Entities Approved to Use Enhanced Direct Enrollment
Enhanced direct enrollment (EDE) is a new pathway for consumers to enroll in health insurance coverage through the Federally-facilitated Exchange. This pathway allows CMS to partner with the private sector to provide a more user-friendly and seamless enrollment experience for consumers by allowing them to apply for and enroll in an Exchange plan directly through an approved issuer or web-broker without the need to be redirected to HealthCare.gov or contact the Exchange Call Center.
For additional information on EDE, please view the fact sheet, available at: /newsroom/fact-sheets/enhanced-direct-enrollment-pathway-health-insurance-exchange-coverage
For frequently asked questions about EDE, visit: /CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Downloads/FAQs-EDE.pdf (PDF)
The public list of third-party entities approved to use an EDE pathway is provided below. This list is current as of May 12, 2022, but CMS will update the list as it approves more partners.
Table Key
- Approved Entity Name: Name of the entity offering an approved EDE platform
- Hosting an EDE Platform: The checkmark indicates that the entity (referred to as a “primary EDE Entity” in CMS guidance) developed and is hosting an approved EDE platform that may be available for leasing to upstream EDE Entities
- Entity Type: Qualified health plan (QHP) issuer, web-broker, or Direct Enrollment (DE) Technology Provider
- Website: The entity’s homepage hyperlink
| Approved Entity Name | Hosting an EDE Platform | Entity Type | Website |
|---|---|---|---|
|
Acosta Insurance |
✔ | Web-broker | www.acostainsurancegroup.com |
| Aetna CVS Health, Banner Aetna, and Innovation Health Plans | - | Issuer | www.aetna.com/aca-individual.html |
| Alliant Health Plans | - | Issuer | www.alliantplans.com |
| AmeriHealth Caritas Next | - | Issuer | amerihealthcaritasnext.com |
| Anthem | - | Issuer | www.anthem.com |
|
Arise Health Plan |
- | Issuer | www.wecareforwisconsin.com |
|
Arkansas Blue Cross and Blue Shield |
- | Issuer | www.arkansasbluecross.com |
|
Aspirus Arise Health Plan of Wisconsin |
- |
Issuer |
|
|
AultCare Insurance Company |
- |
Issuer |
|
| AvMedInc. | - | Issuer | www.AvMed.org |
| Benefitalign LLC | ✔ | Web-broker | www.benefitalign.com |
| Blue Cross and Blue Shield of Alabama | - | Issuer | www.bcbsal.org/sales/web/individuals/health |
|
Blue Cross Blue Shield of Arizona |
- |
Issuer |
|
| Blue Cross and Blue Shield of Kansas City | - | Issuer | www.bluekc.com |
|
Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Care Network |
- | Issuer | www.bcbsm.com |
|
Blue Cross Blue Shield of North Carolina |
- |
Issuer |
|
| Blue Cross Blue Shield of South Carolina | - | Issuer | sc.healthsherpa.com |
|
Bright Health Plan |
- |
Issuer |
|
| Capital Health Plan | - | Issuer | capitalhealth.com |
|
CareSource |
- |
Issuer |
|
| Catch Insurance LLC | ✔ | Web-broker | www.catch.co |
|
Centene Corporation |
- |
Issuer |
|
|
Cigna |
- |
Issuer |
|
| Common Ground Healthcare Cooperative | Issuer | commongroundhealthcare.org | |
| Community First | - | Issuer | exchange.communityfirsthealthplans.com |
| CommunityCare HMO Inc | - | Issuer | ccok.softheon.com/qhp/shopping/zip-code |
|
Community Health Choice |
- |
Issuer |
|
|
Cox Health Plans |
- | Issuer | www.coxhealthplans.com |
|
Dean Health Plan |
- |
Issuer |
|
|
FirstCare Health Plans |
