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Health Plan One

Health plan enrollment technology and marketing

Overview

Health Plan One (HPOne) provides technology-enabled, direct-to-consumer enrollment solutions for health and Medicare markets, partnering with national and regional plans to manage outsourced sales, marketing, and contact centers, and operating marketplaces like HealthPlanOne.com and MedicareSolutions.com. Its cloud-based sales platform coordinates lead generation, consumer comparison, and enrollment, supported by CMS Web Broker authorization and programs such as Employer Solutions and Stars Solutions. This combination of marketplace enrollment and full-service member acquisition, plus exclusive Medicare leads, positions it as a scalable distribution partner rather than a pure broker. The goal is to help health plans grow memberships efficiently while improving retention and plan quality.

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About Health Plan One

Simplify's Rating
Why Health Plan One is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & AnalyticsEnterprise SoftwareFintechFinancial Services

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$6.5M

Headquarters

Shelton, CT

Founded

2006

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Simplify's take

What believers are saying

  • ClearMatch launched Plan Finder on September 21, 2026, expanding consumer shopping flows.
  • NiCE reported a 10-point adherence gain after HPOne’s June 2025 rollout.
  • HPOne kept hiring data scientists in February 2026, signaling continued automation investment.

What critics are saying

  • CMS rule changes and audit pressure can crush lead-generation economics quickly.
  • Revenue concentration in Medicare AEP creates brutal seasonality and partner bargaining power.
  • A carrier termination or compliance action can strand HPOne’s entire distribution engine.

What makes Health Plan One unique

  • ClearMatch and HPOne specialize in Medicare, not broad consumer insurance.
  • HPOne runs 4,000-agent contact-center operations for carrier enrollment and service.
  • Its carrier-integrated workforce stack tied partners and HPOne to shared real-time data.

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Funding

Total Funding

$6.5M

Below

Industry Average

Funded Over

1 Rounds

Series A funding typically happens when a startup has a product and some customers, and now needs funding to scale. This money is usually used to grow the team, expand marketing, and improve the product. Venture capital firms are frequently the main investors here.
Series A Funding Comparison
Below Average

Industry standards

$15M
$6.5M
$8.2M
$15M
$30M

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Retirement Plan

Company News

Drug Store News
Oct 17th, 2023
Kinney Drugs partners with Health Plan One, EnlivenHealth on Medicare Part D Plan comparisons

Kinney Drugs, a 100% employee-owned community pharmacy chain in New York and Vermont, has partnered with Health Plan One and EnlivenHealth to offer free Medicare Part D plan comparisons.

Westfair Communications
Jul 22nd, 2022
Health Plan One, LLC hires Benjamin Pajak as CEO

HealthPlanOne, a Trumbull-headquartered digital health distribution platform for the senior health care market, has named Benjamin Pajak as CEO.

PR Newswire
Sep 29th, 2021
HPOne recognized as one of Orlando's Top Workplaces on Aug 29th 21'.

The company prioritized hiring in key markets like Texas, Arizona and Florida, where HealthPlanOne was recently named one of Orlando's Top Workplaces by The Orlando Sentinel.

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