No Credit for Passive Re-enrollments?

[cadylou]

This passage was in a FAQ from CMS about individual insurance compensation for agents & brokers:

"Because passive re-enrollments assume that agents or brokers are not providing assistance to consumers to facilitate their re-enrollments, agents or brokers would not need to have a current registration to be listed on the 2015 re-enrollment transaction. In contrast, for active re-enrollments that involve agent or broker assistance, agents or brokers must have a current registration with the FFM at the time they are assisting consumers."

So, I have to re-enroll everyone? even if they like what they have and nothing else has changed? Is that everyone's understanding?

 

[somarco]

Yes, that's the way it is. Presumably off-exchange plans will retain the broker for a passive renewal.

 

[Yagents]

It's talking about certification not compensation

 

[YouGotMyMoney]

just another reason to focus on off-exchange clients if you can. Might/Guar to cost more to generate in some kind of volume, but this is str8 ridiculous.

 

[somarco]

Humana is targeting exchange business. If the agent has not contacted them by 12/12 Humana will and will make them a house account. Other carriers may do likewise, but Humana considers policyholders to be their accounts.

Supposedly they are not messing with off-exchange business, only exchange stuff. They said enrollment "assisters" will be contacting anyone that registered with the exchange in 2013 - 14 telling them there are new, lower premium options.

Agents will find themselves in competition with the carriers and the thousands of navigator wannabe's that are trying to enroll America in Obamacare.

 

[dorado]

Humana is targeting exchange business. If the agent has not contacted them by 12/12 Humana will and will make them a house account. Other carriers may do likewise, but Humana considers policyholders to be their accounts.

Supposedly they are not messing with off-exchange business, only exchange stuff. They said enrollment "assisters" will be contacting anyone that registered with the exchange in 2013 - 14 telling them there are new, lower premium options.

Agents will find themselves in competition with the carriers and the thousands of navigator wannabe's that are trying to enroll America in Obamacare.

Yes, and as always, if it was up to the carriers, they would not pay brokers

 

[Post Quartermaster]

This passage was in a FAQ from CMS about individual insurance compensation for agents & brokers:

"Because passive re-enrollments assume that agents or brokers are not providing assistance to consumers to facilitate their re-enrollments, agents or brokers would not need to have a current registration to be listed on the 2015 re-enrollment transaction. In contrast, for active re-enrollments that involve agent or broker assistance, agents or brokers must have a current registration with the FFM at the time they are assisting consumers."

So, I have to re-enroll everyone? even if they like what they have and nothing else has changed? Is that everyone's understanding?

Reading comprehension.

Do it.

 

[Yagents]

https://www.regtap.info/faq_viewe.php?i=8134

FAQ ID: 8134 Publish Date: 12/10/2014

Question:
Are issuers permitted to credit agents and brokers participating in the FFM who have not registered with the FFM for the current plan year for their QHP enrollment? Do issuers need to verify agent/broker FFM registration prior to crediting agents/brokers for passive and/or active re-enrollments?

Answer:
45 CFR 155.220 requires agents and brokers to be registered with the FFM prior to assisting or enrolling consumers in QHPs offered through the FFM. Affiliated agents and brokers who have agreements with issuers to be compensated or otherwise credited for assistance with enrollment of consumers through the FFM are considered downstream entities of the issuer, as that term is defined under 45 CFR 156.20. Pursuant to 45 C.F.R. 156.340, a QHP issuer participating in the FFM maintain responsibility for ensuring that its downstream entities, including affiliated agents and brokers, comply with applicable laws and regulations. CMS expects issuers to verify the registration status of affiliated agents and brokers before crediting and/or compensating them for enrollments through the FFM, and conduct reasonable oversight of their compliance with applicable Marketplace standards, laws and regulations. QHP issuers may verify agents and brokers' FFM registration according to the registration completion list of the CMS agent and broker resource page or by requesting a copy of the FFM User ID and training completion certification (if applicable) from each affiliated agent or broker. CMS believes that these steps, at a minimum, would be required for an issuer to demonstrate good faith efforts at complying with 45 CFR 156.340 as it relates to oversight of affiliated agents and brokers.

Agents or brokers who are assisting consumers with enrollment in QHPs offered through the FFM must have a current registration at the time they are providing assistance. Because passive re-enrollments assume that agents or brokers are not providing assistance to consumers to facilitate their re-enrollments, agents or brokers would not need to have a current registration to be listed on the 2015 re-enrollment transaction. In contrast, for active re-enrollments that involve agent or broker assistance, agents or brokers must have a current registration with the FFM at the time they are assisting consumers.

 

[AllenChicago]

YAgents...is this an accurate summary?

1. Agents who have not certified for 2015 will get paid 2nd year compensation on passive renewals, just like agents who have FFM certified for 2015.

2. Non-Certified FFM agents will not get paid for assisting with Active re-enrollments for 2015. Certified agents will.

 

[Yagents]

Yes on #1.
Lose license on #2