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Stephens-Matthews will offer Ambetter in the following states for PY 2026:
Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky,
Louisiana, Michigan, Mississippi, Missouri, Nebraska, New Hampshire,
New Jersey,
North Carolina, Ohio, Oklahoma,
Pennsylvainia,
South Carolina, Tennessee, Texas, Washington
Ambetter will Exit
Delaware and New Hampshire Marketplaces for Plan Year 2027
Ambetter Health has announced that it will not offer health plans in Delaware and New Hampshire for the 2027 plan year.
Ambetter Health Policy Update: Elimination of NPN Overrides
Many state entities have recently announced, or will soon announce, the disallowance of National Producer Number (NPN) Overrides. To align with these state requirements and ensure consistent compliance across our footprint:
Effective October 15, 2025, Ambetter Health will prohibit the use of National Producer Number (NPN) Overrides across all states, regardless of CMS, state, or direct enrollment platform allowances.
Requirements for Producers:
- Application Submission: All applications must be submitted by the individual agent who negotiates, sells, and solicits the policy to the consumer using their own NPN.
- Licensing & Appointment: Any producer actively assisting with the application, plan selection, or enrollment process must be licensed, contracted, and appointed in every state where business is conducted.
- Preemption of External Guidance: This policy supersedes CMS, state, or platform guidance that may permit the NPN Override feature.
- Enforcement: Failure to comply may result in immediate termination of the agent and/or agency contract.
This update reflects Ambetter Health’s commitment to compliant business practices and consumer protection.
The individual coverage health reimbursement arrangement (ICHRA) is a relatively new alternative to expensive group health insurance for many types of employers. It’s also a great way for small employers to start offering health insurance, which can help with recruitment and retention.
The way ICHRA works is simple. Employers determine a reimbursement amount for their employees. The employees then choose their own plan on the Health Insurance Marketplace. Employees are free to choose whatever available plan works best for their unique needs.
This type of health insurance option is a growing trend in all 50 states–becoming popular with companies of all types and sizes.
Submit the form below to watch our ICHRA introduction video and learn more about ICHRA
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For more information about Ambetter, submit the short form below or contact Pam at
1-800-544-8250 ext. 20906 , email pam@stephens-matthews.com
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