Volume 3, No. 8 - September 2014

In The Know

- Keeping you informed is what it's all about

Health Agent Role in the Federally-Facilitated Marketplace

Agents can assist individuals and small groups with completing the eligibility applications, comparing and selecting qualified health plans (QHPs), and enrolling through the Federally-facilitated Marketplace (FFM) and small group marketplace (FF-SHOP).

Agents can assist consumers in two ways: 1) Use the insurer's website to assist the consumer; or 2) Use the Marketplace website. All agents must register with CMS in order to assist qualified individuals and small groups with coverage through the Marketplace.

Agents will need to input their National Producer Number (NPN) in order to complete the training curriculum. Agents who enter the wrong NPN may have to re-complete the curriculum, so it is very important the correct NPN is entered. Agent NPNs can be found at https://pdb.nipr.com/html/PacNpnSearch.html.

All agent training for the Federally-facilitated Marketplaces (FFM and FF-SHOP) is online. Agents must complete Part I of the registration even if they were previously approved. FFM Agent Agreements with CMS for the 2014 plan year automatically expire on September 30, 2014.

Agents who are new to the FFM and FF-SHOP are required to complete Part II as well as agents who did not complete this requirement as part of the registration process for the 2014 FF-SHOP (small business Marketplace) plan year. Agents who participated only in the FF-SHOP during the 2014 plan year must complete both Part I and Part II of registration for the 2015 plan year.

Once an agent has completed Part II of the registration process, he/she will be issued an active FFM User ID that he/she will use on all applications submitted through the federal marketplaces. The insurers will pay agents their commissions for sales through the marketplaces based on the FFM User ID number.

Agents new to the FFM (individual, SHOP, or both) for 2015 must complete Part I of the training prior to attempting to complete Part II.

The Part I agent training is available at http://Marketplace.MedicareLearningNetworkLMS.com.

Part II identity proofing is located on the CMS Enterprise Portal at https://portal.cms.gov.

After completion of Part I, agents should allow 48 business hours for their training/testing results to be transmitted to the CMS Enterprise Portal where Part II occurs. Agents must allow sufficient time for their training/testing results to reach the CMS Enterprise Portal or they will get an error message if they need to complete Part II.

Agents wanting additional information should refer to the HHS/Center for Consumer Information and Insurance Oversight (CCIIO) website at http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/a-b-resources.html.

In order to participate in either or both Marketplaces, agents must be licensed and follow Florida appointment laws. Agents must continue to comply with all state laws and the Florida Department of Financial Services will continue to be the primary regulatory authority overseeing agents.

Title Agencies: Update Your Info for the 2015 Administrative Surcharge

Subsection 624.501(27)(e)2, Florida Statutes, requires any title insurance agency licensed in Florida on January 1 of each year to remit an administrative surcharge of $200 to the Florida Department of Financial Services. Therefore, we are reminding all title agencies that the 2015 administrative surcharge due date will soon be approaching. NOTE: This surcharge is not related to the one imposed on each new policy written due to the receiverships of National Title Insurance Company and K.E.L. Title Insurance Group, Inc.

Any title insurance agency licensed in Florida on January 1, 2015, will be emailed a reminder a few days afterward to the agency's email address on file with the Department. To ensure you receive the invoice and avoid failing to pay by the January 30 due date, please log in to the MyProfile account for your title agency and make sure the correct email address is on file. While doing so, we also recommend you do the same for your individual MyProfile account.

Occasionally we discover agencies that were not aware of the reminder because of the retirement or termination of the employee assigned to monitor the email address provided to the Department. Failure to open the email sent by the Department containing the administrative surcharge reminder does not release an agency from the January 30 deadline. Please verify your information soon so this does not happen to you. If you need our assistance, you may contact us at Title@MyFloridaCFO.com to assist you through the steps to update your information. Be proactive; not reactive.

Failure to pay the surcharge on or before January 30, 2015 will result in administrative action and/or a fine, in addition to the original surcharge. Payment must be made securely online via the title agency's MyProfile account. Paper checks are not accepted.