Broker Portals
- Aetna Producer World
- Aetna Quote & Enroll
- Aetna Senior Supplemental Insurance Login Page
- Agent Pipeline | 2022 MAPD Agent Resource Center
- Allstate, from National General
- Allwell/Wellcare Agent Connect
- Ambetter Portal Login
- Ameritas Login
- Anthem login
- Ascend Login
- Cigna Login
- Core Benefits Login (Company ID: CORE)
- Core HealthContractRequest
- DentaQuest (Member Portal)
- Direct Health Login
- DP Brokers Program by DentalPlans.com – Index
- Florida Blue
- Get Covered NJ
- GS National
- Health Sherpa
- Healthcare.gov
- Highmark PRODUCER HOME
- Highmark Book of Business
- Highmark HRA form
- Horizon Blue
- Humana Vantage
- Maryland Health Connection Website
- MedicareApp – Log in and get started
- MedicareCENTER
- Molina (and UPMC) via Evolve
- New Era – Policy holder Log in
- Oscar Login
- Pennie
- Premier Insurance Contracting Recruiting Page
- Premier Marketing
- Sentara
- Sircon Platform
- Sunfirematrix (Only seems to work on Microsoft Edge)
- SunFire BlazeConnect (Non-Walmart)
- SunFire BlazeConnect (Walmart)
- Think Agent
- Think Agent (Same site, more direct route)
- UChicago | UnitedHealthcare Sophia Login
- UnitedHealthcare Broker Portal signin (Jarvis)
- UHone
- UPMC Cavulus
- UPMC Cavulus alternative link
- UPMC Commercial Broker Portal
- Virginia’s Insurance Marketplace Broker Portal
- Virginia’s Insurance Marketplace Learning Management System
- Wellcare Agent Applications
Become a broker
Become a BCBSRI Broker | Blue Cross & Blue Shield of Rhode Island
Become a producer Capital BCBS
Get appointed with Regence BCBS (Oregon)
Charts and Guidelines
- An SEP if your income doesn’t exceed 150% of the federal poverty level – healthinsurance.org
- CHIP Income Guidelines Chart 2024.pdf
- CHIP Income Guidelines Chart 2025.pdf
- Dental CPT Codes | DentalCPTCodes.com
- FPL Chart 2021
- FPL Chart 2022
- FPL Chart 2023
- FPL Guidelines 2023 Non-48 states
- Healthcare.gov SEP Chart
- Humana 2025 DESNP Verification Quick Reference Guide
- Life Expectancy Tables – Life Expectancy Calculator: Determine Your Expected Life Span
- Medicare SEP-Chart
- Medicare Special Election Period Chart
- Medicare Supplement Plan Chart
- Pennie Special Enrollment Period Quick Reference Guide
- Pennie Broker One Page SEP Chart
- FEMA Declared Disaster search tool
- CMS Memo on increase in resource limit for LIS (Extra Help) for 2024
- Does employer-provided insurance meet affordability requirements?
