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HealthSherpa is excited to partner with Georgia Access and support the State of Georgia in their transition to a State-based Exchange (SBE) for ACA enrollments for plan year 2025! Georgia Access is the first SBE to bring the benefits of the EDE experience to consumers and agents, partnering with EDE entities like HealthSherpa.
With this partnership, Agents will be able to help Georgians shop for, compare, and enroll in quality, affordable healthcare coverage using HealthSherpa, just as they have in previous years.
Agents must complete Georgia Access certification
Agents are required to complete Georgia Access certification and pass the exam to be eligible to participate on Georgia Access beginning November 1, 2024.
You will need to sign in to your Georgia Access Certification Platform account or create an account before starting training.
You can check your Georgia Access certification status on the Georgia Access Agent Listings page.
You can learn more about the types of training, how much time to set aside for training, and more, on the Georgia Access Agents page.
Certification requirements vary by state. Georgia Access certification only applies for applications written for the State of Georgia. If you wish to sell ACA plans for additional states, you’ll need to complete the marketplace certification required by the respective state(s). Learn more here.
Webinar: HealthSherpa & Georgia Access
This recording is from our webinar on October 9th and covers what you can expect on HealthSherpa in plan year 2025, a live demonstration of our platform, and live Q&A discussion.
HealthSherpa & Georgia Access training deck
Frequently asked questions
When will Georgia Access be available as an SBE?
Georgia will launch Georgia Access as a full SBE on November 1, 2024 for plan year 2025 applications.
Window Shopping for Georgia Access will begin on October 28th. At that time, agents will start seeing plans for the upcoming plan year on HealthSherpa when they shop.
Special Enrollment Period (SEP) applications for plan year 2024 will still utilize the Federally Facilitated Marketplace (FFM).
Will subsidy levels in Georgia be different than FFM subsidy levels?
No. Because subsidy eligibility is set at the federal level. Georgia will utilize the same Federal Poverty Guidelines as the FFM. Learn more about the 2024 FPL chart here.
Can I use HealthSherpa to enroll clients in Georgia when plan year 2025 begins?
Yes. Agents will be able to enroll clients in Georgia using HealthSherpa for Agents in plan year 2025 as they have in previous plan years.
You may use the same HealthSherpa for Agents account for both Marketplace enrollments and Georgia Access enrollments.
Your clients in Georgia will appear alongside clients in other Marketplace states.
If you only sell in Georgia, you will not need to integrate your FFM account, but you will need to use multi-factor authentication.
HealthSherpa is an EDE vendor working with Georgia Access to provide direct access to Exchange shopping and enrollment.
Will I need to use a separate platform to enroll Georgia clients in plan year 2025?
No. Agents will be able to enroll clients in Georgia using HealthSherpa for Agents just as they have in previous plan years.
Will my Georgia Book of Business live inside HealthSherpa for Agents?
Yes, your Book of Business will remain as it is currently.
Will my existing book of business on the FFM be transferred to the Georgia Access SBE?
Georgia Access is working with CMS to transfer within Georgia to the State-Based Exchange. The State of Georgia will be release PUFs for plans within the state on their own schedule outside of CMS. As they now run their own exchange, they will be approving those with carriers and disseminating to appropriate web brokers and EDE partners in the same way that CMS does.
To have your existing book of business on HealthCare.gov automatically transferred to Georgia Access, please complete the Georgia Access licensure and certification for plan year 2025.
Will non-resident agents be able to write and renew clients in Georgia?
Georgia Access has not put restrictions on residency with their licensure and certification. If you are licensed with the State of Georgia and certified with Georgia Access, you will be able to write or renew for Georgia clients through HealthSherpa regardless of residency.
Are both FFM certification and GA certification required to write in GA?
If you wish to sell only in Georgia, you need to complete Georgia Access certification and do not need to complete FFM certification.
If you wish to sell in other states, the certification required can vary by state and is often determined by the type of marketplace used in the the state:
View the marketplace types by state here.
If you wish to sell in states utilizing a “State-based marketplace using the federal platform” or the “Federally-facilitated marketplace” complete your annual FFM certification.
Select HealthSherpa’s FFM training during your MLMS training step
If you wish to sell in states utilizing a “State-based marketplace” complete the unique certification(s) required by the respective state(s).
Go here to locate the state(s) you wish to sell within. Note there is a link to each state’s respective exchange in bullet three.
Can consumers disagree to share data with Georgia Medicaid?
According to Georgia Access, no, consumers must agree to share data with Georgia Medicaid as a part of their eligibility determination.
Additional resources
Agents who have questions about the Georgia Access experience on HealthSherpa for Agents can submit them here.
Agents should direct questions about enrollment, application, and policy issues to Georgia Access at Agents@GeorgiaAccess.ga.gov. More information about Georgia Access can be found on the Georgia Access website.
Visit https://oci.georgia.gov/agents-agency-licensing for information on Georgia licensing requirements and the application process.
Visit https://www.sircon.com/georgia to apply for a license, check the status of a license or application, and update contact information.