Under 65 Health - Carriers by State
The map below shows the key Under 65 Health carriers by state. This map only refers to ACA, Non-ACA Plans (IHA Health, Medi-Share), Manhattan Assurance & Foresters.
Peek Performance markets many other Under 65 health plans (STM, Ancillary, Non-ACA, Life), as well as Senior Products (Medicare Advantage, Medicare Supplements, Final Expense), and more.
*Carriers with an asterisk qualify as one of the ‘2 major ACA carriers’ required to register for the 2025 ICHRA Bootcamp.
Carriers by State
Click on each state to view the featured health carriers available in that state.
Note: PPI offers additional carriers, these are only the carriers highlighted for the 12 month health selling program.

Washington
ACA Carriers:
- Ambetter*
- Kaiser*
- Molina*
- UnitedHealthcare*
Non-ACA Carriers:
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Oregon
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
California
ACA Carriers:
- Aetna CVS Health
- Anthem
- Kaiser*
- Molina*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Alaska
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Hawaii
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
South Carolina
ACA Carriers:
- Ambetter*
- AmeriHealth Caritas
- BlueCross BlueShield of South Carolina*
- Molina ACA*
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Georgia
ACA Carriers:
- Aetna CVS Health
- Alliant*
- Ambetter*
- Anthem
- CareSource
- Cigna
- Kaiser*
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
North Carolina
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- AmeriHealth Caritas
- CareSource
- Cigna ACA
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Florida
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- AmeriHealth Caritas
- Anthem/Wellpoint
- AvMed
- Cigna ACA
- HealthFirst
- Molina ACA*
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Alabama
ACA Carriers:
- Ambetter*
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Texas
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- Anthem/Wellpoint
- BlueCross BlueShield of Texas*
- Christus
- Cigna
- Imperial Health Plan
- Molina ACA*
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Mississippi
ACA Carriers:
- Ambetter*
- Cigna
- Molina ACA*
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Louisiana
ACA Carriers:
- Ambetter*
- Christus
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Arkansas
ACA Carriers:
- Ambetter*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Oklahoma
ACA Carriers:
- Ambetter*
- BlueCross BlueShield of Oklahoma*
- Medica
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
New Mexico
ACA Carriers:
- BCBS of NM*
- Molina ACA*
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Arizona
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- Antidote
- BCBS of AZ*
- Cigna
- Imperial Health Plan
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Nevada
ACA Carriers:
- Anthem*
- Imperial Health Plan*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Idaho
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Montana
ACA Carriers:
- BlueCross BlueShield of Montana*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Wyoming
ACA Carriers:
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Utah
ACA Carriers:
- Aetna CVS Health*
- Imperial Health Plan
- Molina ACA*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Colorado
ACA Carriers:
- Anthem
- Cigna
- Kaiser*
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Kansas
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- Medica
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Nebraska
ACA Carriers:
- Ambetter*
- BlueCross BlueShield of NE*
- Medica
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
South Dakota
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
North Dakota
ACA Carriers:
- PPI does not market ACA in this state
- Note: Medica available by request
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Minnesota
ACA Carriers:
- Medica*
- Quartz*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Iowa
ACA Carriers:
- Ambetter*
- Medica
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Missouri
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- Anthem
- Medica
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Wisconsin
ACA Carriers:
- Anthem
- Medica
- Molina ACA*
- Quartz
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Michigan
ACA Carriers:
- Ambetter*
- BCBS of Michigan*
- CareSource
- Molina ACA*
- Oscar
- Priority Health
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Illinois
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- BlueCross BlueShield of Illinois*
- Cigna ACA
- Molina
- Oscar
- Quartz
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Indiana
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- Anthem
- CareSource
- Cigna
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Kentucky
ACA Carriers:
- Ambetter*
- Anthem
- CareSource
- Molina*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Tennessee
ACA Carriers:
- Alliant*
- Ambetter*
- BlueCross BlueShield of Tennessee*
- Cigna ACA
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Virginia
ACA Carriers:
- Aetna CVS Health
- Anthem
- Cigna ACA
- Kaiser*
- Oscar
- Sentara*
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Maryland
ACA Carriers:
- Aetna CVS Health
- Anthem/Wellpoint
- Kaiser*
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
West Virginia
ACA Carriers:
- CareSource*
- Highmark (BCBS)*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Ohio
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- Anthem
- Antidote
- CareSource*
- Molina ACA*
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Pennsylvania
ACA Carriers:
- Ambetter*
- Highmark (BCBS)*
- Independence Blue Cross*
- Jefferson Health Plan (Metro Philly)
- Oscar
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Delaware
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- AmeriHealth Caritas
- Highmark (BCBS)*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
New Jersey
ACA Carriers:
- Aetna CVS Health
- Ambetter*
- AmeriHealth NJ
- Horizon Blue*
- Oscar
- UnitedHealthcare*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
New York
ACA Carriers:
- Highmark (BCBS)*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Vermont
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
Ancillary Carriers:
- Foresters
- Manhattan Life
New Hampshire
ACA Carriers:
- Ambetter*
- Anthem*
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Massachusets
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
Ancillary Carriers:
- Foresters
- Manhattan Life
Connecticut
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
Ancillary Carriers:
- Foresters
- Manhattan Life
Rhode Island
ACA Carriers:
- PPI does not market ACA in this state
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
Maine
ACA Carriers:
- Anthem
Non-ACA Carriers:
- IHA Health – Group of One Health Plan
- Medi-Share
Ancillary Carriers:
- Foresters
- Manhattan Life
*Carriers with an asterisk qualify as one of the ‘2 major ACA carriers’ required to register for the 2025 ICHRA Bootcamp.
- States in yellow are state-based exchanges for ACA and will require an additional state based certification.
- PPI does not market ACA in the states that are grey.
Questions? Contact our Agent Care Team at 877-612-7317
If you wish to market ACA in the yellow states, please contact our team to discuss – 877-612-7317.