Licensed Health Insurance Agent · Licensed in 28 states

Health insurance built around families, small businesses, and real budgets, not the other way around.

I'm Nick Klusmeyer. I help families, self-employed folks, small business owners and teachers across the country find coverage that actually fits their lives and budgets. One conversation, a real quote, no pressure.

Independently licensed PPO network discounts on many plans No cost to talk to me
About 1 minute

No obligation. Start dates depend on the plan and are confirmed after underwriting.

Who I help

If you fall into one of these, we should talk.

Health insurance for families

Lost coverage, about to, or just paying too much? I'll get you a real quote and a real start date, usually faster than HR can get back to you. Losing coverage? Read the guide →

Self-employed & small business health insurance

Just you, or a team you need covered, either way I'll show you real numbers on a private plan and how it compares with Marketplace options, with none of the runaround. Self-employed guide →

Health insurance for teachers

For a lot of teachers, the district plan works fine for themselves. Adding a spouse or kids is often where the cost jumps. I help teachers in any state compare that against a private plan for the family, side by side, and walk you through exactly how the coverage works, not just the price. Teachers guide →

Pre-existing conditions or need coverage fast

A health history or a tight timeline doesn't mean you're out of options. Some plans handle these situations better than others, and I'll compare them against Marketplace options so each part of your family lands on the right fit, not one plan forced on everyone. Need coverage now? Read the guide →

Why people choose private plans

Private health insurance: more freedom in how you use your coverage.

Private plans aren't for everyone, but for a lot of healthy families and self-employed people, they fit better. Here's what people like about them.

01

Sign up any time of year

No waiting for Open Enrollment. Coverage can start year-round once underwriting approves you.

02

See any doctor

Benefits are paid no matter which doctor or hospital you use, and the PPO network can get you discounted rates.

03

No referrals

See a specialist when you need one, without getting permission first.

04

Priced on age and health, not income

If you earn too much for a subsidy and you're in good health, a private plan can cost less each month.

05

Benefits paid to you

The plan pays set amounts for covered care, and you decide where that money goes.

06

Renewable to 65

Guaranteed renewable to age 65 as long as premiums are paid. Premiums can change only for everyone in the same class.

How network types compare

Most of the difference people feel day to day comes down to the network.

Private plans I offerTypical HMOTypical EPO
Use any doctor or hospitalYesIn-network onlyIn-network only
See a specialist without a referralYesReferral neededUsually
Benefits for out-of-network careYesEmergencies onlyEmergencies only
Benefits anywhere in the U.S.YesLocal networkPlan's network

HMO and EPO rules vary by plan; this shows how they typically work. The private plans I offer are limited benefit policies: they pay set amounts for covered services, and you're responsible for any costs above those amounts. They aren't major medical insurance.

ACA Marketplace plans are the better choice for many people, especially if you qualify for a subsidy, have ongoing health conditions, or are planning a pregnancy. I'll compare both with you and tell you which one fits.

How it works

Three steps. No pressure, no obligation.

Tell me what's going on

Your ZIP, who needs coverage, and what's prompting the search. It takes about a minute.

Pick a time for a quick call

I'll call you when you said, go over what you qualify for and show you real prices for your household. I'll tell you honestly if staying put makes more sense.

Activate on your terms

If it's a fit, I'll line up a start date that works with your current coverage once underwriting approves you. If not, no hard feelings.

About Nick

Straight answers from a licensed agent.

I'm Nick Klusmeyer, a licensed health insurance agent based in Dallas. I work with families, teachers, self-employed people and small business owners in 28 states, and I spend most of my day on the phone helping people compare their options. My job is to tell you what a plan covers, what it doesn't, and whether it's actually a better deal than what you have now. If it isn't, I'll tell you that too. And after you enroll, you still have me: call or text me directly with questions or claims, no 1-800 line.

Licensed Agent Families & Small Business 28 States

Questions

Health insurance questions, answered straight.

Is this ACA insurance, or something else?

We can take a look at all the plans on the market and find the one that works best for you. If an ACA plan is the better option based on your health and budget, I'll tell you that.

How do the plans actually pay?

