The Centers for Medicare & Medicaid Services (CMS) is enhancing measures to protect consumers and ensure the integrity of the Federally-facilitated Marketplace (FFM) by addressing unauthorized changes in enrollments by agents and brokers. Starting July 19, 2024, CMS will block agents or brokers from altering a consumer’s FFM enrollment unless they are already associated with that enrollment.
Read the full CMS News Release
New agents and brokers must now conduct a three-way call with the consumer and the Marketplace Call Center or direct the consumer to submit changes themselves. These steps aim to prevent unauthorized changes and follow CMS's ongoing efforts to suspend and terminate agents and brokers engaged in unauthorized activities.
In the first half of 2024, CMS received and resolved a high volume of complaints regarding unauthorized plan changes and enrollments, demonstrating its commitment to consumer protection. Additionally, between June 21 and July 10, 2024, CMS suspended 200 agent or broker Marketplace Agreements due to suspected fraud or abusive conduct, reinforcing its dedication to robust oversight and preventing unauthorized activities.
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