Consumers should Visit Beginning July 1 to see if they Qualify for New Financial Help.

As part of the American Rescue Plan (ARP) signed by President Biden,
the Centers for Medicare & Medicaid Services (CMS) is again lowering
the cost of health insurance and opening more pathways for Americans to
obtain affordable and comprehensive health coverage. Starting July 1,
2021, consumers who received or are approved to receive unemployment
compensation for any week beginning in 2021 may be able to find even
lower cost plans and save extra money on out-of-pocket expenses through

To take advantage of these additional savings, consumers who received
or have been approved for unemployment compensation in 2021 need to
visit to submit a new application or update their
existing application to maximize the savings they can get for the rest
of 2021. An average of three out of five eligible uninsured Americans
can access $0 plans after advance payments of tax credits and an average
of four out of five current consumers will be able to
find a plan for $10 or less per month after advance payments of tax
credits. CMS encourages current consumers who have received unemployment
income for any week beginning in 2021 to update their application and
enrollment between July 1 and August 15 to maximize the savings on their
Marketplace coverage for the rest of the year.

“The Biden-Harris Administration is focused on providing relief to
millions of families who need to access health insurance coverage
because they have been impacted by job losses or underemployment during
the pandemic,” said HHS Secretary Xavier Becerra. “The Administration
has made it easier than ever for Americans to enroll in an affordable,
comprehensive health insurance plans through thanks to
the increased financial assistance provided through the American Rescue
Plan. We encourage consumers who have received unemployment compensation
in 2021 to visit the Marketplace to see if they qualify to save money
on their health insurance premiums and out-of-pocket costs.”

“We are doing everything we can to remove financial barriers to
comprehensive health care,” said CMS Administrator Chiquita
Brooks-LaSure. “The American Rescue Plan provides consumers with
additional savings and will  make coverage even more attainable for
those most in need. We welcome people who received unemployment benefits
in 2021 to check out their health coverage options on on
July 1.”

Additionally, as a result of the Biden-Harris Administration’s
Special Enrollment Period for the COVID-19 Public Health Emergency,
consumers can continue to apply for coverage, compare plan offerings, or
learn if they qualify for more affordable premiums by visiting or through August 15. Consumers can
view 2021 plans and prices and submit an application to see if they are
eligible for enrollment and financial assistance. If eligible, they can
enroll in a plan that best meets their needs. Current enrollees should
review their application, make any updates needed to their current
information, submit their application, and then select a new plan or
reselect their current plan to receive the increased savings under the

Consumers can also call the Marketplace Call Center at
1-800-318-2596, which provides assistance in over 150 languages. TTY
users should call 1-855-889-4325. Consumers can also find a local
assister or agent/broker in their area:
Consumers who live in a state with a Marketplace that operates its own
platform should visit their state Marketplace website or call center for
information on accessing these additional savings through their
State-based Marketplace.

(Original article published by CMS.Gov ‘’)

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Members who received Unemployment Insurance Benefits (UIB) any week in
2021 can now take advantage of additional APTC and Cost-Sharing
Reductions (CSR). 

Please review the communication below from Covered
California for detailed information. 

Make sure you have your Carrier Contracting for ACA Sales & Medicare Sales!

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Why should you and your clients be aware of social determinants of health? 

Social determinants of health (SDoH) are social, economic and environmental conditions that can impact a person’s health. Simply put, certain individuals experience barriers to care because of factors such as race, income, education level, gender identity and more. 

When people don’t have access to the resources they need, medical costs go up. That’s why addressing health disparities should be a priority when your clients create their health benefits strategy.


And don’t forget your Cigna Contracting >

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We all win with Flexible Choice Dental, Vision & Hearing.

When you sell our new Flexible Choice Dental, Vision & Hearing product, you win extra rewards, and our customers win excellent coverage.


$50 bonus per issued Flexible Choice Dental, Vision & Hearing application or

$75 per issued Flexible Choice Dental, Vision & Hearing plan when sold with an issued Medicare Supplement plan to the same customer through the end of 2021.

Thank you for your partnership on launching this exciting new product! 


Get Your Cigna Contracting & More Here >


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Your last chance 2021 Bonus opportunity is now… Earn your Silver Star badge today and earn more money too!

Molina Summer Camp Bonus

Molina Healthcare is excited to announce an Agent Bonus for current Molina Bronze Membership Transitioned to a Molina Silver Plan.