There are a couple of different types of plans we can look at. With ACA plans, you pay first (your deductible, copays and coinsurance, up to your out-of-pocket max), then the insurance company pays. With private market plans, it's mostly set benefit amounts for covered services. Those plans are limited benefit policies, not major medical insurance. I'll show you how the benefit amounts compare to typical costs where you live. I'll walk you through the exact numbers for your plan and state on a call.

Is there a deductible?

It depends on the plan. On the private plans I work with most, there's one, and it's narrow. A deductible applies only if you're in the hospital for 24 or more consecutive hours. For other covered services, the plan pays a set benefit amount with no deductible. If a bill is higher than the benefit, you're responsible for the difference, and there's no out-of-pocket maximum.

I have a pre-existing condition. Will I be covered?

It depends on the plan. ACA plans have no waiting period for pre-existing conditions, and they can't turn you down or charge you more because of them. Private plans are medically underwritten. They typically have a 12-month pre-existing condition limitation: anything you were treated for or took medication for in the 12 months before your plan starts isn't covered for your first 12 months. Depending on your health history, underwriting may also exclude a specific condition, charge a higher rate, or decline an application. Tell me what you're dealing with and I'll tell you which option makes sense.

How fast can new coverage start?

On the private plans I work with most, there's a minimum 7-day wait from enrollment before coverage begins, and underwriting has to clear first. On those plans, preventive care benefits have their own 60-day waiting period. I'll confirm the exact start date for your plan before you commit to anything, so there are no surprises.

I need coverage to start right away. Can you do that?

The private plans I work with most have a minimum 7-day wait from enrollment before coverage begins, plus underwriting has to clear first. If you genuinely can't wait on that, I also offer a separate plan built for people who need something in place fast without a health history being the blocker. Tell me your timeline and what's driving the urgency and I'll point you to whichever option actually fits: a private plan, the fast-start option, or ACA.

Do the plans cover prescriptions?

It depends on the plan. The private plans I work with most don't have a prescription drug card. Instead, they pay a set benefit amount per prescription fill, which may be less than what the pharmacy charges. A medication you were already taking before your effective date falls under the same 12-month pre-existing condition limitation, so no benefit is paid for it during your first 12 months. Many prescriptions cost less than people expect once they price-shop. I put a short list of independent price-comparison sites further down this page, and I'll go over your specific medications with you on the call.

What does "advocacy" actually include?

Advocacy is a real service, not just a line on the invoice: pricing help before a procedure so you know what it should cost going in, help negotiating medical bills after the fact, and help with claims paperwork. Results of bill negotiation aren't guaranteed. It's included in the quotes for all but my lowest-priced option, and most people don't think about it until they need it, then they're glad it's there.

What does it cost to sign up?

Your monthly premium is the ongoing cost. There's also a one-time application fee when you enroll, and I'll tell you the exact number before you apply. Getting a quote itself is free and doesn't commit you to anything.

How do you get paid?

The insurance company pays me a commission when you enroll. It's built into the plan's price, so you don't pay me anything extra, and you'd pay the same premium for the same plan whether you buy it through me or not. Talking with me and getting a quote is always free.

What does enrolling look like?

It takes about 10 minutes with me on the line. After you submit you'll get two emails: a welcome email, and a separate one from the carrier marked "Action Required" that asks you to verify. That second one is easy to miss, so check your spam folder if it doesn't show up.

Can my plan be cancelled on me?

The private plans I work with are guaranteed renewable up to age 65. As long as your premiums are paid, the carrier can't cancel you because you file claims or your health changes. Premiums can change, but only for everyone in the same class, not for you individually. You're also not locked into a long contract term. If it ever stops working for you, we talk about it.

Is there anything the plans don't cover?

Yes, and I'd rather you hear it from me than find out later. The private plans I work with most don't cover maternity, and they aren't built for ongoing mental health care — those, along with anyone who'd qualify for a subsidized ACA marketplace plan, are cases where I'll point you to ACA coverage instead, sometimes for just one person in the household while everyone else goes a different direction. Every plan also has other exclusions and limitations, and I'll go over the full list for your plan before you enroll. Being upfront about what a plan isn't for is part of doing this right.

