Wellcare: 2022 Annual Certification Training Now Available

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We are excited to announce 2022 Wellcare Annual Certification Training is now available!

2022 Annual Certification Training Details:

  • One Combined ACT: Successful completion of ACT
    certifies you to market and sell all 2021 and 2022 Wellcare Medicare
    product offerings, for Allwell, Fidelis Care, Health Net, WellCare, and
    Ascension Complete Health Plans.
  • Open-Book Exam: The entire training course is
    available for download in PDF format located in the course Resources.
    The document can be searched by using the ctrl-f search function.
  • Unlimited Attempts: You can take the mastery exam
    as many times as you would like. Remember, there is a 24-hour lockout
    between attempts to allow you time to study and revisit any of the
    training material.
  • AHIP Integration: The Centene Learning Center provides real-time AHIP to ACT training availability. Complete AHIP through our training site to access discounted pricing ($125 vs $175)

Accessing 2022 ACT:

You must reset your password for the Centene Learning Center
before proceeding to AHIP and ACT (if you have not accessed the site
after 5/10/2021).

Click here to access the Centene Learning Center

  • Returning Users: Enter your Username and Password and click Login.
  • First Time Visitors: Click on the Create a New Account link under the First Time Visitor? section and complete registration.
  1. Complete 2022 AHIP Medicare Training
  2. Complete 2022 Wellcare ACT Journey to a Successful Season
  3. Complete 2022 Wellcare ACT Know Your Product
  4. Complete 2022 Wellcare ACT Mastery Exam

Training Resources:

  • Click here for the Centene Learning Center User Guide
  • Click here for Centene Learning Center password reset instructions
  • Click here to view the Centene Learning Center Registration Process video

Wellcare Certification Here >

Wellcare/Centene Contracting Here >

 

Note: Once certification training requirements are completed, please allow 48 hours for our systems to update.

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UnitedHealthcare: Year-Long Access to the Peloton App

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UnitedHealthcare to Provide Millions of Members with Year-Long Access to the Peloton App.

Starting Sept. 1, eligible UnitedHealthcare members will now be able to access thousands of live and on-demand classes via the Peloton App for up to 12 months, or receive a four-month waiver toward their All-Access Membership, at no additional cost

The UnitedHealthcare offer is the first of its kind between Peloton and a health plan, helping both organizations achieve their joint goal of making fitness and overall wellness more attainable and accessible

 

MINNETONKA, Minn., and NEW YORK (July 20, 2021) —
UnitedHealthcare, part of UnitedHealth Group (NYSE:UNH), and Peloton
(Nasdaq: PTON) are working together to provide millions of Americans
with access — at no additional cost — to fitness classes that can help
improve their overall fitness and well-being, the first such
relationship between Peloton and a health plan.

As of Sept. 1, as part of their plan benefits, millions of fully
insured UnitedHealthcare members can enroll with Peloton to obtain
access to Peloton’s best-in-class, multidiscipline fitness classes,
helping integrate exercise into their daily routines. New and existing
Peloton Members are eligible to enroll.

Many Americans are turning to on-demand exercise options to help
improve their fitness and bolster their overall well-being, and this
first-of-its-kind relationship with Peloton will provide millions of our
members with an important resource to help them along their journey
toward a healthier lifestyle,” said Philip Kaufman, senior vice
president, UnitedHealthcare. “Expanding access to Peloton’s
industry-leading health and wellness community builds upon our
commitment to developing digital health resources and consumer-centric
benefits to help people live healthier lives.”

“Peloton Members have always shared how much movement and activity
positively impacts their mental, physical and emotional health,” said
William Lynch, President, Peloton. “With UnitedHealthcare, we can now
reach millions more around the country in our continuing efforts to help
people be the best versions of themselves. This is our latest step to
live up to our mission of making movement and fitness more accessible
and available.”

