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June 06, 2014 at 01:22 PM
Officials at the Centers for Medicare & Medicaid Services (CMS) want to hear from states about any problems with federal health insurance exchange agents and brokers.
CMS officials intend to share any concerns of their own with the state that licensed an exchange producer who has behaved in a way that raises concerns, officials say.
CMS officials make those points in an update on exchange producer requirements. CMS is an arm of the U.S. Department of Health and Human Services (HHS).
The update applies to producers who sell “qualified health plan” (QHP) coverage in the states in which HHS runs the Patient Protection and Affordable Care Act (PPACA) exchange. The guide does not apply to producers who work only with state-based exchanges or who do not sell any exchange coverage.
The insurers that write the QHPs are responsible for paying the agents and brokers. HHS exchange officials are not verifying exchange producers’ licenses, paying commissions to producers, establishing exchange producer commission schedules, or offering to clear up disputes between the insurers and the producers.
If, for example, producers think QHP issuers owe them commission payments, the producers should contact the insurers directly to discuss the situation, officials say.
