Welcome to the Agency Resource Guide! If you're hoping to get the most out of your HealthSherpa for Agents account then you’re in the right place. Reading through this guide is one of the best ways to learn more about the tools, training and support available to you. We recommend bookmarking this page for future reference.
Here’s everything that’s included in this guide — you can also click on a topic below to jump to that section:
HealthSherpa for Agents Overview
At HealthSherpa our goal is to provide you with the right tools and resources so you can easily manage and grow your agency.
With a free HealthSherpa for Agents account you can:
Track and optimize your agency's ACA business
View agent activity across all downlines
Keep all of your clients and leads in one organized place
Utilize your own branded website where clients can self-enroll
Get fast, accurate quoting with subsidy estimation
Easily pull existing applications from HealthCare.gov
Plus more!
We also have been the largest ACA enrollment platform since 2013:
45,000+ agents
4,800+ agencies
10+ million enrollments
$71 billion in premiums
To learn more, we put together a short video that walks you through our platform and how HealthSherpa for Agents can help you scale your agency
We also recommend checking out these additional resources to get the most out of your HealthSherpa for Agents account:
Creating a New Account
Creating a HealthSherpa for Agents account is fast and easy. Most agents are able to go through this process in 3-4 minutes. Here’s how:
Step 1: Head over to HealthSherpa and click on the “For Agents” link
Step 2: Click on the blue “Start Enrolling Faster” button
Step 3: Enter your email address and password — and then click “sign up” (this email address will be your HealthSherpa login)
Step 4: Enter your name, agency name, preferred phone number, and select how you heard about us
Step 5: Select the option to “Create a new agency account”
Step 6: Choose each state and carrier you are licensed and appointed with as an agent (not at the agency level)
Step 7: Enable the Enrollee Assistance Program — this is a great opportunity to get paid for ACA enrollments when you don’t have a contract with a specific carrier
Step 8: Enter your FFM Username (also known as your CMS portal login) and provide your individual NPN, not the agency’s
Step 9: Go through the National Insurance Producer Registry (NIPR) check (this must be authorized to finalize and open your account)
Step 10: Congratulations!! You’ve created a new HealthSherpa account!
Linking Your Agents to Your Agency Account
After you create a new HealthSherpa account it’s time to invite your agents to join. To get started, head over to the “Agency” tab inside your dashboard and click on the “Invite Agents” button on the top, right-hand side.
From there, you can email your agents an invite that includes a unique link directing them to create a new account. Once they click on the link and follow the steps, their account will automatically be connected to yours.
Another way to link your agents to your agency account is by sharing your agency “join code” which you can also find under the “Settings” tab. Your agents can enter the code during the account creation process or afterwards directly from their “Settings'' tab.
Enhanced Direct Enrollment
Enhanced Direct Enrollment (EDE) is a new and exciting technology that allows HealthSherpa to fully integrate with HealthCare.gov.
That means you and your agents can process applications, submit follow-ups, and track status without ever leaving HealthSherpa — so managing your ACA business is easier and more streamlined.
Here’s how to turn on EDE (an important step for both you and your agents to complete):
Log into your HealthSherpa for Agents dashboard and click on the “Enable EDE” button on the top
Enter your contact information on the “verify your identity” page and click "continue"
This will pull up the ID proofing questions based on personal credit history through Experian, a partner of CMS
Please note: These questions are pulled from your personal information, so please answer with your own info (not relating to your business)
Upon successful ID proofing, you will be taken back to your dashboard and the "Enable EDE" button will be gone!
Once you’re EDE approved, you can do all of the following directly on HealthSherpa:
Shop for plans and submit applications
Upload documents and easily see required follow ups
Make binder payments
Renew plans with a pre-filled application
Report life changes
Download eligibility letters and 1095-A tax forms
Plus more!
FFM Account Integration
CMS now requires additional authentication for agents and brokers. This change increases your security and once authenticated, you can use your HealthSherpa for Agents account as usual and there will be no impact to your enrollments.