Key details of the offer include: 

  • More than 6 million UnitedHealthcare commercial members now
    have the option to access Peloton’s fitness classes via the Peloton App,
    giving people enrolled in qualified fully insured
    employer-sponsored plans a 12-month subscription to a Peloton Digital
    Membership or a four-month waiver for their Peloton All-Access
    Membership at no additional cost.* Peloton All-Access Members can take
    live or on-demand classes on their Peloton Connected Fitness products
    and track their personal metrics, plus have access to via the Peloton
    App. 
  • Available via the Peloton App or through a Peloton Bike, Bike+,
    Tread, or Tread+ as an All-Access Member, UnitedHealthcare members can
    take thousands of live and on-demand fitness classes
    for strength, indoor cycling, yoga, outdoor running, walking and
    meditation. The Peloton App is available on Apple and Android devices,
    Apple TV, Fire TV, Roku TVs and Chromecast and Android TV.
  • Eligible UnitedHealthcare members received details via email about activating their Peloton membership starting Sept. 1
    or thereafter depending on the health plan’s effective date. Once
    eligible members receive a personalized code, they can use it to
    activate their 12-month subscription to a Peloton Digital Membership or a
    four-month subscription to a Peloton All-Access Membership at no
    additional out-of-pocket cost. At the end of the 12-month membership,
    UnitedHealthcare plan participants will have the opportunity to renew
    the Peloton Digital Membership at the market rate directly through
    Peloton; UnitedHealthcare members will not be automatically enrolled
    beyond the 12-month offer.

Each year, UnitedHealthcare invests more than $3 billion in data,
technology and innovation, integrating human support, advanced data
analytics and unique collaborations to help improve the quality and
affordability of health care. Millions of UnitedHealthcare members have
access to various well-being programs, including technology-enabled
initiatives such as UnitedHealthcare Motion® and Renew Active® for eligible members enrolled in Medicare plans. 

More information about the collaboration is available at uhc.com/peloton.

*Program available to UnitedHealthcare plan participants 18 years and older with access to myuhc.com and
who enroll in Peloton’s consumer subscription offering in accordance
with the Peloton Terms of Service and Membership Terms; some additional
limitations or state-specific restrictions may apply. UnitedHealthcare
plan participants may use only one (1) code per All-Access Membership.
Please check with your UnitedHealthcare representative for more
information.

All trademarks are the property of their respective owners.

About UnitedHealthcare

UnitedHealthcare is dedicated to helping people live healthier lives
and making the health system work better for everyone by simplifying the
health care experience, meeting consumer health and wellness needs, and
sustaining trusted relationships with care providers. In the United
States, UnitedHealthcare offers the full spectrum of health benefit
programs for individuals, employers, and Medicare and Medicaid
beneficiaries, and contracts directly with more than 1.3 million
physicians and care professionals, and 6,500 hospitals and other care
facilities nationwide. The company also provides health benefits and
delivers care to people through owned and operated health care
facilities in South America. UnitedHealthcare is one of the businesses
of UnitedHealth Group (NYSE: UNH), a diversified health care company.
For more information, visit UnitedHealthcare at www.uhc.com or follow
@UHC on Twitter.

About Peloton

Peloton is the leading interactive fitness platform in the world with
a loyal community of more than 5.4 million Members. The company
pioneered connected, technology-enabled fitness, and the streaming of
immersive, instructor-led boutique classes for its Members anytime,
anywhere. Peloton makes fitness entertaining, approachable, effective,
and convenient, while fostering social connections that encourage its
Members to be the best versions of themselves. An innovator at the nexus
of fitness, technology, and media, Peloton has reinvented the fitness
industry by developing a first-of-its-kind subscription platform that
seamlessly combines the best equipment, proprietary networked software,
and world-class streaming digital fitness and wellness content, creating
a product that its Members love. The brand’s immersive content is
accessible through the Peloton Bike, Peloton Tread, Peloton Bike+,
Peloton Tread+, and Peloton App, which allows access to a full slate of
fitness classes across disciplines, on any iOS or Android device, Apple
TV, Fire TV, Roku TVs, and Chromecast and Android TV. Founded in 2012
and headquartered in New York City, Peloton has a growing number of
retail showrooms across the US, UK, Canada and Germany. For more
information, visit www.onepeloton.com.

