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Questions? Here Are Real Answers.

If yours isn't here, reach out — I'll answer it personally.

Getting Started

What does an independent insurance broker actually do?

An independent broker like me isn't tied to any single company. My job is to understand your situation, compare plans across the market, and help you enroll in coverage that actually fits your life and budget. I handle the paperwork, explain the details, and stay available after enrollment when you have questions. You pay nothing extra for my help — brokers are compensated by the insurance companies.

How is working with you different from going directly to an insurance company?

When you go directly to an insurance company, you only see their plans — and naturally they're going to present them in the best light. As an independent broker, I'm not tied to any single company. I can compare options across the market objectively and tell you honestly when a plan isn't the right fit — even if that means recommending something that pays me less. My incentive is your long-term trust, not a one-time sale.

Do I have to pay you for your help?

No — there is no fee to work with me. Insurance brokers are compensated directly by the insurance companies through commissions that are built into plan pricing. You pay the same premium whether you enroll through me or on your own — but going through me means you get personalized guidance, plan comparison, and ongoing support at no added cost.

What states are you licensed in?

I'm currently licensed in 40 states, including Florida, Texas, California, New York, Georgia, and Tennessee. You can view the full, current list of state licenses on the About page. If you're unsure whether I can help in your state, just reach out — I'll let you know right away.

Do I actually need a broker, or can I just sign up myself?

You can absolutely enroll on your own through HealthCare.gov or directly with a carrier. A broker is worth it when you want someone to compare a wide range of plans across the carriers and platforms they have access to, check that your doctors and prescriptions are in-network before you commit, estimate your subsidy accurately, and help you again at renewal or if something changes mid-year. Because brokers are paid by the insurance carriers, you get all of that at no added cost — your premium is the same either way. If your situation is simple and you already know exactly what you want, going direct is fine. If it's not, that's what I'm here for.

Can I get health insurance if I'm self-employed?

Yes — self-employment is one of the most common reasons people use the individual marketplace. Freelancers, independent contractors, sole proprietors, gig workers, and S-corp owner-employees all qualify to enroll in ACA marketplace plans, and many qualify for premium tax credits based on their projected net income. There are also off-exchange private plans worth comparing for network or timing reasons. I help self-employed clients estimate their Modified Adjusted Gross Income, compare on-exchange vs. off-exchange options, and pick a plan that fits an irregular income.

How do I get started?

The easiest way is to fill out the short form on the Contact page or take the 60-second quiz on the homepage. I'll review your information and reach out within one business day to go over your options. If you'd rather talk first, you can also schedule a free call using the Calendly link — no commitment required.

Health Insurance Basics

What's the difference between an ACA plan and a private health plan?

ACA (Affordable Care Act) plans are sold through the federal marketplace (healthcare.gov) and must cover pre-existing conditions without health-based pricing. They may qualify for government subsidies based on your income. Private off-exchange plans are sold directly through insurance companies and brokers — they typically have more flexible underwriting, broader network options, and year-round enrollment, but subsidy eligibility works differently. I help you figure out which type makes more sense for your specific situation.

What do deductible, copay, and out-of-pocket maximum mean?

Your deductible is what you pay out of pocket before your insurance starts covering costs. A copay is a flat fee you pay for specific services (like $40 for a doctor visit). Your out-of-pocket maximum is the most you'll ever pay in a year — after hitting that number, your insurance covers 100% of covered services for the rest of the year. Understanding these three numbers is the key to comparing plans effectively.

Can I keep my current doctor?

It depends on the plan's network. PPO plans typically offer the widest network and let you see any doctor without a referral, including some out-of-network providers at higher cost. HMO plans require you to choose a primary care physician and get referrals for specialists. Before enrolling in any plan, I always verify whether your current providers are in-network. This is one of the most important steps people skip — and regret.

What is a PPO vs HMO plan?

A PPO (Preferred Provider Organization) gives you maximum flexibility — you can see any licensed doctor or specialist without a referral, though you'll save more by staying in-network. An HMO (Health Maintenance Organization) requires you to select a primary care doctor who coordinates your care and provides referrals. HMOs typically have lower premiums but less flexibility. There's no universally better option — it depends on how you use healthcare and which doctors you want to keep.

What happens if I miss open enrollment?

If you miss the ACA open enrollment window (typically November 1 – January 15), you generally can't enroll in a marketplace plan until the next enrollment period — unless you qualify for a Special Enrollment Period (SEP). SEPs are triggered by life events like losing employer coverage, getting married, having a baby, a qualifying permanent move (generally requires qualifying coverage before the move), or losing Medicaid or CHIP (that window can run longer than the standard 60 days). Private off-exchange plans often have their own enrollment rules. I can help you determine if you qualify for an SEP and what your options are.

