Covered CA is Actually an Insurance Broker Not an Exchange

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Insurance Broker Presenting an Offer to an Elderly Couple
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Covered CA is actually an insurance broker, not an exchange. This distinction is crucial to understanding how Covered CA works. Covered CA is a non-profit organization that acts as an insurance broker, connecting consumers with health insurance plans.

As a broker, Covered CA does not sell insurance plans directly to consumers. Instead, it partners with insurance companies to offer their plans to the public. This partnership allows Covered CA to negotiate rates and terms with insurance companies on behalf of consumers.

Consumers can browse and compare health insurance plans through Covered CA's website or by contacting a certified enrollment counselor. This makes it easier for people to find the right plan for their needs and budget.

Applying for Covered CA

Applying for Covered CA is a straightforward process, especially with the right guidance. One crucial thing to know is that if your company offers you coverage and your share of the monthly premium on the least expensive option for just yourself doesn't exceed 9.5% of your monthly gross income, that's considered affordable coverage.

Person Holding Insurance Policy Contract
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To enroll quickly and easily, you have two options. You can either delegate an agent to help you through the process if you already have an account at Covered Ca, or you can access the simplified Covered Ca application securely online.

As a Certified Covered Ca agent, their help doesn't cost a thing, and they can even catch any potential issues before you submit your application. Either way, you can get enrolled right away, and they'll walk you through the process to ensure you get the best options.

How to Apply for Covered CA with an Agent

Applying for Covered CA with an agent can be a straightforward process. If you're already familiar with the Covered CA website, you can delegate an agent to help you through the process, and they can walk you through any potential issues.

To qualify for affordable coverage, your company's share of the monthly premium on the least expensive option for just yourself must not exceed 9.5% of your monthly gross income. This is a key factor in determining whether you're eligible for affordable coverage.

An Elderly Man Consulting an Insurance Agent
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You can work with a certified Covered CA agent, like Skyline Benefit in Orange County, who has extensive experience and knowledge about Covered California insurance carriers, plans, and coverages. They can help you shop smart and find the best options for your needs.

As your designated Covered CA agent, they'll assist you with three main areas: plan selection, enrollment, and ongoing membership and changes. They'll guide you through the online enrollment process and help you avoid common pitfalls.

To get started, you can quickly designate an agent by following the steps provided. This will allow them to take over the enrollment process and ensure you get the best options available.

Difference Between On-Exchange and Off-Exchange Plans

On-exchange health insurance plans are available on Covered California, which is also known as the Marketplace. You can shop and compare these plans directly on the Covered California website.

Financial help, or subsidies, to lower the cost of health coverage are only available when you enroll in an on-exchange health plan. This can be a big advantage if you need help paying for health insurance.

A Mortgage Broker Sitting Behind a Desk
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On-exchange plans cover the same essential health benefits as off-exchange plans. This means you'll get the same level of coverage and care, regardless of which type of plan you choose.

Off-exchange health insurance plans are available outside of the exchange or marketplace directly through Anthem. You can shop and compare these plans directly on the Anthem website.

Our Health Plan Consultants can help you determine if you are eligible for financial help and find the best plan for your needs and budget.

Finding a Broker

Working with a Covered California broker can be a great option when buying health insurance through Covered California. They represent a network of carriers and have local knowledge.

A Covered California broker is certified with Covered California and licensed with the state's department of insurance.

You can shop smart with your local Covered California broker, like Skyline Benefit in Orange County, which has extensive experience and knowledge about Covered California insurance carriers, plans and coverages.

Men and woman discussing mortgage with broker in a modern office setting.
Credit: pexels.com, Men and woman discussing mortgage with broker in a modern office setting.

If you're looking for a broker, consider one who is certified with Covered California and licensed with the state's department of insurance.

Here are two options to find a broker:

  • Ask for referrals from friends or family members who have used a Covered California broker in the past.
  • Search online for local Covered California brokers in your area.

Frequently Asked Questions

Do Covered California agents get commission?

Yes, Covered California agents receive commissions from health insurance companies, but only if they are directly appointed by each company. Commissions are paid according to the agent's active commission schedule at the time of enrollment.

Is Coveredca com a legitimate website?

Yes, CoveredCA.com is a legitimate website, being California's official health insurance marketplace where individuals and families can compare plans and enroll. It's a trusted resource for finding and purchasing health insurance in California.

Allison Emmerich

Senior Writer

Allison Emmerich is a seasoned writer with a keen interest in technology and its impact on daily life. Her work often explores the latest trends in digital payments and financial services, with a particular focus on mobile payment ATMs. Based in a bustling urban center, Allison combines her technical knowledge with a knack for clear, engaging prose to bring complex topics to a broader audience.

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