UnitedHealthcare Contracting For ACA Sales >

UHC Medicare Contracting > 

 

Written by: UnitedHealthcare News Releases

 

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Oscar Health Introducing a New Partnership

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I’m
excited to let you know that Mulberry Insurance Agency, an Oscar
brokerage subsidiary, is now partnering with National General Accident
& Health (NatGen) to sell NatGen Select Dental PPO and Plan Enhancer
coverage solutions.

 

* This partnership demonstrates our commitment to
helping you give your clients – Oscar members and non-Oscar members
alike – an enhanced health care experience that they’ll love and thank
you for.

Already selling NatGen plans? That’s great! You will not
be required to change the way you’re currently selling NatGen plans, and
there will be no changes to your appointment or how you are paid
commissions on those plans. We’re just letting you know that you can now
sell NatGen plans right from your Oscar Broker Account in just five
easy steps:

Sign into your Oscar Broker Account

  • Click on the “Sell supplemental plans” button
  • Click on the ‘Go to National General’ button

The
next page will be a login page that will automatically input your NPN. 

Note: If you see an error that says ‘NPN not found’, then click the
‘Create Account’ button to create an account and Start selling! You can return to your Oscar Broker Account at any time to use the same unique link to quote and sell.

OSCAR CONTRACTING AVAILABLE HERE >

NATIONALGENERAL CONTRACTING HERE >

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BlueCross BlueShield of Texas: New Bonus Program

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Producer Bounce Back Bonus Program

GET BACK TO BUSINESS AND EARN MORE WHEN YOU WRITE WITH BCBSTX.

 
 

How It Works
Medical sales eligible for the program include NEW Fully Insured accounts (1-500 enrolled employees) sold with effective dates from October 1, 2021 through January 15, 2022. 

To earn a bonus, you must sell a minimum of 5 accounts and 50 contracts AND achieve a minimum retention level of 85% during the bonus period.

Read Full Bonus Program Details Here > 

BlueCross BlueShield of Texas Contracting >


 

 

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TDI: Texas Department of Insurance – Changes to Agent Licensing Laws

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Changes to agent licensing laws

The Texas Department of Insurance has issued a bulletin listing major changes to agent licensing provisions during the 87th Legislature.

Those include:

  • Increasing ethics continuing education requirements.
  • Removing the life and health insurance counselor license.
  • Removing insurance service representative license.
  • Discontinuing registration for home office salaried employees.
  • Eliminating subagent appointments.

This bulletin provides a summary of changes to agent license requirements in House Bill 4030 from the 87th Texas Legislature.

Increases ethics continuing education requirements

The continuing education requirement for ethics increased from two
hours to three hours per license period for licenses expiring on or
after September 30, 2022. This change doesn’t affect the total number of
hours required during the two-year licensing period. The Texas
Department of Insurance (TDI) will be providing more information on when
licensees must complete the additional ethics training. To make sure
you get the notice, sign up for email alerts about agents and adjusters.

Removes the life and health insurance counselor license

All active life and health insurance counselor licenses issued before
June 1, 2021, will be converted to a general lines agent license with a
life, accident, and health qualification.

Licensees must comply with all requirements of the general lines
agent license with a life, accident, and health qualification to keep
the license active and in good standing.

Removes insurance service representative license

All active insurance service representative licenses issued before
June 1, 2021, will be converted to a general lines agent license with a
property and casualty qualification.

Licensees must comply with all requirements of the general lines
agent license with a property and casualty qualification to keep the
license active and in good standing.

Removes home office salaried employees

The registration for home office salaried employees will be
discontinued starting September 1, 2021. Anyone who engages in the
business of insurance must get the appropriate license.

Subagent appointments

There is no longer a subagent designation under Insurance Code
Chapter 4001. All agents must be appointed by an insurance company to
engage in the business of insurance.

