ACA (Affordable Care Act) under-65 health insurance is a powerful complement to a Medicare or life book: it pays monthly, renews automatically, and keeps you productive year-round. Here's how to start selling Marketplace plans.
Step 1: Be properly licensed
You need an active health line of authority in your resident state, and a license in any other state where you want to write. (Many ACA agents hold a combined Life & Health license.)
Step 2: Complete FFM certification (it's free)
To sell on the federal Marketplace you must complete the Federally Facilitated Marketplace (FFM) registration and training each plan year through CMS. It's free and takes a few hours. State-based exchanges have their own (similar) process.
Step 3: Get appointed with carriers
Get carrier appointments for the plans you'll sell in each state. Many agents also use an enrollment platform (like HealthSherpa) that streamlines quoting, subsidy estimates, and enrollment.
How ACA commissions work
ACA typically pays per member per month (PMPM) — commonly around $20/member/month — on the full undiscounted premium, regardless of any subsidy the client receives. A family of three at ~$20 PMPM each is ~$60/month, or ~$720/year, and it renews monthly as long as the member keeps the plan and pays. Many carriers add production bonuses during Open Enrollment.
The ACA calendar
- Open Enrollment Period (OEP): the main window (commonly Nov 1 – Jan 15 in most states) to enroll or change plans.
- Special Enrollment Periods: life events (job loss, move, marriage, birth, income changes) plus a standing SEP for many lower-income households mean you can write ACA all year.
Why agents love ACA
- Year-round production smooths the income gaps between Medicare seasons.
- PMPM renewals build a recurring base that compounds with each OEP.
- Cross-sell dental, vision, and accident plans to grow each household's value.
A few realities
Subsidy and eligibility rules change, so stay current, and document everything for compliance. Persistency matters — help clients keep paying premiums so your renewals stick.
Bridgepoint helps agents add ACA the right way — certification, carriers, tools, and leads — so you produce 12 months a year. Apply to get started.