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For PartnersEnhanced Direct Enrollment Partners 

Enhanced Direct Enrollment Partners 

Enhanced Direct Enrollment (EDE) partners are certified by HealthCare.gov and partner with Georgia Access to provide an end-to-end Exchange application, shopping, and enrollment experience for consumers, either via self-service or working with a certified agent. EDEs can serve as:

  • Web brokers that offer direct enrollment in all available plans across all insurance companies.
  • Insurance companies that offer direct enrollment only in that insurance company’s own plans.

Many Georgians are finding that working with an EDE partner — whether through their consumer portal, directly through an issuer, or with an agent using EDE partner tools — is the best way for them to find the right health coverage. To promote a better health insurance enrollment experience for consumers, Georgia Access has made it a priority to become the first State-based Exchange (SBE) to offer an EDE pathway.

Georgia Access provides direct access and support to assist EDE partners through our certification process and technology testing, and engages with EDE partners through regularly scheduled all-EDE group meetings and one-on-ones with each EDE partner to discuss updates and address questions.

New EDE Partners

As a preliminary checklist, new EDE partners interested in being a Georgia Access EDE partner should:

  • Not be operating as a “classic” Direct Enrollment (DE) entity serving Georgia consumers. However, Georgia Access is happy to engage with DE organizations that are actively working with HealthCare.gov to be certified as full EDE partners as they progress through that evolution.
  • Have obtained certification as an EDE on the federally-facilitated exchange (FFE).
  • Operate as a Phase 2 or Phase 3 EDE. Phase 2 EDEs will have to transition to Phase 3 EDEs for Georgia Access on the same schedule as the FFE.

Georgia Access works to stay as aligned with HealthCare.gov as possible, in both policy and technology, to minimize required customizations that our EDE partners — who may serve many states through HealthCare.gov — must make for Georgia specifically. These updates and Georgia Access decisions on new FFE mandates are shared with EDE partners through the all-EDE group meetings and one-on-ones with each EDE partner.

Organizations who have satisfied the items in the preliminary checklist above can start the certification process to be a Georgia Access EDE by completing the Georgia Access EDE application and emailing it to EDEsupport@georgiaaccess.ga.gov.

Upon confirmation, the Georgia Access team will review the application, provide a roadmap of the certification process to become a certified Georgia Access partner, grant ShareFile access for new EDE partners to review program and technical documentation, and invite the applicant to the recurring EDE group meetings and individual meetings for direct conversations with Georgia Access.

EDE Updates for Open Enrollment (OE) 2025

Existing EDE partners will receive regular updates during recurring large group meetings and one-on-one sessions with the Georgia Access team. Georgia Access has used the post-OE 2024 period as an SBE on the Federal Platform (SBE-FP) to develop several new optional capabilities, including:

  • Offering EDE partners the ability to host the Georgia Access agent training on their own branded web domain to integrate into their own agent offerings.
  • The use of preliminary eligibility indicators to support the consumer journey through the application.
  • Deployment of an Events-Based Processing (EBP) Application Programming Interface (API) that parallels the HealthCare.gov API, and in parallel developing a process for recurring bulk updates for EDE partners that prefer that pathway to the use of the EBP API.
  • Providing additional support roles for larger agencies to help manage their agent accounts and books of business, as well as provide support for the agents in processing consumer changes, verifications, and account updates.

Current Certified Georgia Access EDE partners

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