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Health & life insurance · Austin, TX

Health insurance in Austin, TX — no April surprises.

We’re licensed for insurance in Texas, and we do taxes. That combination matters more than it sounds: the subsidy you take during the year gets reconciled on your tax return, so we update your estimated income when it changes instead of letting April do the math for you.

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Heidy Novales Mauri, licensed insurance agent at Right Step in Austin, TX

Coverage we handle

  • Marketplace / Obamacare (ACA) plans, including the premium tax credit
  • Private plans for when the Marketplace doesn’t fit your case
  • Life insurance — Term (10, 20 or 30 years) and Whole Life
  • Group Health for your LLC or small business
Right Step: 5.0 stars from 68 Google reviews Licensed insurance agent — Texas and Florida Notary Public · Texas No cost to you — we’re paid by the carrier
What we handle

What kinds of insurance do we handle?

We quote across several carriers — Marketplace, private and life — and we tell you which one actually fits, not which one pays the best commission.

Individual and family health insurance

Marketplace (Obamacare/ACA) plans with the federal premium tax credit, private plans for when the Marketplace doesn’t cover your situation, and coverage for households where not everyone has a Social Security number.

Group Health for your business

Group plans for LLCs and small businesses, from two employees up — set up so the premiums work as a business expense and the plan stays in line with the ACA rules that apply to employers.

Life insurance

Term Life for 10, 20 or 30 years, cheaper and time-limited. Or Whole Life, permanent, with cash value. Some policies skip the medical exam, and some are available with an ITIN.

Auto, home and commercial — by referral

We don’t write these ourselves. We hand you to licensed partners we already work with, so you’re not starting the search from zero.

The difference

Why use an agent who also does your taxes?

Because the plan you pick in November shows up on your tax return in April. An agent who doesn’t file returns never finds out what his advice cost you.

  • A subsidy calculated on the wrong income turns into a bill from the IRS in April.
  • The wrong plan can cost you self-employed deductions you were entitled to take.
  • A whole life policy with cash value has long-term tax consequences — you hear about them before you sign, not after.
We adjust your coverage every time your income changes. You don’t have to call twice to make that happen.
Heidy Novales Mauri, licensed insurance agent at Right Step
With Heidy Novales Mauri Licensed insurance agent, Texas and Florida · Notary Public, Texas
Right Step advisor going over a health insurance policy with a client in Austin, TX
The usual situations

What if you don’t get coverage through a job?

Most of the people we cover in Austin don’t have an employer plan. They’re self-employed, on a 1099, between jobs, or running a business that’s too small to offer one. Here’s how each of those usually goes:

Self-employed, 1099 or gig income

The Marketplace is normally the first place to look, because the premium tax credit is calculated on your income, not on an employer. What you can’t do is estimate that income once and forget about it — that’s the version of this that turns into a bill in April.

Between jobs

Losing job-based coverage opens a Special Enrollment Period: generally 60 days to get on a Marketplace plan without waiting for November. It’s a short window and it’s easy to let it close.

When the Marketplace isn’t an option

Some carriers sell health policies directly, outside the Marketplace, without asking for a Social Security number. Coverage and price vary a lot between them, so it’s worth comparing before you sign — that’s what the free quote is for. This comes up most often in mixed-status households, which are common in Austin: the eligible members (U.S. citizen or lawfully present children, for example) can enroll through the Marketplace with the premium tax credit even when someone else in the home can’t, and the rest of the family looks at the private options.

If the numbers still don’t work

In the Austin area, Central Health / the Travis County Healthcare District runs MAP, a program for low-cost care based on your income, regardless of immigration status. It isn’t insurance, and we’ll say so — but for some households it’s the honest next step, and we’ll tell you when yours is one of them.

The Marketplace and your taxes

Your subsidy and your refund: how Form 1095-A works.

If you have a Marketplace plan, Form 1095-A shows up every January. It isn’t optional paperwork — the IRS matches it against your return.

Here’s the part that catches people. During the year, the government advances your subsidy (the premium tax credit) based on the income you estimated when you enrolled. In April, that estimate gets reconciled against what you actually made. Made less than you estimated, and the difference comes back to you. Made more — a raise, a second job, a business that finally took off — and you pay part of that subsidy back.

We update your estimated income during the year, when it changes. That’s the whole point: the reconciliation in April should be a formality, not news.

