ICHRA: Choice Success Starts with Strategy

A Sales Approach for Selling Choice Arrangements 




Introduction: From Transactional to Strategic Sales

A Field Guide for ACA and MA Brokers Entering the World of ICHRA / Choice  If you’ve built your book of business in the ACA or Medicare Advantage space, chances are you’re used to fast-moving, high-volume, transactional sales. These markets demand agility (pun intended), quick closings, and a clear product pitch. But when it comes to ICHRA — also known as “Choice Arrangements” — that playbook won’t cut it. This is not a consumer product.  This is a group benefit — and group benefits require strategy, structure, and consultative selling. This guide is built specifically for brokers like you — experienced in direct-to-consumer sales — who are now pivoting into the world of employer-based ICHRA / Choice opportunities. You’ll find a clear, step-by-step strategy for how to think, present, and support ICHRA / Choice the way successful group benefit consultants do. Let’s walk through the 7-step approach.




Step 1: Start With the Census

Because ICHRA / Choice is a group benefit, the first step is understanding the group. How to Ask: “All I need to get started is your census and if you have benefits today, a copy of your most recent bill. The census only needs to include age, ZIP, and dependents. No names or sensitive info.” What Value It Creates:
  • Enables accurate group modeling and quoting
  • Builds trust with personalized, data-driven options
  • Helps shape employer contribution strategy
Pro Tip: Position the census as the key to clarity. It’s how you unlock real answers.




Step 2: Get the Quote

With the census in hand, it’s time to get real numbers on the table. What to Do:
  • Submit the census (and bill if you have) to your preferred ICHRA platform
    • Most platforms will return a full comparison report showing plan options, subsidy modeling, and projected employee premiums.
    • Use two platforms if you want to compare fee structures or tech experiences.
  • Send the same census to your General Agency or a group carrier rep
    • This creates a traditional group quote to benchmark against your ICHRA model.
    • It gives the employer a full spectrum: defined contribution vs. defined benefit.
You’re not just getting quotes — you’re building the foundation for a strategic comparison.




Step 3: Show the Comparison

Your job isn’t to quote plans — it’s to compare benefit structures. What to Compare:
Group Insurance ICHRA / Choice
Employer chooses plan Employer sets budget
Limited options Employees choose their own
Complex renewals Admin managed by vendor
Rigid structure Flexibility & portability
What You’re Driving Toward:
  • Can the employer control costs more effectively?
  • Can employees get equal or better options?
  • Is there more flexibility with less admin?
“Let’s evaluate whether you can save money, offer more choice, or both.”




Step 4: Quote Ancillary & Supplemental Products

Group benefits feel complete when they include more than just health. What to Include:
  • Dental & Vision
  • Life Insurance
  • Hospital Indemnity, Accident, Critical Illness
Why It Matters:
  • Enhances the value of the total package
  • Drives adoption and retention
  • Reinforces employer value prop
Don’t let the group benefit feel like a downgrade — bundle with intent.




Step 5: Outline the Pros & Cons

Group decision-makers need both sides. Give it to them straight. Pros:
  • Budget flexibility
  • Scalable with growth
  • Nationwide access
Cons:
  • New learning curve for employees
  • Multiple plan experiences
  • Compliance needs oversight
Transparency builds trust and gets you invited back.




Step 6: Leverage the Vendor

Just like a traditional group plan has a TPA or broker partner, ICHRA / Choice has a platform vendor. Lean on them. What the Vendor Brings:
  • Tech
  • Compliance
  • Reimbursements
  • Reporting
What You Bring:
  • Strategy
  • Support
  • The Relationship
You’re the architect — the vendor is your construction crew.




Step 7: Guide the Process

Group benefits involve stakeholders — HR, leadership, sometimes finance. Be their guide. What This Looks Like:
  • Onboarding support
  • Open enrollment presence
  • Communication coaching
Be more than a salesperson. Be the solution delivery partner.




Step 8: Create a Feedback Loop

This is a live benefit. You monitor it just like you would any group plan. What to Track:
  • Reimbursement reports: Are employees getting paid on time?
  • Participation metrics: Are employees engaged with the benefit?
  • Compliance documentation: Are legal obligations being met?
  • Billing accuracy: Are invoices clean and predictable?
  • Milestone alerts: Are renewals and deadlines on track?
Group benefits require ongoing management — ICHRA / Choice is no different.




Final Takeaway: Treat ICHRA / Choice Like the Group Benefit It Is

If you treat ICHRA / Choice like a transactional sale, you’ll never unlock its potential. If you treat it like what it really is — a group benefit strategy — you’ll build deeper relationships, longer retention, and more satisfied clients. ICHRA / Choice isn’t about selling plans. It’s about delivering a better group benefit experience — with strategy, structure, and support.




For all the latest info, answers and more, contact Agility at (866) 590-9771 or email [email protected]
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