Let's be honest — when you run a small business with just a handful of employees, every dollar counts. You’ve heard the buzz about group long-term disability (LTD) insurance: it protects employees' income if they can't work for an extended period due to illness or injury. Sounds good, right? But then you look at the price tag, often coming in at 5-10% of your payroll for benefits, and you wonder, “Is long-term disability insurance worth it for my small team?”
So, what's the catch? Is small business benefits this a needless luxury pushed by brokers who love to sell expensive packages, or is it a smart move that gives your business a competitive edge? Let’s break down the LTD insurance pros and cons, explore affordable health coverage alternatives like QSEHRA and ICHRA, and look at practical ways small businesses are protecting employees’ income without breaking the bank.
Why Benefits Matter More Than You Think for Small Businesses
Ever wonder why some small businesses attract and keep great people while others struggle? It’s not just about salary; benefits are a powerful competitive advantage. According to HealthCare.gov, nearly half of employees consider benefits just as important as wages. When you’re competing with larger companies who can throw more cash around, benefits like LTD insurance can help level the playing field by showing employees you care about their wellbeing for the long haul.

But here’s the twist—many small business owners make a common mistake: ignoring what employees actually value. They blow their limited budget on expensive insurance plans nobody fully understands or appreciates, while neglecting affordable non-medical perks that employees love, such as flexible work hours or extra PTO.
The Real Cost of Group Long-Term Disability Insurance
Let’s talk numbers. The cost of group long-term disability insurance typically runs from 5 to 10% of your total payroll for all benefits combined. That’s a significant chunk of your budget if you’re a startup or running on tight margins.
Payroll Size Estimated LTD Insurance Cost
(at 1% of payroll, typical LTD rate) Total Benefits Budget
(5-10% of payroll) $100,000/year $1,000/year $5,000 - $10,000/year $250,000/year $2,500/year $12,500 - $25,000/year $500,000/year $5,000/year $25,000 - $50,000/year
Keep in mind, LTD insurance is usually priced at about 1% of payroll alone, so it can take up a big slice of your overall benefits pie. That leaves less room for other perks employees might value more, like health reimbursements or PTO.
LTD Insurance Pros and Cons: What You Need to Consider
Pros
- Protects employees’ income: If someone gets seriously sick or injured, LTD kicks in to replace a portion of their paycheck — a safety net that can reduce stress and financial hardship. Enhances recruitment and retention: Offering LTD insurance makes your small company look professional and caring. May be tax-advantaged: In some cases, employer-paid premiums are deductible as a business expense.
Cons
- Costly relative to budget: For small teams, LTD insurance often cuts deep into the benefits budget. Complex plans and fine print: Many employees don’t fully understand what LTD covers or the limitations. Limited employee uptake: Some workers choose to opt out or don’t value it enough to feel it's worth the cost.
Affordable Alternatives: QSEHRA and ICHRA Explained
Sound too good to be true? You might have heard of QSEHRA (Qualified Small Employer Health Reimbursement Arrangement) and ICHRA (Individual Coverage Health Reimbursement Arrangement). These tools are game-changers for small businesses wanting to offer affordable health coverage alternatives without wrestling with expensive group plans.
- QSEHRA: Allows small employers (fewer than 50 employees) to reimburse employees tax-free for individual health insurance premiums and medical expenses up to a set annual limit. Flexible, easy to administer, and cost-controlled. ICHRA: Lets employers of any size reimburse employees for individual health coverage, with more customizable options and potentially larger reimbursement amounts.
Both QSEHRA and ICHRA help reduce your benefits cost compared to traditional group health insurance and can be combined with a modest LTD plan to protect employees' income without wiping out your budget.
Leverage Tax Credits through Programs Like SHOP
Another often overlooked advantage for small businesses is using tax credits to reduce the cost of health coverage options. Programs like SHOP Marketplace offer tax credits for businesses with fewer than 25 full-time equivalent employees, which can be a significant cost saver.
By combining tax credits with flexible tools like QSEHRA or ICHRA, you can make your benefits package more affordable while still protecting employees’ income and wellbeing.
Non-Medical Perks: Small Impact on Budget, Big Impact on Morale
Before you dive headfirst into another pricey insurance plan, remember this: low-cost non-medical perks often have a higher perceived value than some insurance benefits.

- Additional PTO: More time off is consistently rated as one of the most desired benefits. Flexible schedules or remote work: Can reduce burnout and improve productivity without costing a dime. Professional development opportunities: Show employees you’re invested in their growth. Wellness programs or mental health days: Small gestures that support whole-person health.
These perks also give you a branding boost. Tools like Workast can help manage team communications and projects, indirectly supporting your team's engagement and satisfaction without adding costs to your benefits budget.
Final Verdict: Is LTD Insurance Worth It?
Here’s the bottom line: if you can afford it without sacrificing other benefits employees want, a modest group LTD insurance plan is worth having. It protects employees’ income, supports recruitment and retention, and offers peace of mind.
That said, prioritize knowing what your employees truly value. Survey your team, weigh the cost versus impact, and consider combining LTD coverage with affordable health reimbursement arrangements like QSEHRA or ICHRA. Don’t overlook tax credits available through SHOP or invest in low-cost perks with high morale returns.
Running a small business means making thoughtful, strategic decisions. Benefits are no exception. When you cut through the noise and focus on what works for your budget and your people, you’ll build a benefits package that truly supports your team’s wellbeing—and your business success.
Summary: Tips for Small Business Owners
Evaluate your payroll and budget realistically before committing to LTD insurance. Use resources from HealthCare.gov and consider QSEHRA or ICHRA as affordable health coverage alternatives. Check eligibility for tax credits on SHOP Marketplace to reduce your insurance expenses. Survey your employees to understand which benefits matter most to them. Complement medical benefits with low-cost perks like PTO, flexible schedules, and wellness support. Use collaboration tools like Workast to keep your team connected and engaged.Got more questions on setting up benefits for your small team? Grab your calculator and chat with a seasoned HR consultant who gets the small business struggle. Your team deserves it.
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