If you do not complete this authentication, you will not be able to use Enhanced Direct Enrollment (EDE) through your HealthSherpa account. This includes major features such as the following:
Submission of EDE applications and enrollments
EDE application updates and cancellations
Follow-up document submissions for an existing EDE application
Eligibility notice review and download
Search and claim
Luckily, this is a quick and easy process to complete. Here’s how:
Select your “Setting” tab and click the “Integrate My FFM Account” button
This will launch the “CMS Okta Identity Management” portal in a new window
Log in using your FFM username and password to authenticate and link your HealthSherpa account
Once your account is integrated, you will see a green check indicating your successful account integration the next time you log into HealthSherpa
You and your agents will need to complete this authentication process every 30 days. You can see your re-authentication date under the “FFM Account Integration” settings in your Agent Dashboard. To extend your authentication, click "extend my integration now".
Enrollee Assistance Program
The HealthSherpa Enrollee Assistance Shared-Service Model allows you to maintain a strong relationship with your consumers throughout the year and partner with HealthSherpa to provide ACA application assistance, enrollment assistance, and ongoing support for your consumer’s ACA health plan.
If an agent decides to enable the Enrollee Assistance Program (EAP), they will be able to choose which carriers they'd like to enable EAP. If the application is submitted using EAP, the application will be processed using HealthSherpa's NPN. If the application is not submitted using EAP, the agent's NPN (or Override NPN) will be applied.
HealthSherpa compensates participating agents at the time of enrollment, and additional compensation may occur when consumers stay with the plan for a defined period of time. By default, HealthSherpa pays bonus and EAP dollars to the individual agents who earn them. Alternatively, you may choose to participate in our HealthSherpa Agency JMA, which pays these dollars out at the agency level instead of to the agents directly. This lets you disperse payouts according to your agent agreements.
Here’s how it works:
Log in to your existing HealthSherpa for Agents account here.
Next, navigate to the ‘Enrollee Assistance Program’ tab located within the Bonuses page of your dashboard. To enable the SSM, adjust the “Shared-Service Enrollee Assistance Settings” toggle to ‘On’, then review and agree to the EAP terms and conditions
Once you have enabled the SSM, choose ‘Select carrier to enroll’ to access your Carrier Settings page
From your Carrier Settings page, add any States you are licensed within, select which Carriers you’re appointed with, and which Carriers you'd like to enable EAP
When you enroll consumers using the EAP Shared-Service Model, HealthSherpa becomes the Agent of Record, and you’ll receive up to $150 for each enrollment
To check on your EAP consumers and track your compensation, visit the ‘Enrollee Assistance Program’ tab located within the Bonuses page of your dashboard
If you choose the HealthSherpa Enrollee Assistance Shared-Service Model, you’re responsible for collecting and uploading consent authorizing you and HealthSherpa to provide support before you proceed. Learn more about EAP consent guidelines here.
If you prefer to transfer all of your consumer relationships to HealthSherpa, consider leveraging the HealthSherpa Enrollee Assistance Full-Service Model. In the Full-Service Model, HealthSherpa collects and documents consent, conducts a full needs analysis, manages the enrollment and the consumer relationship, and all applications are processed using HealthSherpa's NPN.
Carrier settings
Your Carrier Settings page is the place to add your licensed states, add your appointed carriers, and (if you have the HealthSherpa Enrollee Assistance Shared-Service Model enabled) to set your Enrollee Assistance Program (EAP) Carriers. To access this menu, click on the gear icon located on the top, right-hand side of your dashboard, and select "carriers." Click here for more information.
Navigating Your Dashboard
Your HealthSherpa for Agents dashboard will make managing your agency easier and more efficient!
