New Rule Cracks Down on Improper Enrollments, Protects Patient and Taxpayer Dollars, and Restores Marketplace Integrity

This post was originally published by the Centers for Medicare and Medicaid Services. The Centers for Medicare & Medicaid Services (CMS) is finalizing a major rule that will lower individual health (more…)

Important Updates From Kentucky kynect

Disaster Supplemental Nutrition Assistance Program Benefits for Those Affected by Severe Weather in Kentucky The Governor announced that residents in six counties who were affected by severe weather on May (more…)

CareSource to Exit the Kentucky Individual Market

CareSource recently announced a decision to withdraw from the individual market in Kentucky beginning with the 2026 plan year. The company noted declining membership, which has led to significant financial (more…)

Important Update About Individual Dental Plans Offered by Dental Care Plus, Inc.

Dental Care Plus, Inc. recently announced they will discontinue new DCP individual sales and will begin to non-renew existing plans. This impacts individual dental plans offered by DCP in Indiana, (more…)

Important Marketplace Loss of MEC SEP Verification Update

Pre-enrollment verification for the Marketplace loss of minimum essential coverage (MEC) Special Enrollment Period (SEP) began on Friday, May 16, 2025. How will this impact my clients? If your Marketplace (more…)

REMINDER: Important Marketplace System Changes

This post was originally published by Healthcare.gov. Recent updates made to Marketplace systems aim to protect you as an agent or broker and consumers against bad actors committing unauthorized activities (more…)

Aetna Announces County Expansions in Ohio and Indiana in 2025

Aetna recently announced it will be expanding to 15 counties in Ohio and 15 counties in Indiana for their 2025 individual and family plans. Click here to review a full (more…)

Pay-or-Play Affordability Percentage Will Increase for 2025

On September 6, 2024, the IRS released Revenue Procedure 2024-35 to index the contribution percentage in 2025 for determining the affordability of an employer’s plan under the Affordable Care Act (more…)

CMS and DE/EDE System Access Requirements

This post was originally published by CMS.gov As a reminder, section IV.c. of the Agent and Broker General Agreement documents proper uses of CMS systems, including Direct Enrollment (DE) systems, (more…)

Plan Year 2025 Marketplace Registration and Training is Now LIVE

This post was originally published by Healthcare.gov. Plan Year 2025 Marketplace registration and training is now available for returning agents and brokers who were registered for Plan Year 2024! The optional (more…)

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