To the extent permitted by states, licensed agents and brokers may assist consumers in applying for qualified health plans (QHPs) and insurance affordability programs including premium tax credits and cost-sharing reductions. They play a crucial role in educating consumers about the Health Insurance Marketplaces, both during annual open enrollment and throughout the coverage year.
Some states have set up a State-Based Marketplace, while other states work with the federal government in a State-Partnership Marketplace or Federally-facilitated Marketplace (FFM). Agents and brokers can help consumers, no matter what state the consumers live in, as they apply for and choose insurance options. Agents and brokers who wish to participate in the FFM must first complete a two-part registration process (see “Registration for the Federally-facilitated Marketplace” below for more information on this requirement). This page contains resources for agents and brokers who are assisting individual market consumers in the Marketplaces, as well as small group market employers and employees in the Small Business Health Options Programs (SHOPs).
News for Agents and Brokers is an electronic source of information for Federally-facilitated Marketplace (FFM) Agents and Brokers. As with other communications to our Agents and Brokers, this monthly newsletter will be disseminated electronically to Agents and Brokers on our e-mail listserv. We are committed to keeping Agents and Brokers informed about upcoming webinars/trainings, registration resources, relevant guidance and regulations, important announcements, and other useful information. Please take a moment to read the latest issue.
Part I of the Federally-facilitated Marketplace (FFM) training and training curriculum completion certificates are no longer available on the Medicare Learning Network® (MLN) Learning Management System (LMS) for plan year 2015. CCIIO is preparing to launch the training for plan year 2016 on a new Marketplace Learning Management System (MLMS) later this summer. The option to take training on an approved vendor’s website will also become available at a later date.
Part II of the agent and broker registration process for plan year 2015 must be completed by July 1, 2015. To do this agents and brokers should visit the CMS Enterprise Portal at https://portal.cms.gov to:
In preparation for the transition to the new MLMS, CMS will be hosting a webinar in July titled, “Plan Year 2016 Registration and Training for Agents and Brokers”. The purpose of this webinar will be to provide plan year 2016 requirements agents and brokers will need to complete in order to become registered to assist consumers through the FFM either through the new web platform MLMS or through a CMS-approved vendor.
Additional information on the transition for agents and brokers from plan year 2015 to plan year 2016 will be provided on a continual flow basis on the Agents and Brokers Resources webpage, so please continue to check there for updates. We will also provide updates via email blasts, the monthly Agent and Broker newsletter, as well as through Twitter @CMSGov.
For questions, please contact the FFM agent and broker help desk at FFMProducer-AssisterHelpDesk@cms.hhs.gov.
To continue participation in the FFM for the individual market for the 2015 plan year and future plan years, agents and brokers must complete an annual registration renewal process that includes completion of required training, and execution of the FFM Agreements. To continue participation in the FF-SHOPs for the 2015 plan year and future plan years, agents and brokers must execute the FF-SHOP Agreement annually, and are encouraged to complete training. All agents and brokers participating in the FFM for the individual market and FF-SHOP must complete Part II (create an FFM user account and complete identity proofing) if they have not done so previously.
In order to fully understand the steps of the registration process and what is required of you as an agent or broker, CCIIO recommends reviewing several key resources.
September 29, 2014
Agent-Broker Registration Guided Tour Parts I and II [ZIP file – 28.38 MB]
The Agent-Broker Registration Guided Tour contains a screen presentation detailing the sequence of FFM Registration events. This audio-visual guide is comprised of two modules (Part I and Part II) that will provide agents and brokers with instructions to complete the FFM registration process. (The ZIP file contains two MP4 files that require Windows Media Player or QuickTime Player to view.)
This list contains the national producer numbers (NPNs) for agents and brokers who have completed FFM registration for the 2015 plan year. CMS posts this list twice each month, reflecting registration data as of the date of the list. NPNs can be searched by clicking the arrow in cell A2, or by using the “Ctrl + F” (or “Command +F) keystroke. All NPNs are self-reported by the agent or broker during Part I of FFM registration, and should be validated against state and/or other NAIC records to confirm state licensure.
Plan Year 2014 Registration Completion List [XLSX, 2.2 MB]
This list contains the national producer numbers (NPNs) for agents and brokers who have completed FFM registration for the 2014 plan year. All NPNs are self-reported by the agent or broker during Part I of FFM registration, and should be validated against state and/or other NAIC records to confirm state licensure.
FFM registration for plan year 2014 expired on 9/30/2014. Agents and brokers should complete FFM registration for the 2015 plan year by 9/30/2014 if they wish to assist consumers with plan year 2014 special enrollment periods (SEPs) and plan year 2015 open enrollment beginning 11/15/14.
A web-broker is an individual agent or broker, a group of agents and brokers, or a company that is interested in providing a non-Federally-facilitated Marketplace (FFM) website to assist consumers in the qualified health plan (QHP) selection and enrollment process as described in 45 C.F.R. 155.220(c)(3). FFM web-brokers must meet CMS’ regulatory and technical requirements and establish an Internet website with an Application Program Interface (API) connection to the FFM.
For more information on the web-broker requirements and application process, please contact CMS at email@example.com. Interested parties should also review the guidance document “Role of Agents, Brokers, and Web-brokers in the Health Insurance Marketplaces.”
This list contains the names of web-brokers participating in the Federally-facilitated Marketplace (FFM) who have signed 2015 Web-broker Agreements with CMS and completed FFM registration for the 2015 plan year. This list contains web-brokers whose requirements have been verified as of June 2, 2015. This list will be updated on a periodic basis.
When assisting individual market consumers in completing the eligibility application and enrolling in health care coverage online through the FFM, an agent or broker may use one of two pathways:
When assisting employers and employees in completing the eligibility application and enrolling in coverage online through the FF-SHOP, an agent or broker will use the SHOP Enrollment Pathway.