http://www.npr.org/blogs/health/2011/01/12/132839175/single-self-employed-and-without-insurance-get-married-and-hire-the-spouse?sc=fb&cc=fpAs the economy continues to limp along, individuals on the lookout for health insurance don't have a lot of options, especially if they have health problems. Of course, there are the pre-existing condition insurance plans called for in the health overhaul law, but those have restrictions. And some states have plans guaranteeing coverage.
There's another option and it's based on the premise that there's strength in numbers. If individual business owners bring their spouse or another person on board as an employee, insurers may have to issue them health coverage — a helpful little loophole.
Unlike the individual market, where in most states insurers can deny people coverage, people at companies with 2 to 50 employees are defined as "small groups" under federal law and can’t be turned down for health reasons.
So a self-employed accountant, for example, might hire his spouse to do the books, says Scott Leavitt, president of the Idaho Association of Health Underwriters. That way they can both get guaranteed coverage. "We’re seeing it happen more and more with mom-and-pop shops," he says.