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Business Profile

Insurance Services Office

FirstEnroll

Complaints

This profile includes complaints for FirstEnroll's headquarters and its corporate-owned locations. To view all corporate locations, see

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FirstEnroll has 2 locations, listed below.

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    • FirstEnroll

      101 Crawford Corner Road Suite 4233 Holmdel, NJ 07733

      BBB accredited business seal
    • FirstEnroll

      4000 State Route 66 Ste 348 Tinton Falls, NJ 07753-7318

      BBB accredited business seal

    Customer Complaints Summary

    • 523 total complaints in the last 3 years.
    • 300 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:10/24/2024

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      First enroll is charging me for health insurance, but doctors are claiming I have no health insurance. I thought I was buying directly from first health.

      Business Response

      Date: 11/05/2024

      Dear ******* ******, 

      Thank you for reaching out to us. We understand your concern and apologize for any confusion regarding your health insurance coverage.
      We would like to clarify that FirstEnroll is a third-party billing and administration company, and we are responsible for processing your monthly premium payments for the ************ 4 plan, which you purchased on December 8, 2023, through *****************************. This plan was facilitated by your agent, ******** ********, as part of their offering.
      Please note that FirstEnroll handles billing and premium administration only. Any questions or concerns regarding your policy, including issues with coverage verification, need to be addressed directly with your independent agency, *****************************. They can provide clarification regarding your health insurance coverage and assist with any discrepancies with your doctors or providers.
      You can contact ***************************** at:
      Phone: **************
      Email: ***********************************************************
      If you're having trouble reaching your agency or need additional assistance, please don't hesitate to contact our *************** team at ************, available Monday to Friday, from 9:00 AM to 5:30 PM EST.
      We hope this helps resolve your concerns, and we are here to assist you further if needed.
      Sincerely,
      FirstEnroll Team
      Phone: ************

    • Initial Complaint

      Date:10/18/2024

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      ******* wire hurt my credit score. They claim I owe money for a month that I did not use them. Called thought it was settled. Paid the difference of the month thanks thing I know my credit score was hit.

      Business Response

      Date: 10/29/2024

      Hello Mr. ********************* you for reaching out to us regarding your recent experience with ******* and its impact on your credit score. We understand how distressing this situation can be.
      FirstEnroll is a third-party billing and administration company that provides premium billing services for insurance agencies. I want to clarify that we are not a credit or collections agency, and we do not have the authority to affect credit scores directly.
      If there was a misunderstanding about your account or billing with *******, we recommend contacting them directly to resolve the issue. They can provide specific details about your account and help clarify any charges.

      Warm regards, 

      FirstEnroll

    • Initial Complaint

      Date:10/17/2024

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I purchased this health insurance on the Marketplace. I am 64 years old. My payment was ****** each month. I was sopose to have cataract surgery but was told my insurance would not pay any of it. I had to cancel it as it is not something I can pay for. In Sept I went to ** for a check up. I was given a flu shot, the second shingles shot which this health insurance paid nothing. My bill for a check up and two shots is now ******. I dont understand why this was a health insurance when it barely paid for anything . I am so upset. I hope you can help me somehow. I have paid over ******* for this insurance this year.

      Business Response

      Date: 10/29/2024

      Dear ****** *****,

      Thank you for reaching out and sharing your concerns with us. We truly understand how frustrating it can be to navigate health insurance, especially when youre faced with unexpected costs. Please accept our sincerest apologies for the difficulties youve encountered with your America First Choice 200+ plan.
      As a third-party billing and administration company, we want to clarify that our role is to provide monthly premium billing for the plan you purchased through **************************. Unfortunately, all claims and coverage decisions are managed by ******************************. We encourage you to contact them directly at ************** for assistance regarding your claims and coverage specifics.
      We genuinely regret that your experience has not met your expectations, especially given the challenges you faced with your recent medical appointments. We understand how important these services are, and its upsetting to hear that you had to cancel your surgery and are dealing with significant out-of-pocket expenses.
      Please know that we are here to support you as best we can. If you have any questions about your billing or need further assistance, feel free to reach out. Your health and peace of mind are important to us.
      Warm regards,

      The FirstEnroll Team

    • Initial Complaint

      Date:10/10/2024

      Type:Product Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      They are supposed to be a 3rd party to assist in obtaining insurance. They informed me I could enroll now before the open enrollment and that is not true. They also me that I would have insurance with a PA company that when I called, they had no knowledge of me. When I try to call first enroll, they tell me they do not have any record of anything. Yet they withdrew money from my account. I just want to be refunded.

