Welcome to the Agents and Brokers Resources webpage. This page is the primary outlet for agents and brokers to receive information from CMS about working in the Health Insurance Marketplace and the Small Business Health Options Program (SHOP) Marketplace. The content on this page is updated regularly.
Click here for a roadmap on how to navigate the Agents and Brokers resources.
To the extent permitted by states, licensed agents and brokers may assist consumers in determining their eligibility for insurance affordability programs, including advance payments of the premium tax credit and cost-sharing reductions, and enrolling in qualified health plans (QHPs).
Agents and brokers play a crucial role in educating consumers about the Health Insurance Marketplace, both during annual Open Enrollment and throughout the coverage year. Agents and brokers may also help employers understand their options for participating in the Small Business Health Options Program (SHOP) Marketplace and assist them and their employees through the SHOP Marketplace application and enrollment process.
Some states have set up their own State-based individual and small business Marketplaces, while the Federal Government runs the Health Insurance Marketplace and SHOP Marketplaces located on HealthCare.gov in other states. You can find out if your state is running its own Marketplace by visiting HealthCare.gov and selecting your state from the drop down. Agents and brokers can help consumers apply for and choose insurance options in any state in which the agents and brokers are licensed, regardless of whether the Marketplaces are operated by the state or Federal Government.
Agents and brokers who wish to assist consumers in the Health Insurance Marketplace and SHOP Marketplace on Healthcare.gov must first complete registration.
Plan Year 2018 Registration and Training is Now Available
Marketplace registration and training for plan year 2018 is now live!
For more information and resources to help you get started, visit the Plan Year 2018 Registration and Training page.
CMS is hosting a webinar series from September 13 through December 13, 2017 to help agents and brokers prepare for the upcoming Open Enrollment period. Once you sign up for one of these webinars, you will automatically be registered for the entire series and can join the webinars at your leisure. This series will include the following webinars:
CMS Marketplace Update for Agents and Brokers
Marketplace Privacy and Security Requirements for Agents and Brokers
Preparing for Plan Year 2018 Open Enrollment
Complex Eligibility Cases: Calculating Back Premium Payments and Resolving Data Matching Issues
Making the Most of your Marketplace Participation During this Open Enrollment Period
Marketplace Open Enrollment Office Hours for Agents and Brokers
CMS is also hosting the following registration and training webinars:
PY2018 Registration and Training for New Agents and Brokers
PY2018 Registration and Training for Returning Agents and Brokers
Visit REGTAP - Opens in a new window for more details and to register for these webinars.
Upcoming Special Enrollment Period Pre-Enrollment Verification Process
Beginning in Summer 2017, new applicants who attest to certain types of SEP qualifying events will be subject to the special enrollment period pre-enrollment verification (SEPV) process. Eligible consumers must submit documents that confirm their SEP eligibility before they can enroll and start using their Marketplace coverage.
Click here - Opens in a new window for more information about when the Marketplace needs documents to confirm an SEP.
For more information, check out the following resources:
Manage your Email Preferences
Agents and brokers can now choose the types of emails they want to receive from the Marketplace by updating Subscriber Preferences - Opens in a new window . Click here to find out how. To get started:
Agent and Broker Newsletter
News for Agents and Brokers is an electronic source of information for agents and brokers assisting consumers in the Marketplaces on HealthCare.gov. Check out the latest edition here.