Don’t forget to boost your book of Business with Molina Healthcare Contracting:

Molina ACA Contracting >

Molina Medicare Contracting >

Agility Producer Support
(866) 590-9771 May Marketplace 2021 Special Enrollment Period Report


the Centers for Medicare & Medicaid Services (CMS) released a new
report that shows that more than 1 million new and returning consumers
have health coverage through the Health Insurance Marketplace that costs
$10 or less per month after advance payments of premium tax credits
(APTC) following the April 1 implementation of the American Rescue
Plan’s (ARP) expanded APTC. Of the 1,034,624 consumers who selected a
Marketplace plan with premiums of $10 or less per month, after APTC,
687,275 were returning consumers and 347,349 were new consumers. This
means 4 in 10 (43%) new consumers and 3 in 10 (30%) returning consumers, and more than one third (34%) of all consumers have selected a plan of
$10 or less per month following the implementation of ARP expanded APTC.
The ARP’s expanded premium tax credits have reduced premiums, increased
savings, and given consumers access to quality, affordable health care
coverage through the Health Insurance Marketplace®.1

access to quality, affordable health coverage gives Americans peace of
mind when they need to seek care,” said HHS Secretary Xavier Becerra.
“Thanks to the Biden-Harris administration’s Special Enrollment Period
and expanded premium tax credits from the American Rescue Plan, each
week we continue to see more Americans experience the relief and
security that comes with affordable, quality health coverage.”


To learn more from the full press release, visit:


Boost your book of business today with:







May Marketplace

2021 Special Enrollment

Period Report

May Marketplace

2021 Special Enrollment

Period Report

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Dental Insurance: Get ready to celebrate. Earn $100 for every issued dental insurance app, up to $500*. 

It’s time to get the party started!

Earn Cash for Dental Apps: May 15th through July 15th

$100 in Cash For each Mutual of Omaha dental app when issued with a Med supp app underwritten by Mutual of Omaha or an affiliate.



And don’t forget about your Mutual of Omaha Contracting!

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We have expanded our network to take better care of our Texas Molina Marketplace members!

We are pleased to announce that Methodist Hospital System is now contracted with Molina Marketplace in Harris County. Molina Marketplace members now have access to care at the below Methodist Hospital facilities in Harris County:

  • Houston Methodist Hospital
  • Houston Methodist Baytown Hospital
  • Houston Methodist Sugarland Hospital
  • Houston Methodist Willowbrook Hospital
  • Houston Methodist The Woodlands Hospital
  • Houston Methodist West Hospital
  • Houston Methodist Clear Lake Hospital
  • Houston Methodist Continuing Care Hospital 


Make sure your Molina Healthcare Contracting is in place!

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UnitedHealthcare Exchange plans (ACA plans)

Affordable, reliable, easy ACA coverage options for your clients

UnitedHealthcare is offering Exchange plans designed to help save you money on the federal marketplace
and other state-based marketplaces. Backed by our 30 years of
experience, these Exchange plans are Affordable Care Act (ACA) plans
(also called Marketplace plans or Obamacare) and are available in
Bronze, Silver or Gold levels. 


The coverage they need. The price they deserve. Your health clients can now benefit from UnitedHealthcare’s ACA plans:

$0 virtual visits*

Get the urgent care you need in 15 minutes or less, usually, with three virtual visits at no additional cost to you.

$0 preventive care*

Don’t pay more for needed preventive care. These plans offer it at no additional cost.

Low-cost prescriptions*

Save money with $0 co-pays on
preventive drugs and the ability to get your prescriptions conveniently
at many locations, including Walgreens and Walmart.


Get Your UnitedHealthcare ACA Contracting Here >



Agility Producer Support
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If you use HealthSherpa for your ACA enrollments, you’re familiar with the client table.

addition to this top level information, agents are able to click into
each client’s details and see all application information. 

what if instead of looking up a specific client’s application, you
wanted to search or analyze all clients who shared a similar application

This is where the HealthSherpa Export Report comes into play. 

With the Export Report, you can analyze your book of business clients based on: 

– Follow up document status

– Number of applicants 

– The policy’s status

– New vs renewal applications

– And 146 other fields


In this article, we’ll
cover how agents and agencies can download the Export Report, exciting
new additions to it, and the 4 top ways to start using the Export Report


How to download the Export Report

the Clients and Leads tab, all you need to do is click the ‘Export’
button. If you are an Agency admin, you can download your full book of
business, across all of your downline, from the Agency tab.
Learn more here.


