Insurance vertical

ACA calls that keep coming after open enrollment

Open enrollment is a ten week sprint, and most ACA media stops when it ends. Special enrollment periods put qualified consumers in market every month of the year, and we buy for both.

Who the callers are

How ACA and Obamacare calls are produced and screened.

01

Who is on the line

Consumers comparing marketplace plans, most of them subsidy eligible and shopping on network and out of pocket exposure rather than brand. Each caller is screened for state, household size, and current coverage status before a licensed agent picks up. Two further questions do most of the sorting. The first is whether anyone in the household has an offer of coverage through an employer, because that changes the conversation your agent is about to have. The second is what opened the shopping window: a job that ended, a move across county lines, a baby, a divorce, or simply the arrival of open enrollment. Callers whose household income looks far below the marketplace range are pointed toward their state agency instead of transferred. So are callers already enrolled and calling about a bill, since that is a service issue their current carrier owns.

03

Channels that feed it

Paid search covers plan comparison and subsidy questions, paid social reaches consumers who do not know a life event opened a special enrollment period for them, and SMS follow-up works the people who filled a form but missed the first call. The three are read against each other every Monday, and the one producing transfers your agents can actually enroll takes the larger share that week. SMS runs on its own consent, kept separate from the call consent, with sends held inside the recipient's local quiet hours and every message carrying a working opt out. A form filled during staffed hours is dialed within a minute. One that lands overnight gets a text first and a call when the floor opens. Terms that read as a search for free government coverage are negatived out early, because those callers arrive expecting something a licensed agent cannot sell them.

04

Subsidy literacy in the creative

A caller who expects coverage at no cost and learns otherwise on the phone hangs up, and your agent has spent ten minutes for nothing. So the ad does the explaining first: financial help depends on household income and household size, most marketplace shoppers qualify for some amount, and the amount itself is settled by the exchange rather than by your agency or by us. It names no figure, promises no particular plan, and treats every reference to what a plan costs as an estimate with its eligibility condition attached. Those are advertising judgments your compliance reviewer approves before launch, because marketplace and state expectations around this language keep moving and the obligation sits with the licensed party. The payoff shows up in handle time, since a caller who already understands where the number comes from spends the call choosing a plan instead of being talked down from what the ad led them to expect.

Channels

The services behind this vertical

These are the channels we buy to produce this call type, all reporting into one attribution view.

FAQ

Questions we get

01How do you plan volume between OEP and the rest of the year?

Open enrollment runs November through January and carries the heaviest demand, so budget, creative, and staffing plans are built for it months ahead. The rest of the year runs on qualifying life events: a move, a job change, a birth, a loss of coverage. Those callers arrive in smaller numbers every week, and the campaigns stay on to catch them.

02Which states can you generate calls in?

Whichever states your agents hold active licenses in. Targeting is built from the license roster you send us and revised whenever that roster moves, additions and lapses alike, and callers outside your footprint are screened out instead of transferred. Federally facilitated states and state-run exchanges behave differently enough that we buy them as separate campaigns.

03How do you keep transfers from swamping our agents?

Pacing is set against your staffed hours and the number of agents actually on the floor, not against a daily total. Tell us the concurrency your team can handle and we buy to it. If hold times climb, volume comes down the same day rather than at the end of the week.

04Do other agencies get the same calls?

No. A consumer who reaches one of your agents is not resold to another agency afterward. That term is signed at contracting, before a single call routes, so it is not a conversation you have to start after noticing a caller being worked by someone else.

05How do you handle callers who turn out to be Medicaid eligible?

They are told, and they do not reach your agents as a marketplace enrollment. Household size and income come up early in the screen, so someone falling below the marketplace threshold gets pointed to their state agency rather than walked into an application they cannot finish. You are not billed for them. If your agency does help in that situation somewhere, say which states and we route accordingly.

06Can volume pause during carrier commission changes?

Yes. Name the carriers or the states affected and the buy comes down to exactly that level, usually inside a business day, rather than the whole campaign going dark. Holding at a reduced pace while the change settles is easier on performance than a full stop and a cold restart, so we ask for the expected resume date up front and keep creative and tracking warm until it arrives.

Next step

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