Inside your dashboard you can:
Enroll clients in ACA coverage, submit follow-ups, and track status
Access our redesigned application, optimized for speed
Utilize your own branded website where clients can self-enroll
Enable the Enrollee Assistance Program and get paid for every conversion
Quickly pull existing applications from HealthCare.gov
Report life changes and update client information
Manage your leads in one organized place
If you are the primary agency admin, you control a handful of settings that you can find under the “Agency” tab inside your dashboard. You also have the option to grant admin access to other agents so they can control these settings, too. Here’s a quick overview:
Agent Search: Search for a specific agent by name or NPN
Shared Book: Grant agents access to each other's clients and leads
Full Book: Grant agents access to your entire agency-wide book of business
NPN Override: Give agents the ability to apply a principal NPN to their applications
Agency Export Reports: Export your full book of business, agency roster, and outstanding DMIs
Importing Your Book of Business
Once you create a new HealthSherpa for Agents account, you can easily import your existing book of business. That way, you can manage your clients and leads, report changes, process renewals, plus more — directly from your dashboard.
Here’s how to import clients:
Step 1: Head over to the “Clients” tab and select “Import” on the right-hand side of the screen.
Step 2: Click on the "Download CSV Template" button.
Step 3: Open and fill out the template with the required fields for each client. (The required fields include first name, last name, date of birth, street address, city, state, zip code, plan name, effective date, and gross premium.)
Step 4: Once you’re finished filling out the template, click on the “Import CSV” button to upload.
Here’s how to import leads:
Step 1: Head over to the “Leads” tab and select “Import” on the right-hand side of the screen.
Step 2: Click on the "Download CSV Template" button.
Step 3: Open and fill out the template with the required fields for each lead. (Note: the template for clients and leads are different.)
Step 4: Once you’re finished filling out the template, click on the “Import CSV” button to upload.
Then refresh the page and you will be able to access your newly uploaded clients and leads!
You can confirm your import was successful when:
You can look up and add clients to your HealthSherpa account by using the "Search Marketplace" link on the top right-hand side of your dashboard. This is also a great alternative to importing your book of business if you want to add clients one at a time or when you or your agents work through renewals.
Shopping & Enrollment Tools
With your HealthSherpa for Agents account you get access to powerful shopping and enrollment tools so you can:
Easily filter, compare, and share plans with your clients
Access fast, accurate quoting with subsidy estimation
Quickly search for providers and prescriptions
Find plans from all carriers in your area
Access pre-filled renewal applications
Plus more
To start the shopping and enrollment process all you have to do is click on the “Quote” button on the top of your dashboard!
Fast & Optimized Application
HealthSherpa is fully integrated with HealthCare.gov through Enhanced Direct Enrollment (EDE). That means, once you get EDE approved you can process applications, submit follow-ups, and track status without ever leaving HealthSherpa.
Here’s why agents love our optimized application, designed for speed:
Every application is synced with HealthCare.gov
Completing our app is faster than ever (9 minutes on average)
All renewal applications are pre-filled
Clients never have to log into HealthCare.gov
Easy Renewal Process
On HealthSherpa the renewal process is quick and easy, saving you time to focus on other parts of your business. Learn more about available renewal flows here.
Client & Lead Management
Being able to easily manage, track, and follow up with your clients or leads is important. It will help you stay organized, work more efficiently, and most importantly grow your agency.
That’s why we have spent so much time creating client and lead management tools inside your HealthSherpa for Agents account.
Here are a few helpful features you can start using today:
Resume an application in just one click
Filter your clients or leads to see where they are in the enrollment process
Import new clients or leads to your HealthSherpa for Agents account
Add notes to each client or lead to keep track of important information
Easily pull existing applications from the Marketplace
View follow-up items & plan details
View and submit Marketplace documents
Plus more!
Branded Enrollment Website
With a HealthSherpa for Agents account, you get access to your own branded enrollment website where your clients can easily search for and self-enroll in ACA health coverage.
