Roles and Responsibilities
This role is licensed and certified to sell health insurance in Georgia and assists consumers in application and enrollment.
An Agent
Agents must have this type of licensure to operate.
Accident & Sickness licensure
In this model, agents work for an agency with an agency manager overseeing them
Agency Model
The first step in the consumer journey on the EDE platform
Account Creation
After certification, agents must create these if they manage downline agents
Agency Accounts
This role is part of the agent’s administrative team but cannot assist with enrollment.
Agent Admin
The minimum passing score required for the Georgia Access certification assessment
80%
In this model, agents manage their own accounts independently
Independent Agent Model
This step involves integration with Georgia Access for real-time eligibility and subsidy determination
Eligibility Determination
This role manages their client book, assists in plan enrollments, and handles client applications
Agent
Licensed by Georgia Access to provide education and support but cannot advise consumers on which plan to select.
Navigator
The deadline for Navigators and CACs to complete PY 2025 certification and secure licensure
November 1, 2024
The person responsible for creating and managing agency accounts and agent profiles
Agency Manager
Consumers can shop for plans and compare costs during this step.
Plan Selection
The benefit of EDE for consumers
Seamless user experience with simplified enrollment and consistent customer support
Affiliated with Certified Application Counselor Designated Organizations (CDOs) and helps consumers apply for health coverage.
Certified Application Counselor (CAC)
The number of attempts allowed to pass the certification assessment
3 attempts
After certification, agents must set up this profile.
Georgia Access agent profile
Submissions are made directly to Georgia Access during this step
Enrollments
The benefit of EDE for EDE partners.
What is control over the consumer journey, allowing integrated marketing, data collection, and support
Third-party entities certified by HealthCare.gov to provide Exchange shopping and enrollment services.
Enhanced Direct Enrollment (EDE) Partner
The platform where agents, navigators, and CACs must complete their certification training
The role that helps manage agency brokers and assists with basic consumer questions.
Agent Admin
EDE partners provide this type of support after enrollment
Post-Enrollment Support
The benefit of EDE for Georgia Access
Expanding access and reducing the workload on state resources