Managers of the HealthCare.gov system really want to know when consumers come in with printouts from the websites of affiliated “Web broker entities.”
Officials at the Center for Consumer Information and Insurance Oversight, the arm of the Centers for Medicare & Medicaid Services that runs HealthCare.gov, have included new Web broker entity printout requirements in a HealthCare.gov enrollment manual update.
HealthCare.gov provides Affordable Care Act enrollment and administration services in states that are unwilling or unable to handle exchange enrollment themselves.
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The enrollment manual covers topics such as how HealthCare.gov gets consumers into medical plans and dental plans, how consumers can drop their coverage, and what the consumers, exchange customer service representatives and others do when consumers have problems.
Other enrollment manual sections talk about the rules for “Web broker entities” — companies licensed to connect their own Web-based enrollment systems directly with HealthCare.gov systems. Many of those Web broker entities make their pipes into HealthCare.gov available to insurance agents, retail brokers and private exchange systems.
When the insurance oversight office was setting exchange program parameters for 2017, it implied in discussions of disciplinary rules for Web broker entities, agents and retail brokers that it may have had problems with some exchange plan sellers.
A comparison of the new update with a version of the manual released in October 2015 shows that the insurance oversight office wants to improve the ability of HealthCare.gov customer service reps and others to figure out whether a consumer got exchange or exchange plan information from the website of a particular Web broker entity.