Here’s how it work:
Easily update your own custom landing page using the “Marketing” tab
Share your direct link with clients and track their progress
When clients enroll through your unique direct marketing link, they are associated with your account and will have your NPN automatically applied to any application submitted. Note: If you are participating in the Enrollee Assistance Program (EAP), the NPN applied will depend on your specific EAP and any alternative Carrier Settings you have in place for respective carriers.
Here’s why we love this feature:
It gives your clients the opportunity to self-enroll
It gives you more time to focus on other parts of your business
It’s a great tool for marketing and promotion
You can easily track and follow up with leads
As an agency administrator, you can also share your unique link with your agents so that all consumer driven applications are connected to your carrier settings — or agents can use their own enrollment website which will be connected to their carrier settings.
Click here to learn more about the branded enrollment website and how to use your direct marketing link.
Exporting Reports
Agents and agencies are able to export their full book of business, including 100+ columns of enrollment data. The export is a CSV file which contains applicant information, plan details, follow-up statuses, plus more. For a description of each column, please refer to this Excel file legend. Larger exports may take longer to arrive.
Here are common reasons to export your book of business:
Track effectuation
Book of business segmentation
Carrier commission reconciliation
Enrollment auditing
Custom reporting
How to export clients or leads as an agent:
Head over to the “Clients” or “Leads” tab and click on the “Export” button.
Select a date range (this is based on the last time an app was submitted)
Click on the “Export Clients” or “Export Leads” button
The report will be sent to your email address
Click on the link inside the email to download the file
How to export clients or leads as an agency:
This report includes clients and leads from every agent and subagency in your downline and can be accessed by agency admins. Here's how to download this report:
Head over to the “Agency” tab
Click on the “Export” button
The report will be sent to your email address
Click on the link inside the email to download the file
How to export your agency roster:
Agency admins can export a roster of their downline agents which makes it easy to:
Email agents who have HealthSherpa accounts linked to your agency
Check whether the settings are accurate for your agents
Confirm your agents have enabled Enhanced Direct Enrollment (EDE)
Assess enrollment volume at the downline agent-level
Here’s how to access this report:
Head over to the “Agency” tab inside your dashboard
Click on the “Export” button on the top, right-hand side
Click on the blue “Export Agents” button
The report will be sent to your email address
Click on the link inside the email to download the file
How to export Data Matching Issues (DMIs)
This report includes all data matching issues from the past two months and can help your agency quickly identify and resolve DMIs. Agency admins can export this data which includes:
Agent Name
Client FFM Application ID
DMI Type
DMI Status
DMI Due Date
URL Link to “Client Details Page”
Here’s how to access this report:
Head over to the “Clients” tab inside your dashboard
Click on the “Export” button on the right-hand side
Click on the blue “Export DMIs” button
The report will be sent to your email address
Click on the link inside the email to download the file
Agency admins can also receive this report in a weekly email by enabling this feature under the “Settings” tab.
How to secure your exports
We strongly recommend that all agents and agencies set up Two-Factor Authentication (2FA). This will give your HealthSherpa for Agents account an added layer of security. Click here for instructions on how to enable 2FA.
Post Enrollment Tools
Now with Enhanced Direct Enrollment (EDE), you’re able to easily maintain applications directly from HealthSherpa. After you have completed an enrollment, here’s what you can do inside your dashboard:
Make binder payments
Upload follow-up documents
Track the status of documents
Report life changes
See application history
Update applications
Change plans
Agent Support Team
With a HealthSherpa for Agents account you get access to our Agent Support Team year-round. If you have any questions, issues or want to share feedback, you can reach out to us by phone, chat or email:
Phone: (888) 684-1373
Chat: you can chat with us directly from your dashboard by clicking on the chat icon in the bottom right corner
Thank You!
Thank you for visiting the Agency Resource Guide. If you have any additional questions please reach out to our Agent Support Team at (888) 684-1373 or email us at agent_support@healthsherpa.com.