Fitness Programs
- Fiton Health
- Silver and Fit
- Silver Sneakers
For Foreigners
- Changes to “Public Charge” Inadmissibility Rule: Implications for Health and Health Coverage | KFF
- Form I-94 Explained (Arrival/Departure Record) | CitizenPath
- I94 – Official Website
- I am a green card holder and will be applying for U.S. citizenship next year. If I get health insurance through Obamacare, will that prevent my citizenship application from being approved because of the new public charge rule? – Murthy Law Firm | U.S Immigration Law
- Find out what immigration statuses qualify for coverage in the Health Insurance Marketplace®. | HealthCare.gov
- Foreign language flyers | marketplace.cms.gov
- Language Services Resource Guide for Health Care Providers – National Health Law Program
Medicaid
- Ohio Medicaid Hotline Change Your Plan – Member Portal
- Pennsylvania 2024 Income and Resource Limits for Medicaid and Other Health Programs
- PA Medicaid Plan Change Website
- PA MedicaidChoicesSW_en.pdf
- PA-Medicaid-Member-Handbook.pdf
- Medical Assistance Eligibility Handbook (html version)
- Medical Assistance Eligibility Handbook (pdf version)
- Pennsylvania Medicaid Categories (From the Medical Assistance Transportation Program eligibility guide)
- Pennsylvania Medicaid Income & Asset Limits for Nursing Homes & In-Home Long Term Care
- Pennsylvania Medicare Buy-In Program That Helps with Part A Premium Costs
- VA Change Your Health Plan | DMAS – Department of Medical Assistance Services
- Virginia Medicaid (Cardinal Care) login page
- Virginia Medicaid Income Limits
- Virginia Department of Social Services CommonHelp page
- Virginia Medicaid for Children
Medicare
- Applying for Medicare Part B only
- Eligibility for premium-free Part A if you are over 65 and Medicare-eligible – Medicare Interactive
- Fact Sheet 01-12: Medicare and CHAMPVA
- Form CMS-L564 for getting a special election period when leaving employer group coverage
- Medicare Advantage Special Enrollment Periods
- Medicare Advantage vs. Medigap: Key Differences
- Medicare late enrollment penalties
- New Benefit Offered For Diabetic Medicare Enrollees
- New Medicare Program to Cap Monthly Copays for Insulin
- How to calculate the Part D Late Enrollment Penalty (LDP)
- 2024 Formulary & Low-income Subsidy (LIS) Reference Guide
- Medical Assistance for Workers with Disabilities (MAWD) Brochure
- Medical Assistance for Workers with Disabilities (MAWD) Guide to Eligibility
- Medicare Premiums 2024: IRMAA for Parts B and D
- Part D Low Income Subsidy/Extra Help Eligibility and Coverage Chart
- Special Enrollment Periods, SEP Verification, and Complex Case Scenarios
Obamacare
- Agents and Brokers in the Marketplace
- Individual coverage Health Reimbursement Arrangements (HRAs) | HealthCare.gov
- Individual Coverage Health Reimbursement Arrangements: Policy and Application Overview
- IRS Obamacare Rules
- Maryland Health Connection website
- ObamaCare Tax Credits and the IRS from www.UncoverObamaCare.org
- How do I adjust the amount of advance premium tax credits in Pennie?
- How Married People Filing Separately Can Qualify for the Premium Tax Credit
- 2024 2025 Cap on Paying Back ACA Health Insurance Subsidy
- What happens to my Obamacare premium subsidy if I overestimated my income?
- What’s the most I would have to repay the IRS? (From Kaiser Family Foundation)
- Pennie Qualifying Life Events Guide
- Pennsylvania’s New Health Insurance Landscape
- PPACA Sec. 1401 – Health Reform Navigator
- Review of Federally-Facilitated Marketplace Special Enrollment Periods and Plan Category Limitations
- Special Enrollment Period Quick Reference Guide (including required documentation)
- Special Enrollment Periods, SEP Verification, and Complex Case Scenarios Webinar (From CMS)
- What’s included as income | HealthCare.gov
- Instructions for Self-Attestations regarding prior coverage
- An SEP if your income doesn’t exceed 150% of the federal poverty level
OTC Benefits
- Aetna CVS OTC benefit login
- Aetna Nations Benefits
- Cigna2025 OTC Catalog (pdf)
- Highmark 2025 OTC Catalog (on my hard drive)
- Highmark OTC Benefit Access (requires login with member ID)
Plan Information
- 2023 UPMC for Life Plans | Broker Training – UPMC Health Plan
- 5-Star-MA-Plans-by-Carrier-and-State.xlsx
