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Health Care Reform

PIA supports a healthcare system that preserves the role of independent agents and brokers, builds on the private market and utilizes the successful state-based regulatory system.

Official ACA Training & Registration


The ACA requires agents and brokers who wish to utilize a Federally-Facilitated Marketplace (FFM) to complete online training and registration.

Official ACA Training – Part IAgents and brokers are required to complete training from the federal government before they are eligible to sell health insurance policies in a FFM. Training can begin immediately by clicking the above link. You must start by creating an account, which will provide you with a Login ID and Password to access the training.

Official ACA Identity Proofing – Part IIAfter you have completed Part I (above), please allow 48 business hours for your training/testing results to be transmitted to the CMS Enterprise Portal, where Part II occurs. Agents and brokers must register on this website and complete the identity proofing process.

Training Resources


PIA has hosted several webinars presented by the CMS for our members to teach agents how they can participate in the ACA. Click here to view slides from past healthcare training webinars by the CMS.

HHS/CMS Resources


January 28, 2014, New Resource From CMS
— The CMS has released a new resource titled Federally-Facilitated Marketplace Enrollment: Tips for Agents and Brokers in the Individual Market. This new resource from the CMS is designed to help agents/brokers as they assist consumers enrolling in Qualified Health Plans (QHPs) in the FFM. The document provides tips on some of the key screens for agent/brokers assistance during enrollment in the FFM. This resource can be found here.

November 2, 2013, Email NoticeThis email notice (1) makes note of the CMS Enterprise Portal being unavailable on November 2, 2013 – November 3, 2013, and (2) informs agents that CMS is aware of some agents receiving an error message on the CMS Enterprise Portal. CMS is working to resolve the issue.

Enrollment Operational Policy & Guidance (Federally-Facilitated Marketplace) — The HHS released this document on October 3, 2013, with an effective date of October 1, 2013. The 44 page document covers the types of Marketplaces and enrollment processes, including information on premium payments, cancellations, and terminations.

October 4 Email Announcement from HHS — This email notice is intended for agents/brokers who are participating in a FFM or Small Health Options Program Marketplace (FF-SHOP) and makes the following announcements: 1) It references an updated FAQ on Medicare and Marketplace enrollment. This document can be found here; 2) The memo reinforces that an agent/broker should work to ensure that the consumer enters the accurate agent/broker's NPN in the FFM. It also notes that the NPN that is included on the application will be sent to the issuer so the compensation can be facilitated.

September 30 Email Announcement from HHS — This email notice is intended for agents/brokers and makes the following four announcements: 1) On Tuesday, October 1, the FFMs and State Partnership Marketplaces will open. Agents need to ensure that consumers enter the agent's NPN into the FFM; 2) On Tuesday, October 1, a listing of health plans will be made available. The list is accessible via this announcement; 3) A reminder that agents/brokers need to complete the CMS identity proofing process and; 4) Agent/broker questions, as they relate to FFM registration, can be submitted to FFMProducer-AssisterHelpDesk@cms.hhs.gov.

Agent/Broker Registration Process FAQ — This document was created by the HHS and covers frequently asked questions as they related to agent/broker registration for a FFM.

HHS Resources — The HHS has created a website specific for agents and brokers. Official marketplace training and registration information can be found on this page.

Additional Resources


Healthcare Reform FAQ Prepared By the NAIC
— The National Association of Insurance Commissioners (NAIC) has prepared this webpage to assist consumers and employers with common questions.

Guide to HHS HIPAA Omnibus Rules — A PIA member agency only guide to gaining a better understanding of the ins & outs of the recently enacted HIPAA Omnibus Rule.

    ACA & the IRS — The IRS has a new website that is designed to assist the public and businesses understand the tax provisions that are part of the ACA. Information on this page ranges from tax credits for individuals to employer responsibilities.



    Archive


    Click here to view an archive of resources from 2013.