HealthSherpa

What HealthSherpa does

HealthSherpa, operated by Geozoning, Inc. (DBA HealthSherpa Insurance Agency), is a San Francisco-based technology company that operates the largest exchange for individual health plan coverage in the United States. Its core product, HealthSherpa for Agents, is a CMS-approved Enhanced Direct Enrollment (EDE) platform that creates a secure backend connection to the ACA Marketplace, enabling licensed insurance agents and brokers to quote, compare, and enroll consumers in on-exchange and off-exchange medical and dental plans. The platform supports both Federally Facilitated Marketplace (FFM) states and State-based Marketplaces (SBM), processes applications in roughly seven minutes versus fifteen on Healthcare.gov, and has facilitated more than 20 million enrollments since 2014.

The product surface spans HealthSherpa for Agents (ACA), HealthSherpa for Medicare (medicare.healthsherpa.com), an Enrollee Assistance Full-Service add-on where the company uses its own NPN for direct enrollment, a carrier partnership program with tools and integrations for member retention, and an ICHRA API suite (EnrollConnect, QuoteConnect, StatusConnect) that serves as the connectivity layer between 40+ ICHRA platforms and 100+ carrier products. Technical infrastructure is aligned with NIST 800-53R4 and FedRAMP Moderate baselines, and integrations include the CMS FFM, NIPR for agent license verification, and 40+ ICHRA platforms.

The business model is freemium to the agent: platform access is free for all licensed agents and agencies, and the company monetizes through broker bonus programs, the Enrollee Assistance Program, Medicare referrals, carrier partnership compensation, and ICHRA ecosystem connectivity. Distribution is channel-led: 58,000+ producing brokers, 9,000+ agencies, 70+ carrier partners (97% FFM carrier coverage), and an API-first go-to-market into the ICHRA platform ecosystem. HealthSherpa delivers 98% of all EDE enrollments in the ACA market and was used by more than half of FFM-certified agents during OEP 2026.

Name

HealthSherpa

Legal name

Geozoning, Inc

Website

https://healthsherpa.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

HealthSherpa is a San Francisco-based, CMS-approved Enhanced Direct Enrollment platform that connects 58,000+ licensed insurance brokers with ACA, Medicare, and ICHRA health plans across 70+ carrier partners. It processes over 20 million cumulative enrollments and delivers 98% of all EDE enrollments in the US individual market.

Ownership category

akta.pro rank

Product category

Health Insurance Exchange Platform

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Insurance Agents, Brokers & Service (6411), Accident & Health Insurance (6321)

akta.pro primary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

akta.pro secondary industries

Medicare Plan Distribution & Brokerage (Captive, Independent, FMOs) (FSAIAGAH), Medigap Plan Administration (Enrollment, Billing & Member Services) (HLAEADAC)

Keywords

• ACA enrollment platform
• Health insurance exchange
• Medicare enrollment software
• ICHRA API integration
• Insurance broker platform

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Broker Bonus Programs: HealthSherpa offers free platform access to agents and agencies but generates revenue through various bonus programs including the Enrollee Assistance Program (EAP), Medicare Referrals, Broker Bonuses, and Associates program. Agents are compensated at the time of enrollment with additional compensation if consumers remain enrolled for defined periods. Primary agency administrators can opt to receive payouts at agency level.
2. ICHRA Platform Integration: HealthSherpa provides ICHRA APIs to ICHRA platforms and brokers at no cost. Revenue is generated through increased enrollment volume and carrier partnership relationships as the connectivity layer powering the ICHRA ecosystem.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

HealthSherpa is a free, web-based ACA and Medicare quoting and enrollment platform used by licensed insurance agents, brokers, and agencies to shop, compare, and enroll consumers in on-exchange and off-exchange health plans via CMS-approved Enhanced Direct Enrollment (EDE). The company also operates a suite of ICHRA APIs (EnrollConnect, QuoteConnect, StatusConnect) that connect health insurance carriers with ICHRA platforms, and runs a carrier partnership program for enrollment, retention, and policy-status data exchange.

Product overview

HealthSherpa is an insurance marketplace platform combining ACA and Medicare plan shopping/enrollment tools, broker management capabilities, and carrier connectivity. The core product is HealthSherpa for Agents (ACA enrollment platform with EDE), complemented by HealthSherpa for Medicare, the Enrollee Assistance Full-Service add-on, and the Carrier Partnership program. The ICHRA Suite of APIs (QuoteConnect, EnrollConnect, StatusConnect) extends connectivity to ICHRA platforms and carriers. The platform serves 58k+ producing agents, 9k+ agencies, and partners with 70+ carriers.

