Healthcare DIVE October 7, 2024
Emily Olsen

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...

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