Healthcare DIVE October 7, 2024
The proposed rule comes after the CMS reported a growing number of complaints about ACA health plan applications submitted by brokers.
Dive Brief:
- The CMS is continuing to crack down on health insurance agents and brokers who fraudulently enroll beneficiaries in Affordable Care Act marketplace plans.
- In a proposed rule released Friday, the agency could suspend brokers beginning next year from the exchange entirely if they violate marketplace rules, in a bid to prevent agents from switching consumers’ plans without their consent.
- The proposal comes months after the CMS said agents couldn’t make changes to a consumer’s enrollment unless they’re already associated with that beneficiary, following increasing complaints about unauthorized plan changes.
Dive Insight:
Brokers and agents...