Why an Employee Doesn't See a Carrier or Plan They Expected

For agents: Quote results and employee Shop inventory are different systems. Most “why don’t they see Carrier X?” questions are availability/routing — not a StretchDollar bug.

What StretchDollar quote results are

The quoting tool models ICHRA cost using benchmark tiers (for example Cost Saver / Gold-style modeling). Those tiers support budget design. They are not a live list of every enrollable plan an employee will see later.

Where employees actually see carriers

After accepting benefits, employees use Benefits Portal → Shop, which opens an external marketplace/exchange (Healthcare.gov path, state exchange, HealthSherpa, etc.) based mainly on the employee’s state (and partner routing). Carrier/plan inventory lives on that external site and varies by:

  • ZIP / county
  • Household details
  • On-exchange vs off-exchange path
  • Plan year / open enrollment vs special enrollment
  • What’s offered in that market right now

Agent triage checklist

  1. Confirm the employee is in Shop (not your quote PDF / quote link).
  2. Confirm employee address/ZIP/state is correct in StretchDollar.
  3. Confirm they’re on the expected on- vs off-exchange path for their state (see On-Exchange vs. Off-Exchange Plans: What's the Difference?).
  4. Remind them quote Bronze/Gold modeling ≠ a guarantee that a specific carrier appears in Shop.
  5. If routing looks wrong for the state/partner, escalate to support with employer + employee state — agents can’t restock carriers inside StretchDollar.
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