GetInsured
GetInsured is a private SaaS provider of state-based health insurance exchange platforms, serving US state governments with cloud-native technology, consumer assistance center operations, and implementation services across 10 marketplaces.
- Company typePrivate
- Founded2005
- HeadquartersMountain View, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingSoftware
What GetInsured does
GetInsured (legal entity Vimo, Inc.) is a private SaaS provider headquartered in Mountain View, California, that builds and operates technology platforms for US state-based health insurance exchanges. The company's core product is a microservices-based, fully cloud-native platform running on Amazon Web Services GovCloud (FedRAMP Moderate, NIST 800-53 aligned, HIPAA eligible, SOC 2 Type 2), which it has operated since 2014. This platform underpins 10 state-based marketplaces — Idaho, Illinois, Minnesota, Nevada, New Jersey, New Mexico, Pennsylvania, Georgia, and Virginia, with Oregon launching for plan year 2027 — and has facilitated the migration of 4.5 million people from Healthcare.gov, including the largest FFE-to-SBE transition on record (Georgia Access, 1.3M+ enrollments).
The company sells a platform-plus-modules architecture to state government clients. Core SaaS licensing for the State-Based Marketplace platform is augmented by integrated modules: a Consumer Assistance Center (CAC) operating as an omnichannel contact center (94% satisfaction, 18-second average wait time), an AI-powered Interactive Virtual Agent (IVA), a Notice Solution for ADA/WCAG-compliant communications (~10M notifications delivered), a ProviderInsights directory, and Agent/Broker and Consumer portals. Revenue is generated through multi-year subscription contracts negotiated via state government procurement, supplemented by professional services for implementation and migration projects, and managed-services revenue from CAC operations.
GetInsured's go-to-market is enterprise field sales targeting state insurance commissioners, exchange directors, and state IT leadership, supported by channel partners including licensed agents, brokers, navigators, assisters, and participating health insurance carriers. Distribution is exclusively domestic and concentrated in a small set of large state-government anchor customers. The company has expanded its product footprint into adjacent human-services programs (child care exchanges, unemployment agencies) through its 2021 acquisition of Change & Innovation Agency, and pursues thought-leadership marketing via content, webinars, white papers, and industry conferences.
GetInsured firmographics
Firmographics- Name
- GetInsured
- Legal name
- Vimo, Inc.
- Website
- https://getinsured.com
- Company type
- Private
- Founded year
- 2005
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- GetInsured is a private SaaS provider of state-based health insurance exchange platforms, serving US state governments with cloud-native technology, consumer assistance center operations, and implementation services across 10 marketplaces.
- Ownership category
- akta.pro rank
GetInsured industry classification
Industry- Product category
- Public Sector Healthcare IT / State-Based Health Insurance Exchange SaaS
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182), Insurance Agencies and Brokerages (52421)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Eligibility & Benefits Verification (HLACACAD)
- akta.pro secondary industry
- ACA Marketplace (On-Exchange) Individual Plans (FSAIAEAA)
Keywords
Where GetInsured is headquartered
LocationHeadquarters
- HQ city
- Mountain View
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
GetInsured business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Infrastructure, Operations, Marketing or Sales
Revenue model
- State Government SaaS Licensing: GetInsured provides SaaS technology to state-based health insurance exchanges on a subscription basis. The company offers end-to-end services including technology platform licensing, consumer assistance center operations, and implementation/project management services to state government clients.
- Professional Services: Implementation and project management services for state-based marketplace transitions, including helping states migrate from Healthcare.gov to fully state-based models.
- Consumer Assistance Center Operations: Integrated contact center operations providing support for consumers during enrollment periods, operating in states such as Georgia, Virginia, Nevada, and Pennsylvania.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Enterprise government SaaS platform with integrated services |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels6 records
GetInsured product offering
Product offeringCore offering
GetInsured provides an end-to-end SaaS technology platform for U.S. state-based health insurance marketplaces, integrated with consumer assistance center operations and implementation/project management services. The platform enables state governments to operate ACA-compliant exchanges where consumers can shop, compare, and enroll in Qualified Health Plans, while supporting brokers, navigators, and carriers through dedicated portals. The microservices-based cloud solution runs on AWS GovCloud and includes AI-powered customer service, automated eligibility determination, and consumer communications.