Other changes

  • Companies are no longer required to report and register each branch location.
  • A clearance letter is no longer required in a nonresident agent’s application for a comparable license for Texas residents.
  • Nonresident public insurance adjusters no longer need to provide a
    certificate or letter of authorization from their state of residence or
    provide an annual affidavit stating they are familiar with Texas laws.
  • HB 4030 allows TDI to stop accepting provisional applications unless
    application processing time is 21 days or greater in the last 90 days.
  • HB 4030 automatically suspends, cancels, or revokes a nonresident
    Texas license if the home state suspends, cancels, or revokes the home
    state license.

For questions about this bulletin, contact the Agent and Adjuster Licensing Office at 512-676-6500 or license@tdi.texas.gov.

Make sure you have your certifications and licensing in place >

Getting Your License: State Requirements >

 

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CMS Proposed Rule to Increase Americans’ Access to Health Coverage for 2022

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CMS Proposed Rule to Increase Americans’ Access to Health Coverage for 2022

The Centers for Medicare & Medicaid Services (CMS) today proposed
a series of provisions to follow through on President Biden’s
commitment to build on the Affordable Care Act (ACA), expand health
coverage access and advance health equity. These provisions are the
third installment of the payment notice for 2022.

 


The proposed rule includes a
variety of provisions to protect and expand Americans’ access to
high-quality, affordable health insurance. This includes proposals to
lengthen the annual open enrollment period for 2022 by an additional 30
days, create a new special enrollment period opportunity for certain
low-income consumers, and expand the duties of Federally-facilitated
Exchange Navigators to offer additional help to consumers enrolling in
plans. These actions demonstrate a strong commitment by the Biden-Harris
Administration to extend health insurance coverage to more Americans
and make it easier and more affordable to get covered.

“With the ACA and American Rescue
Plan, the Biden-Harris Administration is expanding access to affordable
health insurance coverage for millions – for many, perhaps for the first
time. The success of the special enrollment period opportunity clearly
shows the demand for quality, affordable coverage,” said CMS
Administrator Chiquita Brooks-LaSure. “These latest steps aim to better
fund outreach efforts and eliminate barriers to coverage. We’re making
high-quality, low-cost coverage more accessible than ever.”

These updates build upon and
revisit several of the policies in the Notice of Benefit and Payment
Parameters for 2022 (or “2022 payment notice”), which was finalized in
two phases. Today’s proposed rule furthers CMS’s work to provide
greater access to coverage, improve affordability for consumers and
reduce burden for issuers and consumers.

Strengthening the Exchanges and Improving Issuer Billing
The
proposed rule would give Exchanges the option of offering a new special
enrollment period to provide additional opportunities for certain
low-income consumers to access premium-free or very low-cost coverage
available to them because of the enhanced advanced premium tax credit (APTC) provisions included in
the American Rescue Plan Act of 2021. The proposed monthly special
enrollment period would align with President Biden’s Executive Order
14009 (issued January 28, 2021), which requires federal agencies to
identify and appropriately address policies that create barriers to
accessing ACA coverage.

Several other provisions in the proposed rule
would streamline operations for the Federally-facilitated Exchanges,
health insurance issuers, and other stakeholders who facilitate access
to coverage. For example, the proposed rule would streamline issuer
billing by repealing certain requirements that could have resulted in
burdensome and costly changes to issuer billing systems. It also
proposes to lengthen the annual open enrollment period for 2022 and
future coverage years by an additional 30 days, allowing consumers more time to review plan choices.

Additionally, the rule proposes modifications
to policies related to State Innovation Waivers (sometimes called
“section 1332 waivers”), which empower states to pursue new strategies
for providing residents with access to coverage. This includes proposals
related to the interpretation of the statutory guardrails and
flexibilities in public notice and post-award public participation
requirements under future emergent circumstances, if certain criteria
are met. The rule also includes proposals regarding the process for
amending or extending approved section 1332 waivers.

