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HEALTH INSURANCE

The Growth Is Real and Here’s How to Capture It

4 min read

By Matthew Graham

The latest Online Enrollment Center (OEC) data tells two stories at once, and licensed insurance agents who focus on only one may miss the larger opportunity.

The first story is the rise in direct enrollment and what it means for the licensed insurance agent channel. That deserves attention. But the second story should shape AEP preparation now: the same data showing 540,000 beneficiaries enrolling through Medicare.gov during the October through December 2025 window also points to a broader increase in Medicare Advantage enrollment activity during AEP.

OEC enrollment in the AEP window grew 67.9% from 2023 to 2024 and another 53.6% from 2024 to 2025. Full-year 2026 is already tracking 23.5% ahead of the same period in 2025. The market is not standing still. It is changing quickly, and licensed insurance agents who prepare early, communicate clearly and operate in the best interest of their clients can be well positioned to serve that demand.

The question is not whether beneficiaries will need help this AEP. Many will. The question is which licensed insurance agents will earn the opportunity to help them compare options and make informed decisions.

Understanding the opportunity behind the trend

The acceleration in OEC enrollment reflects a market in transition. As carriers adjust service areas, benefits and networks, some beneficiaries who previously stayed with their existing plan may be looking more closely at alternatives. Some will start with Medicare.gov. Others will look for a professional who can explain what changed and help them evaluate available options.

That creates an important opening for licensed insurance agents who are visible before October 15 and who lead with education rather than pressure. A strong outreach calendar matters, but trust matters more. Beneficiaries are more likely to engage when they believe the person guiding them will explain tradeoffs honestly, review provider and prescription considerations carefully and avoid steering them based on compensation.

The licensed insurance agent advantage in a growing market

For a well-prepared, client-first licensed insurance agent, the 2026 AEP opportunity shows up in three places: new-to-Medicare consumers, dissatisfied switchers and existing clients who need help understanding plan changes.

The pre-retiree population is larger than it has ever been. Many first-time beneficiaries are entering a complex coverage landscape after years in employer coverage. They may not know which questions to ask, how to compare plan types or how provider networks and prescription drug costs can affect their choice. A licensed insurance agent who shows up as an educator, including by discussing options that may not generate a commission when appropriate, can build confidence and long-term credibility.

The switching market is also meaningful. Beneficiaries whose plans have changed, whose benefits have been reduced or whose preferred providers are no longer in network may be open to reviewing alternatives. These conversations should stay focused on the beneficiary’s needs, including providers, prescriptions, costs, travel habits and care preferences. The licensed insurance agent who explains the options clearly and avoids overstating benefits earns trust in a market where trust is increasingly valuable.

Retention is just as important. Existing clients may receive annual notices showing plan changes, network updates or benefit adjustments. A licensed insurance agent who reaches out before AEP, reviews what changed and explains what it could mean for the client is doing more than service work. They are reinforcing the value of a professional relationship built on careful review and ongoing support.

Building Your AEP Strategy Around the Data

The smart read of the OEC enrollment trend is not that licensed insurance agents are becoming less necessary. It’s that licensed insurance agents must be more proactive, more transparent and more useful before beneficiaries begin searching on their own.

A practical AEP framework should include three priorities:

Own the pre-season

Outreach in August and September is not just a courtesy. It is a competitive move in a market where direct enrollment is accelerating. Start with general education, plan-change awareness and reminders about the timing of AEP. When discussing specific plans or enrollment decisions, make sure the conversation follows applicable CMS, carrier and scope-of-appointment requirements.

Lead with education and honesty

The strongest AEP conversations often begin before any plan recommendation. Explain what changed, what the annual notice means and which questions beneficiaries should ask. If a non-commissionable option appears to be the best fit, say so. That kind of transparency can strengthen referrals and retention.

Use data responsibly

The data can help explain why beneficiaries should review their coverage carefully, but it should not be used to create fear or imply that a specific plan is better without a complete, compliant comparison. The message is simple: more beneficiaries are reviewing options, and informed guidance can help them make decisions that fit their circumstances.

The AEP opportunity in 2026 is substantial, but it should be approached with care. Licensed insurance agents who understand the market, prepare early, document their process and keep the beneficiary’s needs at the center of every recommendation are the ones best positioned to grow durable books of business.

The surge is here. The licensed insurance agents who lead it will be the ones whose clients have every reason to call them first.

Matthew

Matthew Graham is Senior Vice President of Government Programs at AmeriLife.

mbgraham@amerilife.com

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