Differentiator

Problem solved

Functional benefit

Products and services

• HealthSherpa for Agents Primary ACA quoting, comparison, and enrollment platform for licensed agents and brokers. Supports on-exchange and off-exchange medical and dental plans via CMS-approved Enhanced Direct Enrollment (EDE), with provider and prescription search, subsidy application, renewal workflows, and book-of-business management.
• HealthSherpa for Medicare
• HealthSherpa Enrollee Assistance Full-Service
• HealthSherpa Carrier Partnership Program Program for health insurance carriers providing distribution access to 58,000+ producing agents, integration with EDE enrollment, and policy-status data feeds tied to retention outcomes.
• QuoteConnect ACA quoting API supporting on-exchange and off-exchange plans in all US states, including Federally Facilitated Marketplace (FFM) and State-based Marketplace (SBM) flows, with APTC estimation. Part of the ICHRA API suite for ICHRA platforms and carriers.
• EnrollConnect Off-exchange ACA enrollment API across carrier partners that streamlines enrollment submission for ICHRA platforms and carriers. Part of the ICHRA API suite.
• StatusConnect Policy status API for monitoring effectuation, cancellation, and termination across carriers, enabling real-time lifecycle management. Part of the ICHRA API suite.

Quantifiable outcome

• Complete applications in 7 minutes vs 15 minutes on Healthcare.gov
• +4 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Two partnerships are on record, tiered core.

• 40+ ICHRA PlatformscoreTechnology or IntegrationHealthSherpa partners with 40+ ICHRA platforms through its API suite, enabling these platforms to offer ACA quoting, enrollment, and compliance workflows. The partnership allows ICHRA platforms to access hundreds of carriers and deliver group-like experiences to employers and employees without building one-off carrier integrations.
• 70+ Health Insurance CarrierscoreChannel Partner/ Reseller/ DistributorHealthSherpa partners with 70+ health insurance carriers providing 97% carrier coverage in the Federally Facilitated Marketplace (FFM). Carriers partner with HealthSherpa to reach the platform's 58k+ producing agents and access enrollment distribution through the EDE pathway. Carriers providing policy status feed data see significantly improved payment rates.

Scale indicators11 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Healthcare.gov (CMS Federally Facilitated Marketplace): Healthcare.gov is the government-run ACA Marketplace and HealthSherpa's primary point of comparison and integration. HealthSherpa's EDE technology creates a direct backend connection to this marketplace, and the productivity gap (7 min vs 15 min) frames the competitive narrative.
• eHealth: eHealth is an online health insurance marketplace that facilitates ACA, Medicare, and ancillary plan enrollment through a similar agent-assisted digital channel. It is the most direct publicly-traded competitor with comparable customer base (individual health insurance shoppers) and product breadth (ACA + Medicare).
• GoHealth: GoHealth is an insurance marketplace and enrollment platform that connects consumers with ACA, Medicare, and other health plans via a telephonic and digital agent channel. It is directly comparable in product offering and target customer (individual health insurance shoppers assisted by agents).

Emerging players

• Stride (formerly Take Command Health): Stride is an ICHRA-focused benefits platform that enables employers to offer individual coverage health reimbursement arrangements. HealthSherpa integrates with Stride via its ICHRA API suite, making Stride a complementary platform and partial competitor in the ICHRA ecosystem.
• PeopleKeep: PeopleKeep is a leading ICHRA administration platform for small businesses, integrated with HealthSherpa's QuoteConnect and EnrollConnect APIs. It is comparable as an ICHRA-enablement platform and overlaps in serving the same end consumers through ACA enrollment.
• Gravie: Gravie is an employee benefits platform that includes ICHRA administration and individual health plan shopping, leveraging carrier and agent distribution infrastructure comparable to HealthSherpa's ICHRA API suite.
• Benefix: Benefix is an ICHRA platform that partners with HealthSherpa's API suite to deliver individual health plan enrollment to employer-sponsored ICHRA benefits. It is comparable as an emerging ICHRA player leveraging similar connectivity infrastructure.
• Stride Insurance (HIIVE): HIIVE is an ICHRA platform and benefits administration company operating in the same emerging ICHRA ecosystem where HealthSherpa serves as the connectivity layer.
• WizeHive / Remodel Health: Remodel Health is an ICHRA-focused benefits broker and platform serving small and mid-sized employers, leveraging similar individual market carrier connectivity as HealthSherpa's ICHRA API ecosystem.

Broad incumbents

• SelectQuote: SelectQuote is a direct-to-consumer insurance distribution company with a strong Medicare focus and growing ACA presence. It competes in the same agent-driven enrollment channel and shares the same customer base of individual insurance shoppers.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/healthsherpas
• Facebookfacebook.com/healthsherpas

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds3 records

Investors5 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about HealthSherpa