HBEX17 - General Agents

This contract awards the responsibility for Covered California’s Small Business Health Option Program (SHOP) to four qualified general agents. The agents will market, recruit, train, and support agents and small‑group employers, handle enrollment applications (including electronic conversion), provide quoting services, and deliver multilingual enrollment assistance. Compensation is tied to a percentage of premiums received, with potential performance‑based incentives, and the contract may be extended for up to two additional one‑year periods. The solicitation was competitive, open to multiple bidders, and required the awardees to maintain insurance coverage, adhere to HIPAA standards, and submit regular performance reports. • Scope includes training, marketing, enrollment processing, eligibility verification, and open‑enrollment support. • Maximum contract ceiling is $3 million, with a fixed‑price structure and performance‑based payment model. • Four vendors were selected, each responsible for statewide or regional coverage of the SHOP program.