Product overview
GetInsured is a market-leading provider of SaaS technology for public sector healthcare, operating as a unified platform-plus-modules architecture. The core offering is the State-Based Marketplace (SBM) Platform, which supports 10 state-based exchanges (Idaho, Illinois, Minnesota, Nevada, New Jersey, New Mexico, Pennsylvania, Georgia, Virginia, with Oregon launching for 2027). This core platform is augmented by integrated modules including the Consumer Assistance Center (CAC) for omnichannel support, Interactive Virtual Agent (IVA) for AI-powered chatbot interactions, Notice Solution for communications, Agent/Broker Portal, Consumer Portal, ProviderInsights Directory, and Enhanced Direct Enrollment (EDE). The architecture uses microservices on AWS GovCloud for flexibility and scalability, with the enrollment system and contact center operating with integrated real-time data sharing.
Differentiator
Problem solved
Functional benefit
Products and services
- State-Based Marketplace (SBM) Platform Cloud-native SaaS platform for state-based health insurance exchanges, enabling consumers to shop, compare, and enroll in Qualified Health Plans and supporting brokers, navigators, and carriers via dedicated portals. Currently deployed across 10 state-based marketplaces.
- Consumer Assistance Center (CAC) Omnichannel contact center providing consumer support across phone, chat, web, and self-service channels, integrated with the enrollment platform for real-time data sharing. Achieves 94% satisfaction rate, 18-second average wait time, and handles hundreds of thousands of calls during open enrollment periods.
- Interactive Virtual Agent (IVA) AI-powered conversational virtual agent providing natural language customer service interactions for state exchange consumers, with round-the-clock availability for basic inquiries and consumer support routing.
- Notice Solution Communication and noticing tool enabling state exchanges to deliver timely, personalized notices to consumers via email, SMS/text, and mail with pre-defined templates and configurable scheduling.
- ProviderInsights Directory Provider directory built on microservice APIs and integrated into the SBM platform to help consumers make informed decisions about healthcare providers when choosing coverage.
- Agent and Broker Portal
Quantifiable outcome
- 94% customer satisfaction rate with 18-second average wait time at Consumer Assistance Center
- +4 more outcomes
Companies that use GetInsured
Customer profileNamed customers9 records
Segments5 records
Ideal customer profiles2 records
GetInsured technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability6 records
Feature6 records
GetInsured partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core infrastructure, strategic partner and feature enhancement.
- Amazon Web Services (AWS)core infrastructureGetInsured has operated its state-based exchange platforms fully on the cloud since 2014 using Amazon Web Services. The company uses AWS GovCloud for government operations involving sensitive information, featuring FedRAMP and NIST 800-53 alignment, SOC certification, and HIPAA eligible services. AWS provides the infrastructure for AI tools, machine learning, fraud detection, and real-time analytics.
- Change & Innovation Agency (C!A)strategic partnerChange & Innovation Agency (C!A) partners with GetInsured to offer microservices-based solutions for child care exchanges, unemployment agencies, and other safety net programs. C!A provides additional implementation and consulting capabilities for health and human services modernization projects.
- Benaissancefeature enhancementPartnership with Benaissance integrates the ExchangePoint platform for billing, payment collection, and premium remittance processing into GetInsured's private exchange solution. This partnership enhances the back-end administrative capabilities for employers and insurers.
Scale indicators7 records
Recent moves6 records
Expansion highlights5 records
GetInsured competitors and assessment
Company assessmentBroad incumbents
- Maximus: Large government IT and services contractor with operations spanning health insurance exchange implementation and BPO services for state and federal agencies. A potential competitor for state-based marketplace contracts and adjacent public-sector healthcare IT work, though it operates across many verticals beyond ACA marketplaces.
- Deloitte (State Health Exchange practice): Global consulting firm with a dedicated US state health insurance exchange practice providing technology, advisory, and implementation services to states. Comparable in serving the same state government buyers, though broader in scope and not a dedicated SaaS platform vendor.