Reading Export Report

Click here to see a legend of all 146 columns that can be at your fingertips through the HealthSherpa Export Report. 


5 top ways to use the Export Report

all of this information at your fingertips, it can be overwhelming to
figure out where to start. Here are some top ways agents and agencies
use the Export Report, which you can start using today!

1. American Rescue Plan (ARP) premium subsidy outreach. This
COVID-19 relief bill included measures that made subsidies more
generous for clients within 100–400% FPL, and it also made premium
subsidies newly available for clients making more than 400% FPL.
Read more about how the law affected the ACA here.

Export Report makes it easy to target your ARP outreach efforts. As you
resubmit applications for increased premium subsidies with your
will populate. To identify clients who have not yet applied an ARP
subsidy, you can filter for applications where this field is blank. See
the “Recent Additions” section below for more detail. 

To help agents and agencies, our team put together a resource for prioritized email outreach including templates, which you can download here.

2. Unemployment income outreach. The
ARP also included a measure that qualifies individuals who receive at
least 1 week of unemployment in 2021 to a free Silver plan. As an agent,
the earliest you can help your clients take advantage of this measure
is July 1st. This would be effective on August 1st.

you initially enrolled your clients in Marketplace coverage, you had
the option to attest that your client would receive unemployment income
in 2021. 

For any applications where you checked that box, has_unemployment_income
will populate with ‘Yes’. You will be able to filter your Export Report
on this column to identify a list of clients to reach out to about
their coverage options. 

important to note that you likely have other clients who qualify for
these free Silver plans. To make sure you don’t miss any clients, you
should also do outreach to your remaining clients. Later in June,
HealthSherpa will provide resources to help with this outreach. 

3. Data Matching Issue (DMI) follow up. In
some cases, agents need to upload additional documents to resolve a DMI
post-enrollment. It’s important to resolve DMI’s when they occur in
order for your client to keep their subsidy.

The Export Report includes lots of information on DMI’s, but the most important field for agents is DMI_outstanding_count. By filtering on this field and using last_ede_sync,
you can see which applications need attention, and whether you need a
refreshed sync with the Marketplace to update the status. 

the current SEP ends on August 15th, it will also be important to check
for outstanding SEP verification issue (SVI) document requests in

4. Confirm you are the AOR for your Book of Business. Use NPN_reason to see whether the NPN on the application is yours or the ‘Other Party’s’.

these instances, you will want to reach out to the client and confirm
whether they worked with a different Agent. If you should still be the
agent for the client, either resubmit the application through
HealthSherpa or do a 3 way call to the Marketplace.

5. Track progress on members-based bonuses or commissions. If you’re eligible for a carrier bonus or commission that’s based on members enrolled, use applicant_count to
add up the total number of members you have enrolled for a particular
carrier. You can search for a specific carrier by filtering on issuer.


Recent additions to the Export Report

In the Export Report legend, you can see where we’ve made these 3 recent additions: 

1. American Rescue Plan (ARP) related fields at the very end of the report. You can read more here about how this law expands premium subsidy eligibility and amount. They include: 

– Last_submission_date:
Allows you to see which clients have updated their eligibility since
4/1. If it’s blank, that means the application has not been resubmitted
through HealthSherpa for the ARP subsidy. 

– FPL_ratio: Exact ratio for the federal poverty level (FPL).

– ARP_subsidy: The estimated new subsidy under the ARP.

– ARP_subsidy_change: The estimated change from the current subsidy.

– Bronze_to_free_silver: Indicates whether the client is eligible for a free silver plan because they are within 100—150% FPL. 

– Has_unemployment_income: Identifies applications that included unemployment income as part of the last submission.

2. EDE sync timestamp
(column ER). This field shows you how ‘fresh’ each application’s
statuses are in HealthSherpa. To pull more recent statuses, you will
need to hit the refresh buttons from the client’s table. 

3. More details about an application’s NPN. In the past, the npn_reason
field only showed whether the Agent of Record (AOR) was you,
HealthSherpa (in the case of a referral), or ‘Other’. Now, you will also be able to see whether there is ‘No AOR’, or if the NPN is ‘Other Party’s’. 


Start using your Export Report today

When it comes to managing your ACA business, the
HealthSherpa Agent Export Report is a game changing feature. Once you start, expect to use it
Take the first step and download your Export Report today!

Figure 1: A snapshot of the information easily available through the client table


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