HealthPlanOne

HealthPlanOne, LLC is a U.S. sales and marketing organization focused on Medicare and other health-insurance marketplaces. Rather than operating primarily as an insurance carrier, the company provides distribution, acquisition, brokerage-support, contact-center, lead-generation, and technology services for national and regional health plans. Its activities have included marketing exclusive Medicare leads, operating consumer and retiree exchanges, supporting individual and family-plan acquisition, and delivering outsourced sales and member-acquisition services. The company was founded in 2006 in Southport, Connecticut, by Bill Stapleton and entered the brokerage business in 2007. In 2008, it raised $6.5 million in venture capital to expand its brokerage operations and enter Medicare. It subsequently moved further into internet-based insurance sales, building a nationwide Medicare Exchange and developing lead-generation capabilities. By 2011, HealthPlanOne described itself as the largest provider of exclusive Medicare leads in the United States. Its business expanded beyond lead generation during the early 2010s. In 2012, HealthPlanOne introduced an integrated, cloud-based sales-technology platform through its Licensed Broker Solutions Center and launched a mobile application. It also began expanding its physical contact-center footprint, including a Tampa, Florida facility. In 2013, the company entered the Member Acquisition business, acting as an outsourced contact and sales center for national and regional health plans. That year it became an authorized Web Broker Entity through an agreement with the Centers for Medicare and Medicaid Services, and introduced Employer Solutions for employer groups and brokers. HealthPlanOne continued broadening its Medicare and group-market services in 2014 and 2015. It expanded its contact-center network into Phoenix, Arizona, received growth capital from Peloton Equity, and added experienced health-care and business-services executives to its board. In 2015, it introduced Stars Solutions, a modular program intended to help Medicare managed-care plans address member, physician, and quality-performance opportunities. It also launched ClearChoice Exchange, a multi-carrier retiree exchange combining a national preferred-provider-organization group plan from UnitedHealthcare with individual Medicare Advantage plans. The company operates contact centers in Arizona, Florida, Massachusetts, and Connecticut. Its operating model combines human sales and service representatives with digital acquisition, exchange technology, broker support, and data-driven lead-generation services. HealthPlanOne's positioning is therefore that of an outsourced growth and distribution partner for health plans, brokers, employers, retirees, and individual consumers, with particular emphasis on Medicare and the complex enrollment requirements of the U.S. health-insurance market.

HealthPlanOne was founded in 2006 in Southport, Connecticut, by Bill Stapleton. It entered the brokerage business in 2007 and raised $6.5 million in venture capital in 2008. The financing supported expansion of its brokerage activities and a move into Medicare, a market that became central to the company's identity. The company developed an internet-oriented acquisition model built around exclusive insurance leads. It launched a nationwide Medicare Exchange and marketed Medicare leads to brokers and health plans. In 2010, it broadened its lead portfolio to include individual and family plans as well as employer and group opportunities. By 2011, it had become a leading U.S. provider of exclusive Medicare leads. In 2012, HealthPlanOne expanded from lead generation into sales-enablement technology. Its Licensed Broker Solutions Center introduced an integrated, cloud-based platform intended to support licensed brokers and insurance sales activity. The company also launched a mobile application and expanded its contact-center services to Tampa, Florida. The next phase involved direct outsourced services for health plans. In 2013, HealthPlanOne entered the Member Acquisition business, providing contact and sales-center capabilities for national and regional insurers. It also became an authorized Web Broker Entity under an agreement with the Centers for Medicare and Medicaid Services. The company introduced Employer Solutions for employer groups and brokers and expanded its St. Petersburg, Florida, contact-center operations. Physical expansion continued in 2014, when the company opened a contact center in Phoenix, Arizona. In December of that year, Peloton Equity supplied growth capital, and Carlos Ferrer and Theodore Lundberg joined the board. In May 2015, Leslie V. Norwalk and Richard Fernandes were added as directors, bringing experience from CMS and Affinion Group respectively. During 2015, the company adopted a new corporate name as its service portfolio expanded. Its Connecticut headquarters moved from Shelton to Trumbull. It also launched Stars Solutions, a modular offering for Medicare managed-care plans that allowed insurers to target member and physician opportunities related to Medicare quality initiatives. Later that year, it introduced ClearChoice Exchange, a national multi-carrier retiree exchange that included a UnitedHealthcare preferred-provider-organization group plan alongside individual Medicare Advantage plans. HealthPlanOne's documented footprint includes seven contact centers: two in Arizona, three in Florida, one in Westford, Massachusetts, and one in Shelton, Connecticut. Its overall business model combines digital lead generation, brokerage support, exchange operation, outsourced sales, member acquisition, and contact-center services. The available reference material does not identify a public listing, a current parent company, or a current chief executive, so those details remain unspecified.

