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Some insurance brokers enroll people in ACA plans without consent

Added 01-17-22 05:07:02am EST - “Some consumers "have gone months" without realizing someone had improperly enrolled them in ACA health plans, with tax credits that may need repaying. A proposed new rule would stop the practice.” - Npr.org


Posted By TheNewsCommenter: From Npr.org: “Some insurance brokers enroll people in ACA plans without consent”. Below is an excerpt from the article.

Some insurance brokers are enrolling people into Affordable Care Act health plans without their consent, perhaps for the commissions, a move that could put consumers in danger of owing back the subsidies connected with the coverage. The damage could be hundreds or even thousands of dollars.

A consumer's first hint that something is wrong is a big one: a letter from the IRS or a delay in their tax refund.

Although the practice does not appear widespread, it has prompted the Department of Health and Human Services to seek changes to some oversight rules affecting brokers. They would start in 2023.

HHS wants the changes, according to its proposal, because it "has observed several instances in which agents, brokers, and web-brokers have provided inaccurate consumer household income projections" and that "this is problematic in situations when consumers are enrolled without their knowledge or consent."

The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.


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