Association Health Plans

Name

Association Health Plans

Legal name

Association Health Plans, Inc.

Website

https://associationhealthplans.com

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Mountain View

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Cloud Solutions Platform (B2B SaaS): Cloud-based technology platform offered to associations and benefit consultants to launch and manage association health plans; represents the company's planned/emerging recurring revenue stream. Described as highly scalable and swiftly deployable.
2. Information / Research / Media Services: Monetization model not explicitly disclosed; the public-facing website (AssociationHealthPlans.com) provides free educational content, research reports, and acts as a media relations hub via SB Public Affairs, suggesting lead-generation and consulting/influencer-driven revenue rather than direct consumer fees.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels8 records

Core offering

Association Health Plans, Inc. operates AssociationHealthPlans.com as the leading information, research, and media hub for U.S. association health plans (AHPs), publishing original studies, news, and educational content about the 2018 DOL AHP regulation and large-group ERISA framework. Building on this content foundation, the company is launching a cloud-based SaaS Cloud Solutions Technology Platform that electronically handles launching, enrolling members into, and managing large group association health plans for trade, industry, regional, and professional associations across the United States, bundled with proven digital health programs.

Product overview

Association Health Plans, Inc. operates AssociationHealthPlans.com, an information and technology hub centered on U.S. association health plans (AHPs). The current offering is primarily an educational and research website built around the AHP Learning Center, AHP News & Commentary, and the AHP Research Center modules, which together explain AHP regulation, benefits, eligibility, and market trends to small businesses, the self-employed, benefits consultants, and journalists. Building on this content foundation, the company's flagship upcoming product is the Cloud Solutions Technology Platform, a cloud-based system intended to electronically handle all aspects of launching, enrolling members into, and managing large group association health plans for associations across the United States, and designed to bundle proven digital health programs to deliver meaningful savings versus unsubsidized premiums.

Differentiator

Problem solved

Functional benefit

Products and services

• Cloud Solutions Technology Platform A cloud-based SaaS platform that electronically handles launching, enrolling members into, and managing large group association health plans for associations across the United States, bundled with integrated digital health programs (wellness, telemedicine, wearables).
• AHP Consultation and Launch Advisory Consultation and advisory engagement through which associations, benefits consultants, TPAs, payroll processors, insurers, and law firms engage Association Health Plans, Inc. to scope and launch AHPs using the Cloud Solutions platform.

Quantifiable outcome

• 20–50% premium savings vs. unsubsidized insurance, per industry studies cited by the company.
• +5 more outcomes

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered minor, flagship and core.

• SB Public AffairsminorGTM or Marketing Partner · 1 November 2019External media relations firm representing AssociationHealthPlans.com for journalist inquiries; primary contact Kevin McVicker ([email protected], (703) 739-5920). Listed publicly as the company's media relations representative.
• UnitedHealthcare (and its subsidiaries)flagshipStrategic or Co-development Partner · 1 January 2019UnitedHealthcare and its subsidiaries are the most popular insurance carrier used by new fully-insured AHPs studied, with 12 of the 28 active new AHPs using a UHC entity to provide coverage. Per the chamber AHP study, 61% of chamber-sponsored AHPs use UHC or its subsidiaries; UHC has publicly stated it does not offer "skinny" AHP plans.
• Blue Cross Blue Shield (BCBS) insurerscoreStrategic or Co-development Partner · 1 January 2019BCBS insurers are the second most popular insurance carrier used by new AHPs, with 6 of the 28 active new AHPs using a BCBS entity. Cited examples include the Oklahoma State Chamber's Blue plan and Vermont's Blue Cross Blue Shield AHP.
• Coalition to Protect and Promote Association Health PlanscoreStrategic or Co-development PartnerLegal Advisor Christopher E. Condeluci serves as Director of this coalition of member-based organizations, AHP service providers, and insurance carriers that advocate for statutory and regulatory clarity for fully-insured and self-insured Pathway #1 and #2 AHPs. The company is closely aligned with this advocacy coalition.
• Kelsey National Corporation / DentalInsurance.comcoreStrategic or Co-development PartnerCo-founder Mark Kelsey is CEO of Kelsey National Corporation / DentalInsurance.com (largest online marketplace of dental health plans); TPA Services lead Nayri Horvat and Business Development Executive Avery Smith (President of Kelsey National Corporation) are deeply integrated with the company.

Scale indicators15 records

Recent moves6 records

Expansion highlights5 records

Others

• HealthEquity: Largest HSA custodian in the U.S. that integrates with employer-sponsored plans, including those of small businesses. Adjacent because AHPs advertise tax-advantaged account compatibility (HSA/HRA/FSA) and rely on similar employer-benefit ecosystems.

Broad incumbents

• Benefitfocus: Established benefits administration SaaS platform serving employers, carriers, and consumers with a much broader portfolio. Relevant because it competes for the same employer benefits administration wallet that AHPs address, even though it does not specialize in association health plans.
• SelectQuote: Public (NYSE: SLQT) insurance distribution platform using technology and contact centers to sell health and life insurance. Overlaps with AHPs on small business and individual health insurance distribution channels.
• GoHealth: Public health insurance marketplace focused on Medicare and individual/family coverage with a technology platform for carrier distribution. Comparable on tech-enabled insurance distribution and carrier relationships, though serving different end customers.
• eHealth (EHTH): Public health insurance marketplace (NASDAQ: EHTH) where co-founders and several advisors previously worked. Targets small businesses and individuals buying health insurance online — the same customer base AHPs serve — but at much greater scale and without an association-pooling model.

Emerging players

• Gusto: HR, payroll, and benefits platform for small businesses that bundles health insurance offerings as part of an integrated SMB stack. Comparable because it is a SaaS-led distribution channel for small-business benefits that could expand into AHP-like offerings.
• Stride Health: Health insurance platform focused on self-employed individuals and gig workers — a segment AHPs explicitly target as working owners. Comparable on customer overlap (self-employed seeking affordable coverage) but uses ACA individual market rather than association pooling.

Direct peers

• HealthPlanOne: Health insurance brokerage and distribution platform that connects individuals and small groups to carriers through technology-enabled enrollment flows — similar go-to-market and end-customer base as Association Health Plans.
• Connecture (now W3LL): Healthcare technology platform that built enrollment and marketplace infrastructure for health insurance carriers and exchange customers, including work on the Medicare Plan Finder. Closely comparable to AHP's Cloud Solutions platform in targeting insurance distribution and benefits enrollment automation.
• Softheon: Cloud-based health insurance exchange and SaaS platform for carriers, states, and brokers that handles enrollment, billing, and member management. Closely comparable to AHP's Cloud Solutions platform in technology scope and carrier-facing model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/ahp_insurance
• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/associationhealthplans-com

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Funding overview

Funding rounds

Investors

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 Association Health Plans