Health insurance runs on two calendars: ACA OEP from November to January, and Medicare AEP from October to December. ALE gives you pipeline, SOA tracking, renewal automation, and group benefits workflows that hold up under the volume.
Health agents get hit with 80 percent of their year in 12 weeks. Leads are coming in 50 a day during OEP and AEP. If your pipeline is not automated and your SOA tracking is not bulletproof, you either miss enrollment windows or get a CMS audit flag.
50 inbound leads a day during peak. You cannot call them all in 60 seconds without automation. Speed to lead drops, close rate collapses.
CMS requires scope of appointment for every Medicare lead, 48 hours before the appointment. Miss one and the whole enrollment is at risk.
Small group benefits renew on different anchor dates. Without a renewal pipeline by anchor month, you miss the quoting window by weeks.
Dedicated OEP and AEP pipelines with stage based automation. Intake, SOA, appointment, enrollment, submitted.
SOA fires as a form link 48 hours before every Medicare appointment. Completion is logged, timestamp stored, audit trail preserved.
High volume list dialer integrated for T65 and lapsed lead outreach. Dispositions write back to CRM automatically.
Every group policy has an anchor month. Quote RFP fires 90 days out, carrier responses logged, renewal decision tracked.
Anthem, UHC, Humana, Aetna enrollment confirmations pulled into CRM. Pipeline stages advance automatically on submitted status.
TCPA opt in on every form, CMS marketing disclaimer automation, DNC scrubbing, and CMS call recording compliance built in.
November to January is 70 percent of your year. Need intake automation, plan comparison pipeline, and enrollment tracking.
October to December volume. Power dialer, SOA tracking, T65 nurture, MAPD vs MedSupp pipeline splits.
Small group to mid market. Anchor month renewal pipeline, carrier RFP automation, open enrollment project tracking.
Writing ACA, Medicare, and group. Need pipeline segmentation by product line so AEP does not crowd out group renewals.
OEP AEP pipeline, SMS, SOA tracking, review generation. Good fit for solo agents writing ACA or Medicare under 400 enrollments per year.
Add AI receptionist, power dialer integration, carrier portal bridge, advanced automations. Standard for 500+ enrollments or group producers.
Book a 20 minute demo. We will walk through OEP AEP pipelines, SOA automation, and group renewal workflow.