Helping consumers enroll in Marketplace coverage can be tricky — even for an expert like you. Don’t you wish there was a manual that walked through everything you need to know? Great news — there is!
Check out the latest Federally-facilitated Marketplace (FFM) and Federally-facilitated Small Business Health Options Program (FF-SHOP) Enrollment Manual, now posted on the Agents and Brokers Resources webpage. This manual summarizes operational policy and guidance on eligibility and enrollment activities within the FFMs, including State-based Marketplaces – Federal platform (SBM-FPs) and the SHOP Marketplace. It includes detailed guidance on the following key topics:
- Enrollment in the Individual Market FFM
- Enrollment in the SHOP Marketplace
- Direct enrollment
- Special enrollment periods
- Premiums
- Terminations
- Retroactivity
- Reinstatements
- Enrollment reconciliation
- Form 1095-a generation and corrections
Contact Us:
- For information about the FFM agent and broker program, contact the Producer and Assister Help Desk via email at FFMProducer-AssisterHelpDesk@
cms.hhs.gov or call the Agent and Broker Call Center at 1-855-267-1515 and select option “1.” - Direct questions about a client’s Individual Marketplace plan to the Marketplace Call Center at 1-800-318-2596.
- Direct questions about SHOP Marketplace coverage to the SHOP Call Center at 1-800-706-7893.
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