1. 2015New solutions and corporate expansion

   The company moved its headquarters to Trumbull, launched Stars Solutions and ClearChoice Exchange, and expanded its board.

   Source
2. 2014Phoenix expansion and Peloton Equity investment

   HealthPlanOne opened a Phoenix contact center and received growth capital from Peloton Equity.

   Source
3. 2013Member Acquisition and Web Broker authorization

   The company entered outsourced member acquisition, launched Employer Solutions, and became an authorized CMS Web Broker Entity.

   Source
4. 2012Broker technology and mobile launch

   HealthPlanOne launched its cloud-based Licensed Broker Solutions Center and a mobile application.

   Source
5. 2011Leadership in exclusive Medicare leads

   HealthPlanOne became the largest provider of exclusive Medicare leads in the United States, according to the reference material.

   Source
6. 2010Expansion of lead-generation categories

   The company added individual, family, and group leads to its Medicare lead business.

   Source
7. 2008Venture financing and Medicare expansion

   HealthPlanOne raised $6.5 million in venture capital and expanded into Medicare.

   Source
8. 2007Entry into brokerage

   The company entered the health-insurance brokerage business.

   Source
9. 2006HealthPlanOne is founded

   Bill Stapleton founded HealthPlanOne in Southport, Connecticut.

   Source

A specialized U.S. health-insurance distribution and outsourced member-acquisition partner serving health plans, brokers, employers, retirees, and individual consumers, with a strong focus on Medicare.

• Nationwide Medicare ExchangeInsurance exchange

  A nationwide exchange supporting the marketing and enrollment of Medicare-related insurance options. It formed part of HealthPlanOne's shift from basic lead generation toward a broader digital distribution and brokerage-support model.

• Licensed Broker Solutions CenterSales technology2012

  An integrated, cloud-based sales technology platform launched to support licensed brokers and insurance-distribution workflows. The platform represented HealthPlanOne's effort to combine technology with its brokerage and lead-generation operations.

• Mobile ApplicationMobile software2012

  A mobile application introduced as part of HealthPlanOne's technology expansion. The available source identifies the launch but does not specify the application's operating systems, feature set, or current availability.

• Employer SolutionsEmployer and group insurance services2013

  A service offering aimed at employer groups and brokers. It extended HealthPlanOne's acquisition and distribution capabilities beyond individual Medicare consumers into employer-sponsored and group-retiree insurance opportunities.

• Stars SolutionsMedicare managed-care support2015

  A modular program for Medicare managed-care plans. It was designed to let insurers tailor initiatives around member and physician opportunities associated with Medicare quality and Stars-related performance goals.

• ClearChoice ExchangeRetiree health-insurance exchange2015

  A multi-carrier exchange for employer groups and retirees. Its documented structure combined a national preferred-provider-organization group plan from UnitedHealthcare with individual Medicare Advantage plans, giving retirees access to group and individual coverage pathways through one exchange model.

• Member Acquisition servicesOutsourced sales and contact-center services2013

  A full-service contact and sales-center offering for national and regional health plans. The service broadened HealthPlanOne's role from supplying leads to helping insurers acquire prospective members through managed sales and contact operations.

