top of page
Writer's pictureTzali Reicher

What is the Difference Between a Health Insurance Agent and Broker?

What is the Difference Between a Health Insurance Agent and Broker?

When it comes to purchasing health insurance, understanding the roles of an insurance agent and an insurance broker can help you make informed decisions. Although both professionals assist in finding and securing insurance policies, they represent different interests and have distinct functions. Let's break down the difference:


What is the Difference Between a Health Insurance Agent and Broker?


What Is an Insurance Agent?


An insurance agent is a professional who works for a specific insurance company or a select group of companies. Their main role is to help clients select and purchase insurance policies from those companies. Insurance agents can be classified into two types:


Captive Agents: These agents are employed by one insurance company. They represent only that company’s policies and products. If you choose to work with a captive agent, they will help you with options only from their employer.


Independent Agents: These agents work as independent contractors and can represent several insurance companies. They offer a variety of policies from different insurers, but they are still connected to the insurance providers they represent. This means they can offer a range of policies but from a limited number of companies.


Insurance agents often work on a commission basis, earning a percentage of the premiums you pay. They might also receive a salary or other compensation from their employer. They can help you find a suitable plan and guide you through the enrollment process, making them a one-stop-shop for obtaining insurance coverage.



What Is an Insurance Broker?


An insurance broker, on the other hand, acts as an intermediary between you and insurance companies. Unlike agents, brokers are not tied to any single insurance provider. Instead, they work for the consumer, helping you shop around and compare policies from multiple insurers.


Brokers typically have access to a broad range of insurance products and can offer advice on the best options based on your needs and budget. They are skilled at comparing various plans to help you make an informed decision. Their compensation usually comes from commissions paid by the insurance companies, which are included in your policy premiums, though some brokers may charge additional fees.


Although brokers cannot finalize or enroll you in a policy directly, they can facilitate the process by connecting you with an agent who will complete the purchase on your behalf.



Some Differences Between Insurance Agents and Brokers


Here’s a quick comparison to help you understand their differences:


Who They Represent:


Agents represent insurance companies and work to sell their policies, while brokers represent the consumer and help find policies from various providers.



Can They Check Multiple Policies To Ensure You Get The Best One?


Agents can provide you with options only from the companies they work with. Brokers can access policies from multiple companies and offer a broader range of choices.



Can They Enroll You In A Health Insurance Plan?


Agents can enroll you in a policy directly. Brokers cannot finalize policy enrollment but will guide you through the process and connect you with an agent who can.



Who Pays A Health Insurance Broker VS Health Insurance Agent?


Health insurance agents typically earn a commission from the insurance provider they work for, and sometimes receive a salary. Health insurance brokers, like the team at CareCoverage, earn commissions from whichever insurer they refer a client to, meaning they have no incentive to refer one over the other, ensuring you get the right plan for you.



How To Choose Between a Health Insurance Agent and a Health Insurance Broker?


Your choice between an agent and a broker depends on your situation:


If you already know which insurance company you want to go with, an agent who works with that company can be more efficient. They can handle the enrollment process directly and help you get started with the policy you want.


If you prefer to see options from multiple companies and need assistance comparing them, a broker might be the right choice. They can provide a variety of plans and help you find the best fit for your needs and budget.





6 views
bottom of page