Cost & Coverage

How much does individual health insurance cost?

It varies widely based on your age, location, tobacco use, and the plan tier you choose. As a general benchmark, individual health insurance premiums in 2025 range from around $300–$600/month for a 30-year-old, and $500–$900+/month for someone in their 50s, before any subsidies. Families pay more. The good news: ACA subsidies can dramatically reduce these costs, and off-exchange plans sometimes offer competitive pricing for healthy individuals. I always run your numbers before recommending anything.

Do I qualify for ACA subsidies?

You may qualify for premium tax credits if your household income is between 100% and 400% of the Federal Poverty Level — and in some cases beyond that threshold due to recent legislation extensions. For 2025, a single individual earning up to roughly $60,000/year could qualify for meaningful subsidies. Subsidy amounts depend on your exact income, family size, and state. I'll run your eligibility estimate as part of any conversation, at no cost.

Can I get health insurance if I have a pre-existing condition?

Yes. Under ACA marketplace plans, you cannot be denied coverage or charged more based on health history — pre-existing conditions are fully covered. For off-exchange private plans, underwriting rules vary by plan and state. In states that permit health-based underwriting, pre-existing conditions may affect eligibility or pricing. I'll always identify the right market for your specific health situation before recommending a plan.

What is supplemental insurance and do I need it?

Supplemental insurance pays you cash benefits directly when you experience specific health events — an accident, a critical illness diagnosis, or a hospital stay. It's designed to cover costs your primary plan doesn't: your deductible, lost income while recovering, childcare costs, or anything else. Whether you need it depends on your financial cushion, your primary plan's deductible, and your health risks. For most people with a high-deductible plan and limited savings, it's worth the conversation.

Is there health insurance available for my small business employees?

Yes — there are several options. Small group health plans (for businesses with 2–50 employees) are the traditional route. Individual Coverage Health Reimbursement Arrangements (ICHRAs) are a newer, more flexible option that lets you reimburse employees for individual plans they choose themselves. There's no one-size-fits-all answer — it depends on how many employees you have, your budget, and how much flexibility you want. I work with small businesses regularly and can map out your options.

Working With Carter

How fast can I get covered?

It depends on the plan type and timing. ACA marketplace plans typically have coverage start dates tied to when you enroll (enroll by the 15th for the 1st of next month, for example). Some private off-exchange plans can have coverage effective within days of approval. I'll always tell you upfront what to expect on timeline before we start an application.

What if I move to a different state?

A permanent move can be a qualifying life event that opens a Special Enrollment Period — generally when you had qualifying coverage before the move. I'm licensed in 40 states, so in most cases I can continue working with you after a move — we'll just update your state and find the right plans in your new market. This continuity is one of the real advantages of working with an independent multi-state broker.

Can I change my plan after I enroll?

Outside of open enrollment, you can only change ACA plans if you have a qualifying life event. Private plans vary — some allow mid-year changes, others don't. What I always recommend is a quick annual review before open enrollment so we can confirm your current plan still makes sense or find something better for the coming year.

How do I reach you if I have questions after I'm enrolled?

I'm accessible by phone, email, and through the contact form on this site. I don't disappear after enrollment — if you get a confusing EOB, have a billing issue, need to add a dependent, or just want to know if your plan still makes sense, I'm here. That ongoing relationship is what makes working with an independent broker different from going direct to an insurance company.

Do you work with families and businesses, not just individuals?

Absolutely. A significant part of my clients are families looking for coverage that works for multiple people with different needs, and self-employed individuals or small business owners who need to figure out coverage for themselves and potentially their team. Each situation gets its own analysis — I don't apply cookie-cutter solutions.

Still have a question?

Don't navigate insurance alone. Reach out and I'll give you a straight answer — no sales pitch, no strings attached.

Contact Carter

Bishop Insurance Partners LLC is a licensed insurance agency. We help individuals and families enroll in plans through the Health Insurance Marketplace and other carriers. We do not represent every carrier or every plan available in your area. For a complete list of options, visit HealthCare.gov or your state’s marketplace. Information presented is for educational purposes and does not constitute medical, legal, or financial advice.

Carter Bishop · NPN 21065164 · FL 2-40 Health Agent · License G089818 · Licensed in 40 states · NIPR Public Lookup