New Requirements for Brokers Assisting With ACA Consumer Plans

Published: 08.01.2023

Every broker assisting consumer clients needs to obtain and document the consumer’s consent before facilitating them with enrollment or applying for a subsidy through the Marketplace.

These new requirements are a part of the Centers for Medicare and Medicaid Services (CMS) final rule for the HHS Notice of Benefit and Payment Parameters for 2024, effective June 18, 2023.

Consent can be provided and documented in one of the following ways:

Writing
Electronically via email
Or call/voice recording

The documentation of consent must include the date the consent was given, the name of the consumer or their authorized representative, and the name of the agent, broker or agency in which consent is being granted to. Documentation must be stored securely for 10 years and can be rescinded by the client at any time.

To help you document this information, a sample consent form can be downloaded and used with your consumer clients.

Referral Programs & Additional Support

We understand that selling ACA and Marketplace plans can be tricky, especially as new rules and regulations evolve.

Whether you don’t have the time or the resources to support individual sales, or simply would prefer not to, we can help. Our dedicated team and in-house Contact Center will work with you and your clients to provide compliant enrollment assistance and ongoing support.

To learn more about our referral programs, contact us at individualenroll@savoyassociates.com.