- AARP Medicare Plans from UnitedHealthcare
- Aetna Medicare Plan Documents
- Aetna Individual Plan Documents (For Evidence of Coverage, find the URL on Page 1 of the Summary of Benefits)
- Aetna WPA Plan Guide
- Aetna 2024 Over-the-counter (OTC) product catalog
- Aetna 2024 Healthy food catalog
- Anthem Documents
- Cigna + Oscar Plan Documents
- DentaQuest PPO Family High Plan
- DentaQuest PPO Family Basic Plan
- Highmark Individual & Family Plans
- Highmark Complete Blue PPO Summary of Benefits
- Highmark Western Pennsylvania region, ACA Individual and Family Plan Coverage
- 2024 Highmark Medicare Advantage, Highmark Wholecare, and ACA Individual Market Agent Field Guide
- Humana Plan Documents
- Humana’s Sales Enablement Library
- Medicare Help | Compare Medicare Advantage and Part-D Plans
- MedicareAdvanage.com You can find plan documents if you know how to search creatively
- Oscar Plan Documents
- Q1Medicare.com Your Source for Medicare Part D Plan Information
- UHC Group Health Plan Comparison Table
- UPMC Dental Benefits
- UPMCForLife2023-mc-wpa-premier-roll-fold.pdf
- UPMC Network and Plan information
- UPMC 2025 plan grids and documents
- UPMC Plan Finder tool
- WellCare – Welcome to WellCare
-
Prescription Help and Formularies
- Aetna formulary
- Briviact Savings Card
- Cost Plus Drugs (Mark Cuban’s project)
- Find a Pharmaceutical Assistance Program for the drugs you take
- Formulary Search
- GoodRx
- Highmark formularies
- Highmark formularies (another tool)
- Lost and Found Pharmacy
- Pace Formulary 2020
- PartDQuestions-2021.pdf
- PA RX Price Finder
- Pennsylvania PACE
- Prescription Assistance Program list (including state programs)
- UHC 2022 Drug List
- Understanding the Extra Help with Your Medicare Prescription Drug Plan brochure from Social Security
- UPMC Advantage 2025 formulary (PDF)
- UPMC Health Plan pharmacy benefits (Largely PDFs)
- UPMC Health Plan formulary lookup
Provider Lookups
- Aetna – Find a Doctor, Dentist or Hospital
- Aetna Medicare PPO/EPO Dental Provider Search
- Allwell from PA Health and Wellness – Find a Doctor or Pharmacy
- Ambetter Provider Lookup
- Anthem Find Care
- Cigna Provider Lookup
- Delta Dental Provider Lookup
- Highmark Provider Lookup
- Highmark Wholecare – Find a doctor
- Humana – Find a Medicare Doctor in Your Network
- Oscar Provider Lookup
- St. Clair Hospital – Participating Insurance Plans
- UnitedHealthcare – Find a doctor
- UPMC Health Plan – Provider Directory
- UPMC network providers Medicare/Obamacare downloadable directories
Quotes
Social Security
- Social Security Website
- Can I receive a lump sum when I apply for Social Security?
- Social Security/Medicare application checklist
- National Average Wage Index from Social Security
Taxes
- Tax Forms, Instructions, and Publications
- Can I receive a lump sum when I apply for Social Security?
- When do I need to include my 1099-B with my return? TAX
- Instructions for Form 8962 (2023) | Internal Revenue Service (irs.gov)
- APTC repayment information for 2023 and 2024
- Retirement account rollover chart
- Publication 590-A (2023), Contributions to Individual Retirement Arrangements (IRAs)
- The affordability criteria for employer-sponsored health insurance
Tools and Forms
- NationsBenefits (Website for Aetna MA members to access their extra benefits)
- CSG Quoting Tool from Premier Marketing
- DeltaDentalQuoteTool
- Highmark HRA form
Broker Change Request form
- Medicare
- Online Application for Medicare Part B only
- Paper Application for Medicare Part B only
- Online Application for the Low-Income Subsidy (Extra Help)
- Paper Application for the Low-Income Subsidy (Extra Help)
- CMS-L564: Request for Employment Information (for SEP when applying for penalty-free Medicare after 65)
PennieMicrosoft Word – 2022 COVID-19 SEP Attestation_Form [FINAL][77].docxPennie Self-Attestation Form (Fillable) For income
- Pennie Attestation of Non-ESI Minimum Essential Coverage
- PennieSelf-Attestation-Form-1-4.pdf
- Path to Pennie REV-1882 form (This is a possible way for people to get an SEP even if they otherwise would not.)
- Path to Pennie information
- Healthcare.gov
- Annual Income Letter of Explanation (Healthcare.gov)
- Cigna Medicare Supplement application
- Cigna Medicare Application Fax Cover Sheet
-
Other Information