      Business Response

      Date: 10/15/2024

      Dear ******,


      Thank you for reaching out and sharing your concerns. I sincerely apologize for the confusion and any inconvenience youve experienced regarding your insurance enrollment and billing.
      It appears there has been a misunderstanding. We currently have no record of your call to FirstEnroll. You might have been speaking to the agency that did your enrollment, and they are called *********************** We are a third-party billing administrator as we do not sell insurance. Your satisfaction is our priority, and I want to assure you that we're here to help you through this process.

      Please reach out to our ************************** ************. Monday through Friday 9 AM to 5:30 PM EST. Were here for you every step of the way.

      Warm regards,
      FirstEnroll

    • Initial Complaint

      Date:09/29/2024

      Type:Sales and Advertising Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      First enrollment health is a scam company that lies to consumers and tells them they are signing up for government issued ******************** they had me pay 300$ a month with absolutely no coverage for Drs or prescriptions while telling me over the phone I could remain with all of my current doctors as it is a PPO plan, I email and call to cancel the plan and they do nothing. This business needs to be shut down.

      Business Response

      Date: 10/04/2024

      Dear Alyssa,

      Thank you for taking the time to share your experience with us. I’m truly sorry to hear that you’ve been unhappy with the health plan you purchased through Proactive Health Insurance Agency. Your concerns are important, and I want to address them as best as I can.
      As a third-party premium billing and administration company, our role is to assist with billing for independent insurance agencies, and I regret that this has not met your expectations. Our records indicate that on October 3, 2024, we received a chargeback from your bank, resulting in a refund for the payment made on September 29, and your health plan was canceled as a result.
      I also see that you contacted our Member Services department twice for product questions, which were forwarded to Proactive Health Insurance for further assistance. However, we do not show any emails from you regarding cancellation requests. ([email protected])
      We genuinely want to help you resolve this issue. Please call our Member Services team at 732-876-9733, available Monday through Friday from 9 AM to 5:30 PM EST, and ask to speak with a supervisor. They will be happy to assist you further.
      Thank you for your understanding, and we hope to provide the support you need.
      Warm regards,

      FirstEnroll

    • Initial Complaint

      Date:09/16/2024

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I was buying my first health insurance policy after aging out of being covered by my parents policy. This company lied to me and sold me a policy not accepted by my doctor (even though they lied and said they looked up my doctor and that he was in plan - hes not) and I also gave them a list of my meds. They also said my prescriptions were covered. And they are not. This company is dishonest and scammed me out of more than $400 of my hard earned money. The plan they sold me doesnt cover ANY of my doctors or medical expenses.

      Business Response

      Date: 10/04/2024

      Dear Kurt, 

      Thank you for reaching out and sharing your concerns with us. I’m truly sorry to hear that your experience with the TDK 1 plan purchased through Atreus Medical Group and agent Jonathan Garcia has not met your expectations. We understand how important it is to have a plan that aligns with your healthcare needs, and it’s disheartening to hear that you’ve encountered these issues.
      Please know that we take your feedback seriously. While we strive to provide accurate information, we regret that this was not reflected in your experience. To assist you further, we recommend contacting our Member Services team at 732-876-9733. They are available Monday through Friday from 9 AM to 5:30 PM EST and will be more than happy to help you begin the cancellation process and address any other questions you may have.
      Your satisfaction is important to us, and we appreciate the opportunity to make this right. Thank you for your understanding, and we look forward to assisting you soon.
      Warm regards,

      FirstEnroll

    • Initial Complaint

      Date:09/05/2024

      Type:Sales and Advertising Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      They told me my hiv medication will cost only $167 with no restrictions.They just gave me a discount card and then said I don't qualify for the $167 price quote.

