The Centers for Medicare & Medicaid Services (CMS) recently released a bulletin extending non-enforcement policies against certain non-ACA-compliant non-grandfathered health insurance coverage in the small group and individual markets.
The extended transitional policy in this bulletin applies for policy years beginning on or before October 1, 2020, provided that all such coverage comes into compliance with the specified requirements by January 1, 2021.
Questions? Contact your Cornerstone representative for additional information.
Last month, the Centers for Medicare & Medicaid Services (CMS) launched a new tool that enables you to look up your Marketplace registration status using your National Producer Number (NPN) and ZIP Code.
The tool shows you a summary of your Marketplace registration status.
In addition, the tool displays details of the Marketplace training and registration steps you have completed.
It also shows the status of CMS’ validation of the NPN you provided in your Marketplace Learning Management System (MLMS) profile.
The rule was created in response to an executive order passed by President Trump in October that directed federal agencies to expand the availability of Association Health Plans, short-term policies, and HRAs.
Contact your Cornerstone representative for any additional details.
CMS finished mailing cards to people with Medicare who live in Wave 1 and Wave 2 states and territories (Alaska, American Samoa, California, Delaware, District of Columbia, Guam, Hawaii, Maryland, Northern Mariana Islands, Pennsylvania, Oregon, Virginia, and West Virginia). If someone with Medicare says they did not get a card, print and give them the “Still Waiting for Your New Card?” handout (in English or Spanish) or instruct them to:
- Sign into MyMedicare.gov to see if we mailed their card. If so, they can print an official card. They need to create an account if they do not already have one
- Call 1-800-MEDICARE (1-800-633-4227). There might be something that needs to be corrected, such as updating their mailing address.
via Medicare Learning Network
aspects of the Exchanges.
- For plan year 2018, 49,100 agents and brokers registered with Federal platform Exchanges, supporting 42 percent of overall enrollments.
- The cost breakdown for registration/training, technical assistance, and oversight is $2.40 per enrollee.
- The biggest concerns for agents and brokers are lack of competition in the individual market and availability of commissions from insurance carriers.
- To date, CMS has implemented 93 percent of recommendations from our agent and broker partners
For more information, click here.
Before this “go-dark” period begins on July 18 at 6:00 PM ET, you should:
- Check that your MLMS profile is up-to-date.
- Print your Registration Completion Certificate(s) to document your plan year 2018 registration for the Individual and/or Small Business Health Options Program (SHOP) Marketplace.
Certificates showing you have completed plan year 2018 registration and training will not be available after the MLMS closes.
To print your plan year 2018 Registration Completion Certificate(s), follow these three steps:
- Log in to the CMS Enterprise Portal.
- On the “My Status” page, the “Complete Agent Broker Training” entry will show “Complete” in the “Status” column if you have completed training.
Select the “Print Certificate(s)” link and follow the prompts.
During the go-dark period, the Centers for Medicare & Medicaid Services (CMS) will be preparing for plan year 2019 registration and training. Stay tuned for updates, or visit the Resources for Agents and Brokers webpage.
Contact your Cornerstone representative with any questions.
The rule includes provisions in the following key areas:
- Essential Health Benefits (EHB)
- Qualified Health Plan (QHP) Certification Standards
- Risk Adjustment
- Advance Premium Tax Credit (APTC) Program Integrity
- Special Enrollment Periods (SEPs)
- Medical Loss Ratio
- Small Business Health Options Program (SHOP)
- Rate Review
In addition, CMS has extended the transitional policy for one additional year, allowing for the transition to fully ACA-compliant coverage in the individual and small group Health Insurance Marketplaces until 2019.
Click here for more information or contact your Cornerstone representative.