Advancing Accessibility

The proposed rule would enable CMS to collect
and dedicate additional revenue to fund consumer outreach and education
through modest increases in user fee rates for issuers in
Federally-facilitated Exchange states and State-based Exchanges on the
Federal platform. The proposed user fee rates, which are levied on
issuers each year, are still lower than the current 2021 benefit year
rates. The rate change for issuers on the Federally-facilitated Exchange
would also make additional revenue available that can be used to fund
Navigators, who help consumers – particularly the uninsured – understand
their options and enroll in health insurance plans. CMS
recently announced its plan to support Navigators and their important
work with the largest-ever funding allocation for Federally-facilitated
Exchange Navigators for the 2022 plan year.

The proposed rule would also reinstitute
expanded duties applicable to Navigators in the Federally-facilitated
Exchanges to ensure that consumers have access to skilled assistance
beyond applying for and enrolling in health insurance coverage. These
include, for example, assistance with the process of filing Exchange
eligibility appeals, understanding basic information about
reconciliation of premium tax credits, and understanding basic concepts
and rights related to health coverage and how to use it, such as
locating providers and accessing care. Raising such awareness and
supporting Navigators’ responsibilities remain key to reaching
underserved communities, where access to health insurance coverage has
been low and disparities in health outcomes continue to rise.

These actions demonstrate a strong commitment
by the Biden-Harris Administration to extend health insurance coverage
to the uninsured and improve Exchange operations. They also align with
the Administration’s commitment to protect and expand Americans’ access
to comprehensive, affordable health insurance, and to ensure that systemic
barriers to opportunities and benefits for people of color and other
underserved groups are not perpetuated, as described in President
Biden’s Executive Order 13985 on Advancing Racial Equity and
Support for Underserved Communities Through the Federal Government.
These proposals also will further support the Administration’s efforts
to build on the successes of the ACA to meet health care needs created
by the COVID-19 public health emergency, reduce individuals’ health care
costs and make our health care system less complex to navigate.

For further information on these and other provisions in the proposed rule, consult the fact sheet available at: https://www.cms.gov/newsroom/fact-sheets/updating-payment-parameters-section-1332-waiver-implementing-regulations-and-improving-health

Affordable Care Act Contracting Available Now

by: CMS News Room Press Release

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Oscar Health: Network Expansion Announced Today

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Today, Oscar Health announced that it is expanding its network in San Antonio and El Paso to incorporate the HCA hospital system. www.hioscar.com

Effective immediately, Oscar’s network will now include the Methodist hospital system in San Antonio and the Las Palmas del Sol hospital system in El Paso, which will add nine hospitals and 260 providers to our network.

Over the coming months, the Oscar provider network will expand to include even more of HCA’s affiliated physicians, and members will still have access to Tenet facilities, Baptist and the Hospitals of Providence, and providers.

Agents can now find this update reflected in Oscar’s provider search tool which details all in-network providers and locations across the service area. Click below to download and share Oscar’s updated network documents.

 
_____________________
 
While you’re here make sure you have all your Contracting with Oscar Health in place!
 
Source: Oscar Broker Team Email, 07/07/2021: “Oscar in TX | We’re expanding our network! 

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Ambetter: Broker News

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July 2021 – Third Quarter

Encourage Clients to Take Advantage of Enhanced ATPCs

Extended SEP ends August 15, 2021.

  


The SEP extension to further help consumers take advantage of Enhanced ATPCs, will be ending August 15, 2021.

Clients still have time to enroll in an Ambetter Marketplace plan to take advantage of the increased savings and lower costs made available by the American Rescue Plan (ARP).

It’s been estimated the number of those eligible for a subsidy on the Marketplace increased by 20% with the passage of the ARP.* Consumers’ required contributions are lowered at all income levels thereby increasing APTC. Individuals earning 100-150% FPL will be eligible for fully subsidized coverage. Additionally, premiums are capped at 8.5% of income for those above 400% FPL removing the “subsidy cliff.”