- HealthCare.gov (Centers for Medicare & Medicaid Services): Federal ACA marketplace operated by CMS that GetInsured's state clients migrate away from. Represents the alternative platform that competes with GetInsured by default; state transitions away from it are GetInsured's primary growth driver.
Direct peers
- hCentive: Healthcare technology vendor specializing in state-based health insurance exchange platforms, including Web Broker entities serving individual market enrollment. A direct competitor in the same SBM technology space with overlapping customer base of state governments and insurance carriers.
- Connecture (now part of ASSESSRx/PharmMetrics): Health insurance exchange technology provider historically offering state-based marketplace and Medicare plan shopping platforms. A direct peer in the exchange technology market, though the company has gone through significant restructuring that affects its competitive positioning.
Emerging players
- Stride (Health Insurance Brokerage): Health insurance brokerage and enrollment platform focused on individual ACA marketplace consumers. An emerging player that competes in the consumer enrollment experience layer and overlaps with GetInsured's broker and consumer portal offerings.
- PlanSource: Benefits administration technology platform serving employers, brokers, and carriers in the commercial market. Adjacent peer in benefits/insurance technology with overlapping broker and consumer enrollment workflows, though focused on employer-sponsored benefits rather than ACA marketplaces.
Others
- Zelis: Healthcare payments and benefits administration platform serving payers, providers, and consumers. Comparable in serving health insurance back-office workflows, with potential overlap in premium billing and remittance integration via GetInsured's Benaissance partnership.
- Benaissance: Premium billing, payment collection, and remittance processing platform integrated with GetInsured for private exchange back-office operations. A technology integration partner rather than a direct competitor, providing adjacent administrative capabilities.
- Salesforce: Enterprise cloud platform that has historically powered some state exchange implementations and provides core CRM/citizen services capabilities. An adjacent enabling technology provider rather than a direct SBM competitor, but a potential partner or substitute for underlying platform functionality.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
GetInsured social profiles
Digital presenceGetInsured compliance and trust
Trust signalCompliance5 records
GetInsured financial estimates
Financial estimateRevenue estimate
Valuation estimate
GetInsured leadership team
Management profileNumber of profiles
Profiles8 records
GetInsured funding detail
Funding detailFunding overview
Funding rounds3 records
Investors3 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
GetInsured M&A and investment
M&A and investmentM&A3 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about GetInsured
What does GetInsured do?
GetInsured provides an end-to-end SaaS technology platform for U.S. state-based health insurance marketplaces, integrated with consumer assistance center operations and implementation/project management services. The platform enables state governments to operate ACA-compliant exchanges where consumers can shop, compare, and enroll in Qualified Health Plans, while supporting brokers, navigators, and carriers through dedicated portals. The microservices-based cloud solution runs on AWS GovCloud and includes AI-powered customer service, automated eligibility determination, and consumer communications.
Is GetInsured a public or private company?
GetInsured is a private company. It is classified as venture growth investor backed and is currently operating.
When was GetInsured founded?
GetInsured was founded in 2005. It employs 501 to 1,000 people.
Where is GetInsured based?
GetInsured is headquartered in Mountain View, United States, in the North America region.
How does GetInsured make money?
Three revenue lines are on record. State Government SaaS Licensing is the primary driver. The others are professional Services and consumer Assistance Center Operations.
Who are GetInsured's main competitors?
Broad incumbents on record are Maximus, Deloitte (State Health Exchange practice) and HealthCare.gov (Centers for Medicare & Medicaid Services). Direct peers are hCentive and Connecture (now part of ASSESSRx/PharmMetrics). Emerging players are Stride (Health Insurance Brokerage) and PlanSource. Others are Zelis, Benaissance and Salesforce.
Does GetInsured have an API?
No public API is recorded for GetInsured.
What industry is GetInsured in?
GetInsured's product category is Public Sector Healthcare IT / State-Based Health Insurance Exchange SaaS. Its primary akta.pro industry code is HLACACAD, Eligibility & Benefits Verification, with a secondary code of FSAIAEAA, ACA Marketplace (On-Exchange) Individual Plans. Its NAICS code is 518 and its SIC code is 7372.