ID cards, a real carrier network. Behind the scenes, your shop bears partial claims risk, and if claims come in low you get a year-end refund. Best for shops with a young, healthy crew.

Traditional fully-insured group

Predictable monthly premium, no claims risk, full carrier admin. Best for shops with 10+ techs and at least one employee with chronic care needs (where level-funded would underwrite at a penalty).

Real cost comparison — 8-tech shop

ICHRA at $450/tech reimbursement$3,600 / mo
Level-funded silver-equivalent$4,800–$5,600 / mo
Fully-insured silver group$5,400–$6,400 / mo

Why this pays for itself

  • Average cost to recruit + train a replacement journeyman: $15,000–$30,000.
  • Average tenure increase when group benefits are offered: 1.8 years.
  • If group coverage prevents one departure in the year, the plan is net-positive — even at the fully-insured tier.

The Section 125 piece nobody mentions

Pair your group plan with a Section 125 Cafeteria Plan and your techs pay their share of the premium with pre-tax dollars. That cuts your payroll tax on the employee contribution side — usually $1,500–$4,000/year in shop savings for an 8-person crew, on top of the retention benefit.

Ready to see your options?

Answer a few quick questions and a licensed advisor will email your personalized plan options within one business hour. 100% free, no obligation.