Heathos
Open Enrollment is Here
Now through January 15
Volume 3December 2025

ON THE PULSE

Monthly Insights for Agents, Partners and Industry Insiders

As we close out the year, finish Open Enrollment strong with seasonal insights, product updates, and agent resources to help you finish 2025 with momentum.

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Table of Contents

From the Desk of the CEO

Todd Baxter

Todd Baxter, CEO of Heathos

Welcome to Volume 3 of On The Pulse. As we close out the year, I want to take a moment to acknowledge the tremendous work our agents have done throughout Open Enrollment. This season demands speed, precision, and stamina. You continue to rise to the moment, and all of us at Heathos appreciate the commitment you bring to your clients every single day.

December gives us a chance to finish strong and look ahead with intention. We are expanding our Florida office, strengthening our operations team, and continuing to roll out new features and functionality on our dynamic digital portal for agents, Heathos Pulse. Tools like this are just some of the many ways we continue to support innovation across our organization.

Thank you for the partnership, the communication, and the trust you have shown us this year. Let us close out 2025 with momentum and step into 2026 ready to build on everything we have learned.

Warm regards,

Todd Baxter

CEO, Heathos

Modern office workspace

Agent Essentials

December 2025

Recently Launched Products

Golden Care

Ancillary Product

Everest CI

Ancillary Product

Everest AD&D

Ancillary Product

Everest AD&D/AME

Ancillary Product

Open Enrollment Success

Open Enrollment for 2026 plans began on November 1 and runs through January 15. Many states have a December 15 deadline for January 1 coverage. Now is the time to act:

  • Confirm your Marketplace or exchange registrations
  • Refresh client messaging and marketing materials
  • Audit your client list for renewals or new opportunities
  • Pre-book appointments with prospects
  • Double-check your support systems and workflows for high-volume weeks
  • Make sure to stay up-to-date on state and federal law changes
  • Ensure all required agent/agency licenses are active and current.

Heathos Pulse Feature Highlight

Heathos Pulse Feature

Profiles are structured by Agent ID. For IMOs or agencies with downline access, the visibility scales accordingly:

  • IMOs have full visibility into their entire hierarchy/tree.
  • Downline agencies can only view their own sub-agents.

This ensures the right level of transparency while maintaining appropriate access controls.

Agent Tip of the Month

Use the Power of Recap

At the end of every client interaction, give a thirty second recap of what was covered and what the next step is. This reinforces trust, reduces confusion, and helps set clear expectations during the busiest weeks of the season.

Radar data visualization

On the Radar

Open Enrollment Mid Season Trends

  • Early enrollment numbers indicate rising interest in lower cost Marketplace plans
  • States are reporting increased demand for telehealth inclusive benefits
  • Supplemental products continue to gain traction as consumers look for predictable out of pocket protections

Regulatory Watch: Enrollment Verification Updates

CMS has issued reminders for agents to verify household data carefully during peak weeks. Inaccurate income or household sizing continues to be one of the top drivers of PTC reconciliation issues for consumers. Now is a good time to review your intake forms and documentation practices.

Spotlight: Member Retention Matters

Industry data suggests that proactive, clear communication during Open Enrollment supports improved member understanding and continuity of coverage. This is a strong reminder to communicate early and keep outreach clear and consistent.

These insights highlight the growing importance of clear communication and education around protection and plan benefits.

Business partnership

Partner Pulse

This month, we're spotlighting Luis Maldonado, Senior Account Manager at Heathos.

Luis Maldonado

Senior Account Manager at Heathos

West Palm Beach

With more than 13 years in the health insurance space, Luis Maldonado brings a rare mix of front line experience, operational leadership, and partner-focused problem solving to Heathos and FirstEnroll. His background spans sales leadership, compliance, call center operations, and product strategy, giving him a deep understanding of what agencies need to grow sustainably and serve members with confidence.

In his role as Senior Account Manager, Luis works closely with our agency partners to expand and optimize their portfolios across ACA, limited medical, Medicare, and ancillary lines. He is known for helping teams implement new offerings thoughtfully and compliantly while keeping retention and long term member relationships at the center of the strategy.

