Open Enrollment – Will States See the Silver Lining?

With all of the debate and squabbling about health care costs, there has been a general recognition that individuals who don’t qualify for a subsidy under the ACA have been hard hit by premium increases over the past years. In fact, CMS data released earlier this year indicated that non-subsidized enrollees saw a 20 percentContinue reading “Open Enrollment – Will States See the Silver Lining?”

CMS Offers Compliance Tips to Brokers in Marketplace

In a newly released slide deck, CMS, the Centers for Medicare and Medicaid Services, offers tips to brokers who assist clients with Marketplace coverage. The slide deck is titled “Compliance with Marketplace Requirements: Considerations for Agents and Brokers.” The guidance reflects concerns CMS has expressed regarding consumer complaints, including some about brokers. CMS is consideringContinue reading “CMS Offers Compliance Tips to Brokers in Marketplace”

Marketplace Broker Training Different for New and Returning Brokers

Brokers who pursue federal marketplace training this year will pursue a different path if they are new to the marketplace or renewing their registration. A returning broker who can use the streamlined refresher training is one who was registered for the marketplace in 2017. To ensure eligibility for refresher training a broker should confirm thatContinue reading “Marketplace Broker Training Different for New and Returning Brokers”

Rule on Market Stabilization Finalizes Special Enrollment Documentation

Starting in June 2017, new consumers in all states served by the HealthCare.gov platform attempting to enroll through applicable special enrollment periods (SEPs) will have to undergo pre-enrollment verification of eligibility. Enrollees would have their enrollment delayed or “pended” until verification of eligibility is completed by the Exchange. The goal of SEP documentation is toContinue reading “Rule on Market Stabilization Finalizes Special Enrollment Documentation”

New Rule Aimed at Market Stabilization

The Trump administration has published a new proposed rule aimed at stabilizing the individual insurance market. This coincides with NAHU’s emphasis on the critical need to stabilize the individual insurance market. Critics will say that the rule doesn’t do enough. However, the rule advises that this first step is one of several that will beContinue reading “New Rule Aimed at Market Stabilization”