Small-business health & benefits insurtech

Health benefits are the one line almost every small business buys and few compare well. These players modernize it in different ways — level-funded all-in-one plans, ICHRA, cash-pay price transparency, and tech-enabled brokers. This is the commercial buyer’s other big line; research profiles with rating status and key facts side by side.

Ratings are not yet published under methodology v2.1. Tables are separated by entity class; tap any company for the full profile, or read the ratings methodology.

Health plans

Compared only within this entity class.

Angle Health logoAngle Health
Best for
Small and midsize employers wanting a modern, integration-heavy, AI-driven health plan
Backing
$134M Series B (Dec 2025, led by Portage); prior $58M Series A (2022)
Key coverage
Level-funded health plan (AI-native)
Availability
Most US states (Utah via Balanced Insurance Company of Utah)
Gravie logoGravie
Best for
Small and midsize employers wanting a deductible-free plan or a modern ICHRA
Backing
$150M growth round (2025, reported); ~$530M raised total
Key coverage
Level-funded health plan (Comfort), ICHRA (Gravie ICHRA), Health payment support (Gravie Pay)
Availability
US small & midsize businesses
Sana Benefits logoSana Benefits
Best for
Small businesses wanting an all-in-one plan with free virtual primary care built in
Backing
~$111M raised to 2022 (Crunchbase); no 2024–2026 round disclosed
Key coverage
All-in-one level-funded health plan, Sana Care (virtual-first primary care)
Availability
16 states (AL, AZ, CO, DE, IL, IN, IA, KY, MD, MI, OH, OK, PA, TX, VA, WI); 2+ enrolled employees
Sidecar Health logoSidecar Health
Best for
Employers wanting a transparent, network-free, cash-pay major-medical plan
Backing
$165M Series D (June 2024, led by Koch Disruptive Technologies)
Key coverage
Employer-sponsored major medical (cash-pay, ACA-compliant)
Availability
US employers

ICHRA & HRA administrators

Compared only within this entity class.

StretchDollar logoStretchDollar
Best for
Small businesses that want a simple, transparently-priced ICHRA — including those new to offering benefits
Backing
$6M seed (Dec 2024, led by Fika Ventures, with Oscar Health, Precursor, Springbank); ~$7.6M total disclosed
Key coverage
ICHRA setup & administration (small business), Employee plan-selection support (licensed guides), Optional dental & vision
Availability
US small businesses; also via brokers
Take Command logoTake Command
Best for
Employers of any size wanting an established, full-service ICHRA or QSEHRA administrator
Backing
$25M growth round led by Edison Partners (2023); ~$44.75M total (incl. a $12M Series A)
Key coverage
ICHRA administration, QSEHRA administration, HRA Hub platform (integrations, compliance, plan selection) +1 more
Availability
US employers of all sizes; also via brokers/consultants
Thatch logoThatch
Best for
Employers moving from a group plan to an ICHRA who want an all-in-one, fast-setup platform
Backing
~$84.5M raised; $40M Series B led by Index Ventures (2025), with a16z, General Catalyst, ADP Ventures
Key coverage
ICHRA setup & administration, Individual health/dental/vision marketplace, Thatch Visa card (qualified medical expenses) +1 more
Availability
US employers (self-serve, broker, and ADP RUN channels)
Zorro logoZorro
Best for
Brokers building an ICHRA book, and employers wanting AI-guided individual plan selection
Backing
$31.5M raised; $20M Series A led by Entrée Capital (2025), with 10D and Pitango; $11.5M seed (2023)
Key coverage
ICHRA plan design & budget setting, AI decision support / plan recommendation, Benefits administration (enrollment + payments) +1 more
Availability
US, via brokers and employers

Benefits brokers & PEOs

Compared only within this entity class.

Bennie logoBennie
Best for
Employers wanting a modern benefits broker plus an employee app that cuts benefits questions
Backing
$50M strategic from LNC Partners (Dec 2025); ~$100M total reported
Key coverage
Employee benefits brokerage (health & benefits), Bennie App + Ask Bennie concierge, Better Health Plan (level-funded)
Availability
US, 50 states
Justworks logoJustworks
Best for
SMBs that want payroll, HR, and access to large-group health benefits bundled in one PEO
Backing
~$143M raised (private; FirstMark, Union Square Ventures, Bain Capital Ventures, Redpoint, others)
Key coverage
PEO co-employment (payroll, HR, compliance, benefits), Large-group health via master policy (Aetna, UnitedHealthcare, Kaiser), Ancillary benefits (dental, vision, HSA/FSA, life & disability, 401(k)) +2 more
Availability
US SMBs (EOR in ~32 countries)
Nava Benefits logoNava Benefits
Best for
Small-to-mid employers wanting a modern broker with AI tooling to cut benefits admin
Backing
$30M Series C (Oct 2025, led by Thrive Capital); prior $40M Series B
Key coverage
Employee benefits brokerage (health & benefits), Nava HQ benefits platform
Availability
US small-to-mid employers
Angle Health logo

Angle Health

Small and midsize employers wanting a modern, integration-heavy, AI-driven health plan

Bennie logo

Bennie

Employers wanting a modern benefits broker plus an employee app that cuts benefits questions

Gravie logo

Gravie

Small and midsize employers wanting a deductible-free plan or a modern ICHRA

Justworks logo

Justworks

SMBs that want payroll, HR, and access to large-group health benefits bundled in one PEO

Nava Benefits logo

Nava Benefits

Small-to-mid employers wanting a modern broker with AI tooling to cut benefits admin

Sana Benefits logo

Sana Benefits

Small businesses wanting an all-in-one plan with free virtual primary care built in

Sidecar Health logo

Sidecar Health

Employers wanting a transparent, network-free, cash-pay major-medical plan

StretchDollar logo

StretchDollar

Small businesses that want a simple, transparently-priced ICHRA — including those new to offering benefits

Take Command logo

Take Command

Employers of any size wanting an established, full-service ICHRA or QSEHRA administrator

Thatch logo

Thatch

Employers moving from a group plan to an ICHRA who want an all-in-one, fast-setup platform

Zorro logo

Zorro

Brokers building an ICHRA book, and employers wanting AI-guided individual plan selection

Also useful: best small-business health insurance or the full insurtech landscape.

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