How does this compare with an ACA marketplace plan, cost-wise?

ACA plans are priced differently, and if you don't qualify for a subsidy, the premium alone is often higher than a private plan. But premium isn't the only number — ACA plans carry a deductible and an out-of-pocket max, so you're on the hook for real costs above your premium before the plan covers more. The private plans I work with mostly don't work that way. They pay set benefit amounts instead, and you're responsible for anything above those amounts, with no out-of-pocket maximum. Which one actually costs less depends on your subsidy eligibility and how much care you expect to use — that's a real conversation, not a one-line answer, and I'll run it straight either way.

What is fixed indemnity insurance?

Fixed indemnity insurance is a type of limited benefit health insurance. It pays a set dollar amount for covered services, like a doctor visit or a day in the hospital, no matter what the provider charges, and you're responsible for any costs above that amount. It isn't major medical insurance or ACA coverage. It's often paired with accident, critical illness or specified disease coverage, and I'll walk you through exactly what each part pays.

Is there an alternative to Marketplace health insurance?

Some people look at private plans instead of, or alongside, a Marketplace plan. Private plans are medically underwritten and work differently: the ones I work with most are limited benefit policies that pay set amounts, and they aren't a substitute for ACA coverage. If you qualify for a subsidy or have ongoing health conditions, a Marketplace plan is often the better fit. I'll compare both for your household.

Can I get health insurance outside of Open Enrollment?

Yes, in two ways. If you've had a qualifying life event, like losing job coverage, getting married or moving, you may qualify for a Special Enrollment Period for a Marketplace plan. Private plans can be applied for any time of year, but they're medically underwritten, so approval depends on your health history.

How do self-employed people get health insurance?

If you're self-employed or a 1099 worker, you don't have an employer plan, so your main options are an ACA Marketplace plan (with a subsidy if your income qualifies) or a private plan. Many self-employed people can also deduct their health insurance premiums on their taxes; check with your tax professional. I'll lay out both options for your household.

Which states do you cover?

I'm based in Dallas, Texas, and licensed in 28 states. The private plans I offer are available in Alabama, Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maryland, Mississippi, Missouri, Nebraska, Nevada, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin and Wyoming. Plan availability varies by state.

I'm a teacher. Can I get coverage outside of my district's plan?

Yes. Your district's plan is one option, not a requirement, no matter which state you teach in. A common setup is keeping the district plan for yourself and covering your spouse or kids on a private plan, if your district's rules allow it, whichever costs your household less for the coverage you need. I'll show you the real numbers side by side, Marketplace options included, so you can compare apples to apples.

Does getting a quote commit me to switching?

No. A quote is free and there's no obligation. If your current plan is actually the better deal, I'll tell you that directly.

Before you buy anything

Three questions to ask about any health plan.

Whether you buy from me, the Marketplace or someone else, these are the questions that keep people from getting surprised later.

  1. How does it treat my pre-existing conditions?Covered right away, excluded for a while, or a reason to decline? Ask before you apply, not after.
  2. Can I keep my doctors?Check whether your doctors and hospital are in the network, or what you'd pay if they aren't.
  3. How are my prescriptions handled?Drug card, reimbursement, or nothing? Check what your regular medications would cost you.

One more: check that whoever you're buying from is licensed. Your state's department of insurance can look up any agent.

Prescription prices

Curious what your medications cost?

Prescriptions aren't bought, ordered or filled through this website. These are independent sites many people use to check prescription prices before they fill. Opening one takes you off this page.

These are independent third-party websites. I don't sell, fill or ship prescriptions, and I'm not responsible for their prices, availability or terms. Prices vary by drug, pharmacy and location. On the private plans I work with most, prescriptions for conditions you were already being treated for aren't covered during your first 12 months; see the FAQ above.

Ready when you are

Let's get you a real number, not a guess.

Two ways to start. Both are free, and neither one commits you to anything.

Check your options

A few quick questions, about a minute, then pick a time for a free call.

Check My Options

Just have me call you

Skip the questions. Leave your name and number and I'll reach out myself.

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