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.
The plan year 2015 Federally-facilitated Marketplace (FFM) agent and broker training on the Medicare Learning Network® (Part I of registration) closed on June 15, 2015. In addition, Part II of the FFM agent and broker registration on the Centers for Medicare & Medicaid Services (CMS) Enterprise Portal closed on July 1, 2015. In preparation for the launch of plan year 2016 registration and training later this summer, CMS is hosting three webinar sessions for agents and brokers focused on FFM plan year 2016 registration and training requirements. These sessions will address changes to the registration & training processes since plan year 2015 and additional training options for plan year 2016.
The webinars will take place on the following dates:
Wednesday, July 22, 2015 from 1:00 – 2:30 PM ET.
Wednesday, July 29, 2015 from 1:00 – 2:30 PM ET.
Wednesday, August 19, 2015 from 1:00 – 2:30 PM ET.
All sessions will include the same information. CMS asks that you register for only one session.
If you wish to register for a session, please log in to https://www.regtap.info/ and complete the following steps:
Select "Training Events" from "My Dashboard."
Select the "View" icon next to event Title "Federally-facilitated Marketplace (FFM) Agent and Broker Plan Year 2016 Registration and Training Requirements."
Select "Register Me."
If you require further assistance, you may contact the Registrar at 800-257-9520. Registration closes 24 hours prior to the event
To continue participation in the FFM for the individual market each year, 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-SHOP, each year agents and brokers must execute the FF-SHOP Agreement, 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.
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 firstname.lastname@example.org. 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 July 1, 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.