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Standard Procedure · Agent Training

Quote Engine

57 deductible options across 12 products from PSM, LifeX, Enroll Prime, UnitedHealthcare, ManhattanLife, and Allstate. Enter the client's state, age, tier, budget, medications, and health history — every product prices at its cheapest option the client can actually get, and the ones they can't knock themselves out. Use the dropdown to move up a deductible. Click any product for copays, drug costs, underwriting, and network.

Build the quote

Answer what you know. Every question below narrows the list — medications and health history knock out plans the client would be declined for, so you find that out before you build the quote instead of after.

On any medications?
Any pre-existing conditions?
Height and weight · build chart
ManhattanLife declines outside its build chart and the diabetes chart is tighter, so ticking Type 1 or Type 2 above narrows it. Nobody else publishes a chart.
State
Doctors they want to keep
Enter, or the plus. Each one carries into every plan's network directory.
Budget — most they'll pay per month
Age
Who's covered
Can they absorb a big claim?

Disqualify early

Before you build a quote, not after.

  • They'd get a real subsidy on the marketplace. Send them there. Selling against a big subsidy is bad for them and bad for you.
  • Type 1 diabetes. Every carrier here declines it except PSM, and PSM only on an approved suitability code.
  • Any serious condition — heart, stroke, cancer, kidney, liver, autoimmune, pregnancy. Underwritten coverage excludes it for 12 months. Send them to the marketplace.
  • Anything not controlled. Six months stable is the bar at most carriers.
  • Brand or specialty medications — check before you present.
  • Pregnancy.
  • Their state. LifeX uses PHCS everywhere except NY and NJ, which use MagnaCare.

Every carrier underwrites differently

Don't carry one carrier's process onto another carrier's call.

CarrierHow it underwritesCutoffDraft
PSMSuitability code. Client is underwritten before enrolling.19th20th
LifeXYes/no health questions on the application. That's it.22nd15th
Enroll PrimeDeclines if pre-existing conditions will cost over $5K the first year.
UnitedHealthcareMedically underwritten by Golden Rule. 12-month pre-existing exclusion.
ManhattanLifeSimplified issue with a published decline list and a build chart. Prescription check on every application.
AllstateShort health application. Guaranteed Issue plan asks nothing at all.

What we actually sell

Your client isn't buying an individual policy. They're joining a group and getting coverage under that group's plan — the same way an employee gets coverage at a big company. The group just isn't their employer.

Every one of these has three parts. Learn to say them separately.

When a client asks "who's the insurance company?" — the group is the plan. The network is not the insurance company. Saying "it's a PHCS plan" describes the doctor list and says nothing about who pays the claim.

Why a self-employed or high-income client wants this

No subsidy to protect

High earners pay full price on the marketplace. There's no discount to lose, so the only question is whether they can get priced better somewhere else.

Health-based pricing

Marketplace plans charge healthy people the same as sick people. These are underwritten, so a healthy client stops paying for everyone else's claims. That gap is the pitch.

Real networks

National PPOs instead of a county-limited HMO. For a client who travels or likes their doctors, this closes deals on its own.

Enroll any month

No waiting for November. A conversation in March can close in March.

The two kinds of plan

Get this right or nothing else matters.

Major medical

Caps what they can lose

  • BIG CLAIM Covered, up to the out-of-pocket max
  • PRICE $600–800/mo
  • FOR Anyone with assets or real risk
Limited / visit-limited

Pays set amounts for routine care

  • BIG CLAIM Client is exposed
  • PRICE $250–600/mo
  • FOR Healthy, price-driven, otherwise uninsured
Never do this

Never let a client think a limited plan is major medical. Say the words "limited plan" out loud, explain what isn't covered, and confirm they understand before you enroll.

Things that get agents in trouble

  • Calling a limited plan "major medical"
  • Saying "it covers everything"
  • Promising an effective date before underwriting clears
  • Telling a client a drug is covered without checking the formulary
  • Giving tax advice — "ask your CPA" is the whole answer
When you don't know, say you'll find out. Nobody loses a sale checking a formulary. Plenty of people lose a client over a drug that wasn't covered.
Internal training use only · Check current plan documents before presenting
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