• 2015Launch Stars Solutions and ClearChoice ExchangeProduct launch

  HealthPlanOne was expanding its services for Medicare managed-care plans, employers, brokers, and retirees.

  What changed. It introduced Stars Solutions for tailored Medicare quality initiatives and launched ClearChoice Exchange as a multi-carrier retiree exchange.

  Aftermath. The initiatives positioned the company across both insurer performance support and retiree-plan distribution.

  Source
• 2013Move into outsourced member acquisitionStrategy

  HealthPlanOne had established capabilities in insurance leads and brokerage support and sought to serve health plans more directly.

  What changed. It created a Member Acquisition business operating as a full-service contact and sales center for national and regional health plans.

  Aftermath. The company became a broader outsourced distribution partner rather than only a supplier of prospective-customer leads.

  Source
• 2013Develop employer and retiree distribution servicesStrategy

  The company was extending its marketplace coverage beyond individual Medicare shoppers.

  What changed. HealthPlanOne launched Employer Solutions for employer groups and brokers and continued expanding group and retiree exchange capabilities.

  Aftermath. This broadened the addressable market to employer-sponsored and retiree health-insurance arrangements.

  Source
• 2012Launch the Licensed Broker Solutions CenterProduct launch

  HealthPlanOne was expanding beyond internet lead generation and needed technology to support licensed insurance brokers and sales workflows.

  What changed. The company launched an integrated, cloud-based sales technology platform and a mobile application.

  Aftermath. The launches broadened the company's offering from leads into broker enablement and digitally supported insurance distribution.

  Source
• 2008Enter Medicare and scale brokerage operationsStrategy

  After beginning as a brokerage business, HealthPlanOne sought capital to expand its distribution activities and enter the Medicare marketplace.

  What changed. The company raised $6.5 million in venture capital and developed Medicare lead and exchange capabilities.

  Aftermath. Medicare became the company's principal area of specialization and supported subsequent expansion into technology, exchanges, and outsourced insurer services.

  Venture capital raised. $6.5 million (2008)

  Source

• 2015HealthPlanOne adds health-care and business-services directors

  Leslie V. Norwalk, a former CMS leader, and Richard Fernandes, a former Affinion Group president, joined the company's board.

  Leadership change
  Source
• 2015HealthPlanOne launches Stars Solutions and ClearChoice Exchange

  The company introduced a modular Medicare Stars-support program and a multi-carrier retiree exchange combining group and individual Medicare offerings.

  Product launch
  Source
• 2014Peloton Equity provides growth capital to HealthPlanOne

  HealthPlanOne closed a growth-capital investment round led by Peloton Equity and added Carlos Ferrer and Theodore Lundberg to its board.

  M&A
  Source
• 2013HealthPlanOne enters outsourced member acquisition

  HealthPlanOne began operating as a full-service contact and sales center for national and regional health plans.

  Other
  Source
• 2013HealthPlanOne becomes an authorized Web Broker Entity

  The company entered an agreement with the Centers for Medicare and Medicaid Services that authorized it to operate as a Web Broker Entity.

  Regulation
  Source
• 2012HealthPlanOne launches cloud-based broker technology and mobile application

  The company introduced its Licensed Broker Solutions Center, an integrated cloud-based sales platform, and launched a mobile application.

  Product launch
  Source
• 2011HealthPlanOne becomes a major exclusive Medicare-lead provider

  HealthPlanOne reached a leading position in the U.S. market for exclusive Medicare leads.

  Other
  Source
• 2010HealthPlanOne expands into individual, family, and group lead generation

  The company added exclusive individual and family health-plan leads and group leads to its Medicare-focused business lines.

  Other
  Source
• 2008HealthPlanOne raises venture capital to expand brokerage and enter Medicare

  The company raised $6.5 million in venture capital to broaden its brokerage operations and enter the Medicare market.

  Other
  Source

1. HealthPlanOne