The Centers for Medicare & Medicaid Services (CMS) introduced new regulations in the Notice of Benefit and Payment Parameters for Plan Year 2024 that all agents, brokers, and web-brokers must follow before helping consumers complete and submit their Marketplace application. To ensure that agents and brokers understand the specific guidelines of these new regulations, CMS recently published several frequently asked questions (FAQs) that answer common questions about these new requirements.
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CMS Issues FAQs on Consumer Consent and Application Review Requirements
By NAIFA on 9/18/23 5:52 PM
Topics: Health Care Federal Advocacy CMS Insurance & Financial Advisor Regulation
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NAIFA Sends Letters to CMS to Lessen the Impact of CMS Final Rule
By Michael Hedge, NAIFA's Director of Government Relations on 8/15/22 3:01 PM
In May, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule which revises the Medicare Advantage (Part C) program and the Medicare Prescription Drug Benefit (Part D) program regulations to implement changes related to marketing and communications, past performance, Star Ratings, network adequacy, medical loss ratio reporting, special requirements during disasters or public emergencies, and pharmacy price concessions.
Topics: Medicare Federal Advocacy CMS Producer Sales & Marketing
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NAIFA Works to Lessen the Impact of CMS Final Rule
By Mike Hedge on 7/26/22 11:37 AM
In May, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule which revises the Medicare Advantage (Part C) program and the Medicare Prescription Drug Benefit (Part D) program regulations to implement changes related to marketing and communications, past performance, Star Ratings, network adequacy, medical loss ratio reporting, special requirements during disasters or public emergencies, and pharmacy price concessions.
Topics: Health Care Medicare Federal Advocacy CMS Producer Sales & Marketing
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CMS Releases New FAQs Regarding Agent/Broker Compensation for Special Enrollment Periods
By NAIFA Government Relations Team on 6/14/22 12:00 AM
On June 7, the Centers for Medicare and Medicaid Services (CMS) released a list of Frequently Asked Questions (FAQs) regarding compensation paid by issuers to agents and brokers who assist customers with enrollment during a Special Enrollment Period (SEP) or during Open Enrollment Periods (OEPs).
Topics: Federal Advocacy CMS Compensation Regulation Insurance & Financial Advisor Regulation
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CMS Wants NAIFA Members' Feedback on the 2023 Medicare & You Handbook Draft
By NAIFA on 4/8/22 3:00 PM
The Centers for Medicare and Medicaid Services (CMS) is asking for NAIFA members who work with the seniors or Medicare markets to provide feedback on the draft of their Medicare & You Handbook for 2023.
If you would like to submit comments on this draft, please do so using the spreadsheet linked below. Comments must be submitted by Wednesday, April 13, by the end of the day to Cody Schoonover (cschoonover@naifa.org).
Topics: Federal Advocacy Grassroots CMS Insurance & Financial Advisor Regulation Producer Sales & Marketing
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CMS Plan Year 2022 Registration and Training is Live for Returning Agents and Brokers
By NAIFA Government Relations Team on 8/30/21 5:24 PM
Today, the Centers for Medicare and Medicaid Services (CMS) announced that registration and training for Plan Year 2022 is now available for returning agents/brokers who completed training and registration for Plan Year 2021. Registration and full training for new agents and brokers will be made available later this year.
Topics: Federal Advocacy CMS Insurance & Financial Advisor Regulation Producer Sales & Marketing
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Special Enrollment Period for Marketplace Coverage Begins Feb. 15
By NAIFA Government Relations Team on 2/12/21 3:19 PM
On Friday, February 12, the Center for Medicare and Medicaid Services (CMS) announced that, in accordance with an Executive Order signed by President Biden, a Special Enrollment Period for the Health Insurance Marketplace will be available in the 36 states using the HealthCare.gov platform. The SEP will be available from Monday, February 15, through Saturday, May 15 for most states.
Topics: Health Care Federal Advocacy CMS
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Health Care Marketplace Special Enrollment Period to Open Feb. 15 - May 15
By NAIFA on 1/29/21 12:20 PM
In case you missed it, HealthCare.gov sent a notice that the Department of Health and Human Services has announced a Special Enrollment Period (SEP) for individuals and families for Marketplace coverage in response to the COVID-19 Public Health Emergency the notice says:
Topics: Health Care Federal Advocacy CMS
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NAIFA Members Participate in CMS Roundtable for Agents/Brokers
By NAIFA Government Relations Team on 1/14/21 6:47 PM
On Wednesday, January 13, NAIFA members Elie Harriett and Alan Winstead participated in an invitation-only roundtable hosted by the Department for Health and Human Services’ Center for Medicaid and Medicare Services. The discussion centered around marketplace policies and initiatives that impact agents and brokers.