      Business Response

      Date: 09/06/2024

      Dear ******,
      Thank you for reaching out to us with your concerns. Im very sorry to hear about the difficulties youve experienced with your medication pricing. I understand how frustrating this situation must be.
      Upon reviewing our records, I see that your plan was purchased through Sicuro Health, and we, at FirstEnroll, provide third-party billing services for them. Our representative attempted to contact you recently and left a voicemail to offer assistance.
      We are committed to helping you resolve this issue. Please reach out to our *************** team directly at ************ Mon-Fri 9am to 5:30pm EST, and we will be more than happy to assist you in sorting this out and ensuring that you receive the support you need.
      Thank you for your patience and understanding.
      Best regards,
      FirstEnroll ***************
      ************
      Mon-Fri, 9 AM to 5:30 PM EST
    • Initial Complaint

      Date:08/29/2024

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I had a medical emergency on April 24th and I needed to go to ER. I didn&#**;t have health insurance so I contacted ************************ which indicated that they are part of a multi plan. It was not health insurance. I spoke to ******* ****** and she took my information and signed me up for insurance. Everything was recorded on the call. I believe this was fraud because what she told me did not occur. She provided a hospital indemnity plan which is charging me $218 a month and I cancelled it. I held on the line for an hour to talk to them. I asked 2 times for them to return my call. I was never able to speak to anyone. My resolution is for them to pay my emergency room bill of $856.00. In addition to this I want the 2 months of payments refunded to me that I came to realize that this was not even health insurance that I paid $218.00 a month.

      Customer Answer

      Date: 10/28/2024


      Complaint: 22214874

      I am rejecting this response because:

      You regurgitated information that I already know.  I contacted the people at that number and they said that they already applied the discount to my emergency room bill and that was my final bill and nothing else they can do.

      Supreme Health sold me a discount plan but they however told me on the phone that it was full health insurance and when I went to the ** that night, I would have full coverage for the ** visit and I wouldn't have a deductible or a co-pay.  That is what ******** or the lady on the phone said on a recorded line.  I want the recording of the recorded call because they are lying in regards to what kind of plan they provided me.  I also want refunded the 2 months of coverage they provided me which was a discount plan when I signed up for health insurance and not a discount plan because that is what they told me it would be on the phone.  Also, if you look up other reviews in regards to First Enroll, they are having the same complaints as other people --- A company selling discount plans and not health insurance, however they tell you it's full health insurance.  This is fraud and there answer is unacceptable!



      Regards,

      ****** *********

    • Initial Complaint

      Date:08/13/2024

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I enrolled in 10/23 what I thought was insurance. I talked to an agent ***** at extension 116. and she gave me information stating that I was enrolling in First Health Aetna PPO. I was told I had copays for doctors and a $10,000 max out of pocket in a year, etc. I had to go to a hospital and they stated that there is no coverage for inpatient care. I pay $402.68 to first enroll each month and $89.96 to optimum per month. We were misled when signing up that this was insurance and now we have tens of thousands of dollars in Bills. I have called a couple times (once two months ago and they said yes this is insurance) and the last few days getting nothing but rude member service associates and they told me that they didn't sign up I did. Who would pay $500/mo for no benefits.

      Business Response

      Date: 08/21/2024

      Dear ********, 

      Thank you for reaching out and sharing your concerns. Were genuinely sorry to hear about the difficulties youve experienced with your health plan.
      ******************** and foremost, I want to assure you that we take your situation very seriously. At FirstEnroll, we handle the billing and administrative aspects of your plan, but the health plan itself was purchased through *************************** a licensed insurance company. We understand how confusing this situation must be and sincerely regret any misunderstanding that may have occurred.
      To assist you further, we would be more than happy to help you contact ************************** directly. They will be able to review your case in detail and address any issues related to your coverage. Please let us know how you would prefer to proceed, and we can facilitate getting you in touch with the right representative.
      Again, we apologize for any inconvenience and frustration this has caused. We are here to support you and ensure that you get the assistance you need.
      Warm regards,

      FirstEnroll Team

    • Initial Complaint

      Date:08/08/2024

      Type:Service or Repair Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I went online to search healthcare.gov for insurance ended up receiving calls from multiple agencies. Was contacted by first enroll a third party agency and in a bind between health insurances signed up for there program having been led to believe it was something solely different. After being charged I never received any benefits/id information. Have tried to email and call to cancel the plan the same day and I have not been able to get ahold of any service members. I need to have plan cancelled, refund and recurring monthly fees stopped from my account and remove any affiliation I have with this company.

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