No deductible · No copays · No income test
Paid per day, working a calendar that stops in June, and usually classified in a way that comes with no benefits at all.

The problem substitute teachers describe
Per-diem work means no coverage from the district in most cases, and summer means months with little or no income while the premium keeps arriving.
The Jordan Insurance Agency helps you compare fixed benefit health coverage with your needs and budget. These plans pay scheduled amounts for covered services without an income-based subsidy calculation. They are not a substitute for comprehensive coverage, and you are responsible for charges above the benefit.
KFF’s 2026 Marketplace analysis reports 23.1M plan sign-ups and an average deductible of $3,786, up 37%. KFF projected a 114% average premium-payment increase for subsidized enrollees keeping the same plan; that projection is not the observed average increase across all enrollees.
Enhanced federal premium tax credits expired after 2025. Under the standing federal premium tax credit rules, household income above 400% of the federal poverty level does not qualify for that credit. Losing a subsidy does not itself mean you cannot buy Marketplace coverage.
Understand your coverage
A fixed benefit plan does not reimburse your expenses. It pays a set dollar amount when a covered event happens. Federal regulators describe it as “fixed, cash payments upon the occurrence of a health-related event,” where “benefits are paid regardless of the amount of expenses a consumer incurs.” Here is how the benefits work and what to compare before you enroll.
There is nothing to deduct from. The plan is not sharing your bill — it pays a fixed amount on a covered service from the first claim, so there is nothing to satisfy first.
You are not paying something to unlock a benefit. The plan pays what its schedule says and you settle the remainder with the provider.
Because the plan pays a set amount, a large bill can exceed the benefit and you owe the difference. A small bill can land under it, and the balance goes to you.
Premiums turn on age, tobacco use, benefit tier, household size and state. Nothing is estimated in advance and nothing is reconciled on your tax return.
This is regulated as an excepted benefit, outside the Affordable Care Act’s comprehensive-coverage rules, and the federal guidance is clear: it is not a substitute for comprehensive coverage. It is medically underwritten, most policies carry a preexisting-condition limitation commonly running 12 months, and routine pregnancy and childbirth are generally excluded with only complications covered. Terms vary by policy and by state, every time. We explain these terms during your consultation so you can make an informed decision. Read the federal explanation of fixed indemnity coverage.
Designed around real situations
Find the one that sounds like you. It changes what we would recommend, and sometimes it means we tell you to buy less than you were planning to.
Classified in a way that excludes you from the staff plan.
Three months where the premium arrives and the paycheck does not.
A placement that came with something is finishing.
Drawing a pension, working part time, and not yet 65.
Combined income that moves you in and out of subsidy range.
You want a premium that reflects how little care you use.
Make a confident decision
A first call takes about twenty minutes. We ask what you are treating, what you take, what you used last year, and what the premium did to you. Then we tell you what we think — including, regularly, that you should stay where you are.
This coverage is medically underwritten. Preexisting conditions generally carry a 12-month benefit limitation, with terms varying by state. Tell us about ongoing treatment, prescriptions or planned care so we can explain the applicable benefits, exclusions and eligibility before you apply rather than after.
If you would rather look at pricing before you speak to anyone, you can run your own quote. A self-serve quote prices the base plan on its own — the layered package we would usually recommend, adding critical illness, accident, and dental and vision cover, is a conversation rather than a form.
Where we can help
Substitute Teachers work across state lines, so this matters. The Jordan Insurance Agency holds an accident and health line of authority in each of the states below. Product availability and benefit schedules still vary by state, so ask us about yours.
North Carolina, Alabama, Arkansas, Arizona, California, Florida, Georgia, Indiana, Louisiana, Michigan, Missouri, Mississippi, New Jersey, New Mexico, Nevada, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin and West Virginia.
Ask us about your state before scheduling so we can confirm whether we can help.
How we work
We represent multiple carriers and help you compare the coverage available for your needs, budget, and state.
You pay the same premium you would pay going direct. The help and the ongoing service are included.
If it is a fit, we read the actual benefit schedule and walk the exclusions out loud. You get the documents before you sign anything.
The same agency when your income changes, a plan is discontinued, or a claim goes sideways.
Go deeper
Fixed benefit coverage is generally ongoing rather than seasonal, but it is not locked to Open Enrollment either, so you can start when you need it. Whether stopping and restarting makes sense is worth a conversation, because underwriting applies each time you apply.
Quite possibly, and if a premium tax credit or Medicaid is available to you, take it. Per-diem income often lands in the range where it is. We will check that first.
No. It is regulated as an excepted benefit, outside the Affordable Care Act's comprehensive-coverage rules, and the federal characterization is direct: it is not a substitute for comprehensive coverage. It pays a set amount per covered service rather than a share of your bill, and there is no cap on what you could owe above that amount.
Yes. Marketplace enrollment generally requires Open Enrollment or eligibility for a Special Enrollment Period. This coverage is not bound to that calendar. It is medically underwritten instead, which is a real tradeoff rather than a free pass.
Both are commonly included and both are useful. Neither is insurance. The discount card is a discount program and comparable cards are free to the general public, and specialty virtual care such as psychiatry, psychology and dermatology typically costs extra.
Book a call and we will tell you what we actually think. If this is not right for you, you will hear that first, and you will hear why.
North Carolina Office
3540 Toringdon Way
Suite 200
Charlotte, NC 28277
Tennessee Office
159 4th Ave N
Suite 100
Nashville, TN 37219
(704) 926-7565
(980) 206-3356
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