The Centers for Medicare & Medicaid Services is about to publish final regulations that will set rules for Web brokers that help consumers use the public exchanges.
The new rules also will let traditional agents and brokers use the Web brokers’ sites to sign consumers up for public exchange coverage.
Another provision will let states that are not able to set up individual exchange programs in 2014 seek federal permission to set up Small Business Health Option Program exchanges that serve only small groups.
Still other sections of the final regulations for cover topics such as whether health insurance premiums are fair; standards for the new risk-management programs designed to keep commercial health insurers from getting wiped out by floods of sick consumers now eligible for care through the Patient Protection and Affordable Care Act (PACCA); and eligibility appeals.
CMS, an arm of the U.S. Department of Health and Human Services, is getting ready to publish the final regulations in the Federal Register Friday.
CMS developed the regulations, which are based on a draft released in June, to implement many different sections of PPACA.
In the section on Web brokers, CMS notes that states that are running their own state-based exchanges can choose whether or not to work with Web brokers.