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👤 Client Info
🏥 ACA / Marketplace Info
📍 Address
Worlds by LegacyOne

ACA World

Individual & Family Plans, Subsidies, SEP & OEP Enrollment, and AI-powered opportunities — in one workspace.

☀️ AI Morning Brief

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🌞 Sun City, AZ
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🎯 Today’s Mission

Mission Score

92/100

High-value enrollment day based on SEP windows and subsidy optimization signals.

Revenue Opportunity

$4,200

Estimated across enrollments, subsidy upgrades, and plan changes.

AI Confidence

94%

Based on client income data, life events, and OEP proximity signals.

📞 SEP: Call Maria Rodriguez first
Job loss event 14 days ago · SEP window closing · Enrollment value: $1,800
High
🥨 Silver Upgrade: Review James Chen
Currently on Bronze · CSR-eligible at 185% FPL · Could save $180/month
High
📋 OEP Prep: Contact uninsured leads pipeline
Open Enrollment approaching · 8 leads in pipeline ready for outreach
Medium

🔌 Agency Radar

Total ACA Clients

—

In your book

SEP Eligible

—

Special Enrollment

APTC Recipients

—

Receiving subsidies

Days to OEP

—

Nov 1 Open Enrollment

⚡ Quick Actions

👥 My Clients 🌐 Healthcare.gov 📚 Knowledge Library 🧮 Subsidy Calculator

👤 Recent Clients

Maria Rodriguez
Maricopa County · SEP — Job Loss
Ambetter
James Chen
Maricopa County · Silver Upgrade
BCBS AZ
Sarah Johnson
Maricopa County · Active Plan
Oscar

📅 Today’s Schedule

Maria Rodriguez
SEP Enrollment
9:00 AM
James Chen
Plan Upgrade Review
11:00 AM
Sarah Johnson
Annual Plan Review
2:30 PM

🧠 Plan Intelligence

Metal Tier Guide

🥋 Bronze — 60% Actuarial Value
Lowest premium · Highest deductible · Best for healthy, low utilizers
Bronze
🥨 Silver — 70–94% AV (CSR Eligible ★)
CSR enhanced for 100–250% FPL · Always run Silver for subsidy clients
Silver
🥉 Gold — 80% Actuarial Value
Lower deductible · Higher premium · Best for regular care needs
Gold
💎 Platinum — 90% Actuarial Value
Lowest out-of-pocket · Highest premium · Best for high utilizers
Platinum

AZ Carrier Landscape

BCBS Arizona
Broad network · All tiers · Statewide coverage
🔵 BCBS
Ambetter (Centene)
Competitive premiums · HMO-focused · Strong subsidy options
🟢 Ambetter
Oscar Health
Tech-forward · Telehealth included · Phoenix metro focus
🟡 Oscar
Molina Healthcare
Low-income focus · Medicaid crossover · Value plans
🔴 Molina

💡 Opportunity Engine

SEP Window Tracker
Clients with qualifying life events eligible for Special Enrollment Period — act within 60 days of event.
High
Subsidy Cliff Alert — 400% FPL
Clients approaching the income threshold risk losing all APTC — review and income-plan now.
High
Silver Upgrade Opportunity
CSR-eligible clients on Bronze plans — Silver enhanced plans may cost less with better benefits.
Medium
OEP Preparation Pipeline
Open Enrollment starts Nov 1 — begin outreach to current clients and uninsured prospects now.
— days
Medicaid Gap Pipeline
Uninsured prospects below 100% FPL — explore marketplace alternatives and state Medicaid options.
Prospect

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Worlds · ACA World · LegacyOne

🏥 New ACA / Marketplace Client

Add client · Apply tags · Send to workflow

§ 1 — Contact Information
§ 2 — Household & Income
§ 3 — Current Coverage & Plan Preferences
§ 4 — Enrollment Platform
🧠
HealthSherpa
Primary EDE
🏥
Healthcare.gov
CMS Portal
☀️
SunFire Matrix
Multi-carrier
📄
Other / TBD
To be decided
§ 5 — Primary Care Physician
§ 6 — Medications
§ 7 — Notes & Lead Source