Difference Between A Health Insurance Agent And Broker

Health insurance agents and brokers are somehow similar. However, they are different in some aspects. Typically, the health insurance agent is a professional work for a particular firm who sells an company's products to consumers for a commission. To sell insurance, an agent helps consumers select the right insurance to buy, but represents the insurance company in the transaction and their responsibility is to sell that firm's health policies to its customers. On the other hand, health insurance brokers have a relationship with different policy options. This guide will take you through the main differences between the health insurance agent and the health broker.

Health Insurance Agent

An agent frequently advocates an interest since the latter cannot reach prospective customers. Agents, despite being registered by IRDA as well as trained, really aren't responsible in the sense that they can't be brought to court. In the event of a disagreement, the insurance firm will be called to the stand and embroiled in legal wrangling's. Nevertheless, an agent's certification might be revoked if he or she commits any misconduct.

Health Insurance Broker

A broker professes to operate in the client's best interests and can be sued by the former in the event of a conflict. A broker provides a customer with a comparative study of numerous health insurance policies so that this could help customers to choose the best coverage that fulfills all their needs.

As a result, brokers and consumers have a professional (legal) interaction based on loyalty. Brokers are responsible for assisting customers in selecting the best insurance coverage that fits in their budget and fulfills their financial needs.

Health Insurance Agents vs Health Insurance Brokers: What's the Difference?

Individualized service

A health agent operates independently, providing operations to a limited customer to whom he would reach over at any moment. As a result, insurance agents give all consumers more individualized services and attentiveness.

In contrast to insurance dealers, most health coverage brokers work via institutions. Brokers may become more sophisticated as a consequence. Nonetheless, individualized attention, which is frequently regarded among the assets of representatives, is sometimes absent among brokers.


Health agents must pass a test and thus should have a solid understanding of their firm's health insurance plans. Agents are also given in-house coaching. A salesman, on the contrary, doesn't even have a thorough grasp of healthcare insurance provided by firms besides the very one they represent.

Health agents have a broad understanding of all products if they're not tied to any particular firm and offer insurance policies from various firms. A broker must meet stringent requirements to obtain a license. A brokerage is much more accountable since he/she is subject to IRDA audits and other compliance processes.


Agents present clients' cases as-is and are not obligated to advocate or assist the latter's position in the event of a disagreement. Brokers have greater negotiating abilities as a result of their extensive domain expertise. Brokers are therefore in a better condition to confront, negotiate, and settle any unresolved difficulties.


In just about all cases, Health insurance agents provide a variety of insurance products other than medical insurance but, as a result, do not concentrate on the latter.

There are broking companies that specialize primarily in the medical insurance industry. The companies' primary business is the sale of health insurance products.

Proven procedures

The quality of service provided by agents is mainly determined by their connection with consumers rather than by a predetermined method. Broker procedures are primarily process-driven, with rigorous end-to-end defined processes.


Customers who seek to escalate a problem may find it challenging to do so with health insurance agents due to the latter's minimal exposure in their firm. Broker firms employ several professionals who communicate with numerous offices. Consequently, brokers can assist consumers who want to address any problem.

The quantity

Because of their budget constraints, a health insurance agent doesn't handle large business amounts. While health Broker have a greater financial reach, and does more business compared to health insurance agent.

Services with additional value

In most situations, agents simply provide healthcare insurance plan services to the customers.

Many brokers provide health insurance-related services, including check-ups, preventive care, and so on.


Because agents exclusively sell one type of policies, agents might not even disclose or concentrate on the negative aspects of downsides. Customers should thus thoroughly read the policy statement.

Wrapping Up

From this guide one thing is clear that health insurance agents and brokers aren't similar in any way, you can surely note that these two people are very different in terms of understanding, negotiations, and upsurge, just to name a few. Hopefully, you now have a clear view of both health insurance agent and health broker, and you can seek their services when in need.

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