And when your 1095-A arrives, we’re the ones putting it on your return. Tax preparation →

No charge to you

What does it cost to talk to us?

Nothing. Our advice is free to you — we’re paid a commission by the insurance carrier, and that commission is regulated by the state of Texas. There’s no extra cost for talking to us, getting quotes, or enrolling.
How we work

From quote to coverage, in four steps.

No fine print and nobody pushing you to sign today.

1

Free review

We go through your household, your income and what your family actually uses medically. No charge, no obligation.

2

Quotes across several carriers

We’re not tied to one company. We put real Marketplace options and private plans side by side, with the deductible next to the premium.

3

We enroll you, with you

We walk you through Open Enrollment or your Special Enrollment Period, step by step, and make sure the application is right the first time.

4

Yearly check-in

We review the plan every year and update your estimated income, so the subsidy math never turns into an IRS bill.

Frequently asked

Questions about health and life insurance.

The ones we get most, answered without the jargon.

What do you charge me for this?
Nothing. Our advice, the quotes and the enrollment are free to you, because we’re paid a commission by the insurance carrier and that commission is regulated by the state of Texas. There’s no extra cost for talking to us, getting quotes, or enrolling — and no charge if you decide not to buy anything.
How much does health insurance cost in Texas?
It depends on your household income, how many people are on the plan, and the county you live in — there’s no flat price. With the federal premium tax credit, some households in Austin end up paying very little and some pay nothing at all for the premium, while others don’t qualify for any credit. The only way to know your number is to run a quote, which takes about ten minutes and costs you nothing. And look at the deductible, not just the premium: the cheapest monthly payment is often the most expensive plan the first time you actually use it.
When is Open Enrollment?
Open Enrollment for the federal Marketplace generally runs from November 1 to January 15. Outside that window, you can only enroll if you qualify for a Special Enrollment Period — losing job-based coverage, getting married, having a baby, or moving, among others. The dates can shift from year to year, so confirm the current window before you plan around it; we flag it ahead of time so nobody ends up uninsured by accident.
What happens if I lose my job and my employer plan?
Losing employer coverage triggers a Special Enrollment Period: you generally get 60 days to enroll in a Marketplace plan without waiting for Open Enrollment. Depending on your income for the year, it can also open access to a premium tax credit you didn’t qualify for while you had a job-based plan. Get in touch as soon as you know you’re losing coverage — 60 days goes fast.
I’m self-employed. Marketplace plan or private plan?
If you’re self-employed or paid on a 1099, the Marketplace is usually the first place to look, because the premium tax credit is based on your income rather than on an employer. A private plan can make more sense when you don’t qualify for a credit, or when the Marketplace plans in your county don’t include the network you want. We quote both and put them side by side. Premiums you pay yourself may also be deductible depending on how your business is set up — we look at that before you pick a plan, not after. Tax preparation for self-employed →
Is my LLC’s health insurance deductible?
In most cases, the Group Health premiums your LLC pays for you and your employees are deductible as a business expense, which lowers your taxable income. The exact structure depends on whether you’re a single-member LLC, have partners, or have elected S-Corp — the rules aren’t identical for the three. We coordinate it with whoever prepares your taxes so the deduction is taken correctly. Tax preparation →
Do you offer dental and vision?
Yes. Alongside your medical plan, we quote dental and vision as additional coverage — standalone or bundled, depending on the carrier — for you or for the whole family.
Do I pay monthly or annually?
Most medical plans are paid as a monthly premium directly to the insurance carrier, not to us. On life insurance, depending on the policy, you can usually choose monthly, quarterly or annual payments — we show you the options before you decide.
Can you enroll someone who doesn’t have a Social Security number?
The federal Marketplace generally requires a Social Security number or an eligible immigration status for the person who holds the policy. In mixed-status households, the family members who are eligible — U.S. citizen children, for example — can still enroll even when someone else in the home can’t. Some carriers also sell private plans directly without asking for an SSN, and certain life insurance policies are available with an ITIN. We go through the whole household in the free review. Book your free review →
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Take the right step

Ten minutes and you’ll know what you’d pay.

Tell us your household size, your county and roughly what you expect to make this year. We come back with real numbers from several carriers — and if a plan is going to cost you money in April, you’ll hear it before you enroll, not after.

Right Step advisor welcoming a client at the Austin, TX office