BIP Summer 2024

CMS welcomes your feedback and engagement and encourages agents and brokers to continue raising issues. “ ”

continues to improve existing information-sharing processes with issuers and encourage them to terminate contractual agreements with bad actors. In addition, CMS is updating automated information sharing with State Departments of Insurance so that states can more easily revoke licenses and identify problematic actors. CMS appreciates the discussions we’ve had with NABIP regarding unauthorized activities and welcomes your continued feedback and engagement. CMS looks forward to our continued partnership with NABIP. CMS is evaluating all regulatory, operational, and technological options to prevent unauthorized activity. CMS’ technical teams are working to implement additional system controls to block unauthorized or fraudulent Marketplace activity. Many are anticipated to go into effect prior to open enrollment. What can agents and brokers do to help? Agents and brokers should call the Marketplace Call Center at 1 (800) 318-2596 [TTY: 1 (855) 889-4325] to report unauthorized activity. CMS continues to ensure that affected consumers receive assistance to minimize the impact of unau thorized activities. This includes retroactively restoring or can celing coverage and updating tax forms.

You can help protect your clients. Misleading and deceptive marketing practices, such as promising cash, gift cards, or other incentives, as well as non-compliance with CMS rules on documenting consent and application review, are behind many of these unauthorized activities. Marketplace agents and brokers are required to provide accurate information to con purchasing sales leads from marketing firms, lead gen eration companies, and other third-party entities that use misleading tactics to acquire consumer information. Any third parties you contract with must adhere to requirements related to the pri vacy and security of personally identifiable information (PII). Unauthorized activity in the Marketplaces is unaccept able. CMS encourages agents and brokers to use NABIP and regular Marketplace feedback channels to continue raising any issues you see. Working together with NABIP and other industry partners, CMS is committed to rooting out bad actors from the Health Care.gov Marketplaces. Dean Mohs is director of the Division of Strategic Stakeholder Engagement & Operations (DSSEO) at the Centers for Medicare & Medicaid Services (CMS). sumers and refrain from misleading conduct or

dane mark / iStock

dane mark / iStock

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