Individual and Family Broker Resources

Tools and resources to support Individual and Family Plan sales, enrollment and member support

Latest Broker News

Open Enrollment runs through Jan. 15, and now is the time to help your clients find coverage that fits their needs and budgets. Jefferson Health Plans is ready to help you make the most of the season.

WHAT’S NEW FOR 2027?

Jefferson Health Plans continues to offer high-quality, competitively priced HMO and PPO Individual and Family Plans across all metal tiers, both on and off exchange. In fact, Jefferson Health Plans is the lowest-cost option across all metal tiers in the majority of our nine-county Pennsylvania service area.

Jefferson Health Plans ACA plans are available in these counties:

  • Bucks
  • Carbon
  • Delaware
  • Lehigh
  • Monroe
  • Montgomery
  • Northampton
  • Philadelphia  Schuylkill

WHY SELL JEFFERSON HEALTH PLANS?

You can bring your clients plans that offer convenient access to care and value throughout the year with:

  • $0 medical deductible plans
  • $0 for the first primary care visit each plan year¹
  • Virtual primary care visits through 1-800-JEFFNOW
  • $0 virtual urgent care visits with JeffConnect (jeffconnect.org)
  • A network of more than 45 hospitals and 13,000 providers
  • No referral needed to see a specialist

A PARTNER THAT HELPS MAKE YOUR JOB EASIER

We know a strong plan is only part of what brokers need. You also need a health plan partner that is responsive, easy to work with, and committed to taking great care of your clients after enrollment.

That’s why Jefferson Health Plans continues to invest in broker support, including a redesigned Broker Resource Center that puts plan information, enrollment resources, and other frequently used tools in one place. We are also committed to providing excellent service to your clients, helping you spend less time troubleshooting and more time growing your business.

READY TO GET STARTED?

Visit our new Broker Resource Center for 2027 ACA plan information and resources.

Thank you for partnering with Jefferson Health Plans. We’re here to support you throughout Open Enrollment and to help you deliver a great experience for your clients.

¹ When seeing a Tier 1 provider for HMO plans and an in-network provider for PPO plans. One $0 visit per plan year.

We're sharing several updates to the Jefferson Health Plans ACA provider network related to recent contract activity.

  • Doylestown Hospital network status is changing for ACA plans. Following its acquisition by Penn Medicine, Doylestown Hospital will no longer participate in the Jefferson Health Plans ACA network effective January 1, 2027.
  • Grand View Hospital network status is changing for ACA plans. Grand View Hospital, now part of St. Luke's University Health Network, will no longer participate in the Jefferson Health Plans ACA network effective January 1, 2027.

What Hasn't Changed

Our ACA network continues to provide broad access to care, including:

  • More than 11,000 participating providers and 48 hospitals
  • A robust network of in-network hospitals and health systems across the region

Broker Action

  • To help clients confirm provider participation and identify alternative in-network options, please use our online Provider Directory or our Hospital Listing which can also be found in our broker resource center.

Thank you for your partnership and for helping clients navigate these network updates.

Jefferson Health Plans is expanding its portfolio with ACA plan options designed for the growing Individual Coverage Health Reimbursement Arrangement (ICHRA) market.

Employers can use ICHRAs to help employees pay for individual health insurance coverage, creating a flexible alternative to traditional group health plans. Jefferson Health Plans now offers off exchange plans that employees can select when receiving ICHRA contributions from their employer.

To help you learn more about this opportunity, please see the ICHRA flyer below that explains how ICHRAs work and the value they can offer businesses and employees.

Interested in learning more? Contact Craig Alleyne to join an upcoming Jefferson Health Plans ICHRA Lunch & Learn and explore how ICHRA plans can create new opportunities for your clients.

Jefferson Health Plans will be making a change related to the administrative fee paid to agents that are directly or indirectly associated to the completion of Health Risk Assessments (HRAs). 

Starting with an effective member date of July 1, 2026, JHP will discontinue paying the administrative fee for completing an HRA for members with enrollment dates after June 1, 2026, for effective dates of July 1, 2026, and beyond for the following plans:

  • All ACA HMO and PPO plans that are offered in Pennsylvania

As always, if you have questions, please feel free to contact us. 

Recently, we sent you an email regarding our transition to Workday for agent registration and onboarding. This change is effective April 17, 2026.

Since you are an EXISTING agent, we transitioned your information to Workday for you.

Please review the following information to create your Workday password:

Your new password cannot be the same as your user name. Password must be 15 characters and include alphabetic characters, uppercase and lowercase, numerals (0 - 9), and special characters.

If you have any questions or need assistance, please reach out to the JHP team.

Workday Transition Overview

Account Creation Notification

  • Brokers received an email confirming your Workday account has been created.

Password Setup

  • Use the link above and follow the instructions in this email to set/reset your Workday password.

Account Validation

  • Log in to Workday to review your profile. 
  • Confirm your information is accurate and add your phone number.

Required Training Completion

  • Complete the JHP Broker General Agency (GA) verification.

We appreciate your attention to this as we update our systems internally.

 

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