- |
Issuer |
|
|
Florida Blue |
- |
Issuer |
|
| Friday Health Insurance Company, Inc. | - | Issuer | fridayhealhplans.softheon.com |
|
GetInsured |
✔ |
Web-broker |
|
| Group Health Cooperative of South Central Wisconsin | - | Issuer | ghcscw.com |
|
GuideWell Connect |
✔ |
DE Technology Provider |
|
|
Health Care Service Corporation |
✔ |
Issuer |
|
|
HealthFirst |
- |
Issuer |
|
| HealthMarkets | ✔ | Web-broker | www.healthmarkets.com |
|
HealthSherpa |
✔ |
Web-broker |
|
|
Highmark |
- |
Issuer |
|
| INSXCloud, Inc. | ✔ | Web-broker | INSXCLOUD.COM |
| JET Health Solutions | ✔ | DE Technology Provider | www.jethealthsolutions.com |
|
MercyCare Health Plans |
- |
Issuer |
|
| Moda Health | - | Issuer | www.modahealth.com |
|
Molina Healthcare |
- | Issuer | www.molinahealthcare.com |
| Mountain Health Co-Op | - | Issuer | www.mountainhealth.coop |
| Network Health | - | Issuer | networkhealth.com |
| Online Insight | ✔ | DE Technology Provider | www.onlineinsight.com |
| Optima Health | - | Issuer | optimahealth.com/plans/individual |
|
Oscar Health |
- | Issuer | www.hioscar.com |
| Paramount |
- |
Issuer |
|
|
Physicians Health Plan |
- |
Issuer |
|
| Piedmont Community Healthcare HMO | - | Issuer | pchp.softheon.com/qhp/ |
| Priority Health | - | Issuer | www.priorityhealth.com/ |
| Quartz | - | Issuer | quartzbenefits.com |
| Quotit Corporation | - | Web-broker | Quotit.com |
| Scott and White Health Plan | - | Issuer | www.swhp.org |
|
Security Health Plan of Wisconsin |
- |
Issuer |
|
| SelectHealth Inc. | - | Issuer | www.Selecthealth.org |
|
Sendero Health Plans |
- |
Issuer |
|
|
Softheon |
✔ |
DE Technology Provider |
|
|
Stride Health |
✔ |
Web-broker |
|
| Together With CCHP | Issuer | ede.jet-insure.com | |
| UHC | - | Issuer | uhcexchange.com |
| US Health and Life | - | Issuer | ascensionpersonalizedcare.com |
| Via Benefits | - | Web-broker | app.viabenefits.com/ifp/ |
|
WellFirst |
- |
Issuer |
|
|
Welltheos |
- | Web-broker | W3LL.com |
Resources for Agents and Brokers
- Resources for Agents and Brokers in the Health Insurance Marketplaces
- General Resources
- Plan Year 2022 Open Enrollment
- Plan Year 2022 Registration and Training
- SHOP
- Web-brokers in the Health Insurance Marketplace
- Help On Demand
- Video Learning Center
-
QUICK LINKS:
- Issuer and DE Partner Directory
- Agent/Broker FAQs
- Agent/Broker Newsletters
- Agent/Broker Help Desks
- Registration Completion List
- Agent/Broker Marketplace Registration Tracker
- Registration Termination List
- Find Local Help
Updates
- March 5, 2020 Information Related to COVID–19 Individual and Small Group Market Insurance Coverage
- March 12, 2020 FAQs on Essential Health Benefits Coverage and the Coronavirus (COVID-19)
- March 18, 2020 FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19)
- March 24, 2020 FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019 (COVID-19)
- March 24, 2020 Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency
- March 24, 2020 FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets
- April 11, 2020 FAQs about Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act Implementation
*This document was updated on April 15, 2020, to correct an error in footnote 10 regarding the current end date of the public health emergency related to COVID 19. - April 13, 2020 Postponement of 2019 Benefit Year HHS-operated Risk Adjustment Data Validation (HHS-RADV)