Just Got this from FFM/CMS Agent/broker Newsletter

Ok, so since this email was received I've been trying to get to the bottom of if the paragraph noted by the OP truly had any merit or enforceability.

I reached out to CMS and was provided a cookie cutter response:

"QHP issuers participating in the Federally-facilitated Exchange or Federally-facilitated SHOP are responsible for ensuring any delegated or downstream entities, including affiliated agents and brokers, comply with all applicable federal standards and state requirements pursuit to 45 CFR 156.340.

The following links provides resources for agents and brokers in the Health Insurance Marketplaces:

http://www.cms.gov/CCIIO/Programs-a...gents_and_Brokers_QHP_Manual_09102014_508.pdf

Resources for Agents and Brokers in the Health Insurance Marketplaces - Centers for Medicare & Medicaid Services "


In digging into the information provided there is NO mention of not being able to contact clients with info on other products or restrictions on retaining consumer information.

In identifying this as a no answer-answer I called the CMS contact out on that fact. Her final response was: Please direct additional questions to your state DOI or the respective QHP issuer.

Neither QHP provider nor state DOI were involved in the issuance of this "Retaining Consumer Information for Follow-Up with the Marketplace" statement...
 
I know that for WBE's they are not allowed, once ACA plans are being displayed for a consumer, to show info for any other non ACA products. Maybe they are confusing with that... or just trying to confuse things is their goal.. either way same result!
 
I realize that I'm a day late and a dollar short on this post from 2015 ($ short each time I sell an SEP ACA anyway), but CMS put out a webinar which a few of us suckers in the office watched. They were pretty adamant that you can only use the infor that you gather from an ACA appointment to work that specific case as well as needing express permission to do any continuation service on the account.
So working on a new privacy policy as well as looking into a consent/BOR/PTC form to actually retain those clients.

I agree that it does not apply to clients that you had prior to ACA appt.

I also mention that I sell other types of insurance, so if you already have the info and you would just gather the exact same info for a different line of business, why can't you just use it?

DHK has an example of his "ongoing client engagement agreement" on another post, it's pretty nice.

Anyone else have something similar that they would care to share? Always appreciated by us newer agents!
 
does this mean we need some sort of SOA to talk to a aca client for upcoming open enrollment?

No. My concern is that I now have this happy little relationship with someone that is interested in adding some other type of insurance that I sell and now I can't use them. Certainly can not market something to them, or contact them to remind them that they should make an appointment for 2017 ACA enrollment.....

That's why I'm interested in a CMA document.
 
DHK has an example of his "ongoing client engagement agreement" on another post, it's pretty nice.

Anyone else have something similar that they would care to share? Always appreciated by us newer agents!

Can you post a link and post number to the CMA you reference above?
Here is a link from the 5/11/16 webinar where they discuss SOA concept, but no mention about not being allowed to cross sell other products.
Wouldn't selling a accident/CI supp plan with a high deductible bronze plan be in the clients' best interest? Is this even allowed any longer?

https://www.regtap.info/reg_librarye.php?i=1583
 
No. My concern is that I now have this happy little relationship with someone that is interested in adding some other type of insurance that I sell and now I can't use them. Certainly can not market something to them, or contact them to remind them that they should make an appointment for 2017 ACA enrollment.....

Clients are human beings who have a relationship with us. As such, the agent and client are free to determine and discuss insurance needs. It's no different now than it was before ObamaCare.
 
Can you post a link and post number to the CMA you reference above?
Here is a link from the 5/11/16 webinar where they discuss SOA concept, but no mention about not being allowed to cross sell other products.
Wouldn't selling a accident/CI supp plan with a high deductible bronze plan be in the clients' best interest? Is this even allowed any longer?

https://www.regtap.info/reg_librarye.php?i=1583

same webinar. Page 31-32 as well as the linked Incident Handling and Breach Notification handbook starting at page 3 and running through page 6 (de-identification of information). Link is pg 39.

What I took away from this is that unless we have the express, written consent of the client, we cannot use the info to market other lines.

I totally agree that would be in their best interests to sell an accident/CI with a bronze. Or even a dental or vision to someone who is interested.

Just think that the privacy notice needs to be in place and I like the idea of having an agreement with the individual to contact them and continue to service their accounts. I'm a fan of CMY.
 

Color me shocked.:skeptical:

If we don't control it, no one can! (que evil laughter-muhh, ha, ha, ha!)

It is mildly concerning, but I doubt that it will happen. Go with the bold print with the "not a QHP" and be done with it. I have never sold a short-term without explaining that it is not a comprehensive plan, you still will get a penalty, pre-existing conditions will be held against you....etc.
 
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