 Broker Roles for Health Insurance Marketplace Announced by HHS
The Centers for Medicare and Medicaid Services has announced the roles of agents and brokers in educating and assisting consumers who wish to participate in the Health Insurance Marketplace, which is a stipulation of the Affordable Care Act.
Key Information about Broker Roles in Health Insurance Marketplace:
- CMS Registration is required
- Registration will be online and expected to begin this summer (dates were not included)
- Confirm broker identity and answer questions
- Complete a training course
- Agree to comply with guidelines of the Marketplace
- Brokers will educate and assist individuals with:
- Plan comparisons
- Eligibility for subsidies
- Enrollment in coverage
- Brokers will help qualified employers and employees enroll in coverage through the Small Business Health Options Programs (SHOPs).
- Enrollments will be online. Brokers can assist consumers who purchase care through an insurer’s website or through the Marketplace website. Both methods will identify the broker for payment by the insurer.
Please click this link to review the entire document: Roles of Agents and Brokers in Marketplace
- Section 1: High-level overview of the roles for brokers and agents.
- Section 2: FAQ
- Section 3: FAQ specific to web brokers
We expect more information to follow regarding the required CMS training and how you can apply for a broker Marketplace user ID. We will provide this information to you as soon as we have it.
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