Healthcare DIVE July 22, 2024
Rebecca Pifer

Agents and brokers connecting consumers with Affordable Care Act plans now have to jump new hurdles to change their coverage.

Dive Brief:

  • The Biden administration is making it harder for insurance agents and brokers to change people’s plans on the federal Affordable Care Act marketplace following mounting consumer complaints about unauthorized changes.
  • On Friday, the CMS announced agents can’t make changes to a consumer’s enrollment in the federal exchanges unless they’re already associated with that consumer. If agents and brokers are unassociated, they have to take additional steps to update a consumer’s marketplace enrollment — even with that consumer’s consent, according to the notice.
  • Unassociated brokers will have to have a three-way call with the beneficiary and the marketplace’s...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer
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