I work for a small business, and our healthcare premiums are sky high because insurance companies don't give small businesses any breaks, but they do larger businesses that have thousands of employees. Can Small Businesses in the U.S. Join a Federation To Save on Health Insurance Costs? If anyone knows of any, can you tell me the name of them, so I can look them up. Something like the National Federation of Independent Business (NFIB). I see they address healthcare, but I don't see them offering some kind of healthcare pool to members.