ACA quoting · Healthcare.gov
ACA quotes inside the CRM, connected to Healthcare.gov.
Start from the client record, pull Healthcare.gov marketplace data, compare plans side by side and save the comparison back to the customer — without leaving CRMDAY One or retyping the household.
Quote connected
From the client record
- ZIP code and county
- Household members and ages
- Estimated annual income
From the marketplace
- Available plans and carriers
- Premium, deductible, out-of-pocket
- Estimated savings (APTC)
Illustrative values. Plan availability varies by ZIP code and plan year.
Why quoting belongs in the CRM
Every quote is part of a relationship, not a browser tab.
Agents jump between the CRM, the marketplace and a spreadsheet to answer one question: which plan fits this family. CRMDAY One keeps the question and the answer inside the customer record.
Context
No retyping
ZIP code, household and income come from the record your team already maintains.
Speed
One workspace
Search, filter and compare without switching tools in the middle of a call.
History
The comparison stays
The comparison PDF is attached to the client, ready for the next conversation.
Team
The same flow for everyone
Producer, NPN and ownership travel with the quote across the whole team.
Marketplace data
What the Healthcare.gov connection brings in.
The quote workspace reads marketplace data for the client's county, so what you show on screen is plan information instead of numbers typed by hand.
Plans
01Available plans
Plans offered for the client's ZIP code and county, organized by carrier.
Pricing
02Premium and deductible
Monthly premium, deductible and out-of-pocket maximum for each plan.
Savings
03Estimated savings
Subsidy estimate (APTC) based on household size and estimated income.
Benefits
04Copays and drugs
Primary care, specialist and generic drug cost sharing, side by side.
Networks
05Carriers and networks
Carrier, plan type (HMO or PPO) and the network behind each option.
Levels
06Metal levels
Bronze to Platinum, plus Catastrophic, with the Silver variants that carry cost-sharing reductions.
Estimates are non-binding and vary by county, plan year and the household data entered.
How the connection works
From the client record to the plan on the policy.
Four movements, one direction: the data you already keep goes out, marketplace plans come back, the comparison returns to the client.
- 01
Record
Open the client
Household, ZIP code, income and responsible producer are already in the contact.
Marketplace
Query Healthcare.gov
The workspace looks up the plans available for that county and plan year.
- 03
Compare
Compare side by side
Filter, select the finalists and read premium, deductible and benefits in one table.
- 04
Return
Back to the record
Attach the comparison PDF, move to the policy workflow and keep the relationship going.
Demonstration with fictional data. Illustrative plans and prices.
Plan comparison
Metal levels, side by side.
Quoting is a conversation about trade-offs. The workspace shows the levels a household can choose from, with the numbers that decide it.
Bronze
~60% actuarial value
Lowest premium, highest cost when care is actually used.
Silver
~70% actuarial value
Where cost-sharing reductions apply for eligible households.
Gold
~80% actuarial value
Higher premium, lower cost at the point of care.
Platinum
~90% actuarial value
Highest premium, lowest out-of-pocket exposure.
Catastrophic
Limited eligibility
Low premium and high deductible, for households that qualify.
Actuarial value is the average share of covered costs a plan pays, as defined by the ACA.
Connected workflows
The quote is one step in an operation that continues.
Producer, consent and privacy
Quoting with the paperwork in order.
A quote is a regulated conversation. The workspace keeps the producer, the documentation and the client history in the same place the audit will look.
Producer
Responsible producer and NPN
Every quote carries the producer and NPN that owns the relationship.
Consent
Consent and documents
Consent records and documents stay attached to the client, not to someone's inbox.
Privacy
HIPAA-minded operation
Controlled access and processes designed around HIPAA requirements.
CRMDAY and CRMDAY One are independent software products and are not affiliated with, endorsed by or sponsored by HealthCare.gov, CMS or any government agency. HealthCare.gov is a trademark of the U.S. Department of Health and Human Services.
What is ACA quoting inside a CRM?
It is running a Healthcare.gov marketplace quote from the customer record, with the household data you already keep, and returning the result to that same record.
Instead of a quote that lives in a browser tab and a PDF in a download folder, the comparison becomes part of the client history: who quoted, when, which plans were compared and what the client saw.
FAQ
ACA quoting in CRMDAY One.
Does CRMDAY One quote ACA plans with Healthcare.gov data?
Yes. The quote workspace reads marketplace plan data for the client's county and shows premium, deductible, out-of-pocket maximum and benefits for comparison. Values in demonstrations are illustrative.
Do I have to retype the household to run a quote?
No. The quote starts from the client record: ZIP code, household members, ages and estimated income come from the contact you already maintain, and you only adjust what changed.
Where does the comparison go after the call?
The comparison is attached to the client as a PDF and linked to the producer who ran it, so whoever opens the record next sees exactly what was presented.
Which states does the quote cover?
The workspace is built around the Healthcare.gov marketplace. Some states run their own marketplace, so tell us which states you work in and we will confirm what is available today.
How does quoting connect to enrollment and renewals?
The selected plan feeds the policy workflow, while HealthSherpa sync and Open Enrollment orchestration keep applications, DMI follow-up and renewals in the same operation.
CRMDAY One · free trial
Quote, compare and keep the client.
Bring ACA quoting into the same place your clients, policies and conversations already live.
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