Luis stays active across the U65 and Medicare ecosystem, regularly attending industry events to stay ahead of shifting regulations, subsidy expectations, and evolving consumer preferences. He brings that market intelligence back to our partners, ensuring they can adapt early, stay competitive, and remain operationally prepared for emerging market changes.

13+ Years Experience

Extensive background in sales leadership, compliance, call center operations, and product strategy.

Partner Focused

Works closely with agency partners to expand portfolios across ACA, limited medical, Medicare, and ancillary lines.

Market Intelligence

Stays ahead of shifting regulations, subsidy expectations, and evolving consumer preferences through active industry participation.

Luis Maldonado at BJ's Wholesale Club

Luis Maldonado

Senior Account Manager at Heathos

"At Heathos, going the extra mile isn't optional — it's who we are. Open Enrollment doesn't stop at 5 PM, and neither do we. Whether it's restocking, solving problems after hours, or making sure our agencies have exactly what they need to keep winning — we show up. Every time. This is what true partnership looks like. This is the Heathos standard."
Luis Maldonado making moves

Luis Maldonado

Senior Account Manager at Heathos

"Making moves with the best! If your account manager isn't showing up and making real drops, what are they really doing? It's more than products—business relationships matter."

Based in West Palm Beach, Luis blends structure, accountability, and a genuine care for member outcomes in everything he does. We're proud to have him representing Heathos and FirstEnroll and supporting our agency partners nationwide.

Digital blog interface

Behind the Pulse

FirstEnroll Blog - Practical insights and resources to help you navigate Open Enrollment and beyond

For more insights and articles, visit Behind the Pulse regularly. We're constantly sharing new content to help agents and agencies stay ahead and thriving.

Calendar planning with golden hour lighting

On the Calendar

December 2025 - Important dates and upcoming events

01
DEC

Renewals and New Applications Continue

Renewals and new applications continue for ACA Open Enrollment.

15
DEC

Final Day for Many State Enrollments

Final day for many state enrollments to start January 1 coverage.

25
DEC

Christmas Day

Take time to celebrate and recharge with family and friends.

31
DEC

Final Day for Many End of Year Marketplace Actions

Final day for many end of year Marketplace actions.

NOV
JAN

Expanded Business Hours

Dedicated agent support line with extended hours during open enrollment:

  • • Mondays & Tuesdays: 7 AM – 7 PM ET (Nov-Jan)
  • • Extra coverage Friday, Jan 2 & Saturday, Jan 3: 7 AM – 7 PM ET
  • • Help members stay covered by reprocessing failed payments

Telephone: 732-440-8600

Email: agents@firstenroll.com

Puzzle pieces with warm lighting

The Break Room

Take a breather and test your wits with brain teasers and fun insurance trivia!

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CONNECTIONS

Find the connections between these words. 4 groups of words, each having a common theme.

PLAY NOW
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WORDLE

One 5-letter word and 6 guesses. Do you have what it takes to win our WORDLE?

PLAY NOW
Professional tools and resources

Agent Toolbox

Important links and resources - Quicklinks to bookmark

Heathos LMS Training

Access over 30 training modules covering product knowledge, compliance, and sales techniques. Complete certifications at your own pace.

Heathos Pulse

Real-time data & compliance tools. Your centralized command center for performance tracking, training, and compliance management.

NIPR

National Insurance Producer Registry - Streamlined insurance licensing and compliance monitoring for insurance professionals across all states.

Agent Support

Get personalized assistance from our dedicated agent support team. Whether you need help with enrollment processes, commission questions, or technical support, we're here to help.

📞 Telephone: 732-440-8600

📧 Email: agents@firstenroll.com

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Bonus Board Coming Soon

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Leaderboards

Points System

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Swag Store

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Product Quizzes

Transform your product expertise into rewards. Our gamified learning platform features interactive quizzes, competitive leaderboards, and an exclusive rewards marketplace—making professional development both engaging and rewarding.

✨❄️✨ Happy Holidays! ✨❄️✨