*Resource: https://www.kff.org/health-reform/issue-brief/how-the-american-rescue-plan-act-affects-subsidies-for-marketplace-shoppers-and-people-who-are-uninsured/

Ambetter Telehealth: Talk with a doctor by phone or video.

Ambetter Telehealth is convenient 24/7 medical help with a $0 copay*. Members get access to in-network doctors for non-emergency health issues or questions. Get medical advice, a diagnosis or a prescription by phone or video anytime, anywhere.

If your clients haven’t used Ambetter Telehealth before, they can visit https://member.teladoc.com/ambetter or call 1-800-835-2362 to get started. Clients will need their Ambetter Member ID card on-hand while registering.

 

Google Ad Certification for ACA Advertising

Earlier this year Google announced a new certification program for health insurance advertisers to aid in curbing misinformation or fraud. This special certification will be required for ACA health insurers or third-party brokers who want to run Google Ads. Brokers will need to provide documentation showing they are permitted under state law to sell health insurance to run ads on Google. For more information please visit:

https://blog.google/products/ads-commerce/new-health-insurance-certification/
https://support.google.com/adspolicy/answer/10588653

 

VIEW FULL AMBETTER BROKER NEWS ARTICLE HERE >

 

And don’t forget about your Ambetter Contracting Available Here >

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American Rescue Plan Lowers Health Insurance Costs for Americans Who May Have Lost Their Job

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Consumers should Visit HealthCare.gov Beginning July 1 to see if they Qualify for New Financial Help.

As part of the American Rescue Plan (ARP) signed by President Biden,
the Centers for Medicare & Medicaid Services (CMS) is again lowering
the cost of health insurance and opening more pathways for Americans to
obtain affordable and comprehensive health coverage. Starting July 1,
2021, consumers who received or are approved to receive unemployment
compensation for any week beginning in 2021 may be able to find even
lower cost plans and save extra money on out-of-pocket expenses through
HealthCare.gov.

To take advantage of these additional savings, consumers who received
or have been approved for unemployment compensation in 2021 need to
visit HealthCare.gov to submit a new application or update their
existing application to maximize the savings they can get for the rest
of 2021. An average of three out of five eligible uninsured Americans
can access $0 plans after advance payments of tax credits and an average
of four out of five current HealthCare.gov consumers will be able to
find a plan for $10 or less per month after advance payments of tax
credits. CMS encourages current consumers who have received unemployment
income for any week beginning in 2021 to update their application and
enrollment between July 1 and August 15 to maximize the savings on their
Marketplace coverage for the rest of the year.

“The Biden-Harris Administration is focused on providing relief to
millions of families who need to access health insurance coverage
because they have been impacted by job losses or underemployment during
the pandemic,” said HHS Secretary Xavier Becerra. “The Administration
has made it easier than ever for Americans to enroll in an affordable,
comprehensive health insurance plans through HealthCare.gov thanks to
the increased financial assistance provided through the American Rescue
Plan. We encourage consumers who have received unemployment compensation
in 2021 to visit the Marketplace to see if they qualify to save money
on their health insurance premiums and out-of-pocket costs.”

“We are doing everything we can to remove financial barriers to
comprehensive health care,” said CMS Administrator Chiquita
Brooks-LaSure. “The American Rescue Plan provides consumers with
additional savings and will  make coverage even more attainable for
those most in need. We welcome people who received unemployment benefits
in 2021 to check out their health coverage options on HealthCare.gov on
July 1.”

Additionally, as a result of the Biden-Harris Administration’s
Special Enrollment Period for the COVID-19 Public Health Emergency,
consumers can continue to apply for coverage, compare plan offerings, or
learn if they qualify for more affordable premiums by visiting
HealthCare.gov or CuidadoDeSalud.gov through August 15. Consumers can
view 2021 plans and prices and submit an application to see if they are
eligible for enrollment and financial assistance. If eligible, they can
enroll in a plan that best meets their needs. Current enrollees should
review their application, make any updates needed to their current
information, submit their application, and then select a new plan or
reselect their current plan to receive the increased savings under the
ARP.

Consumers can also call the Marketplace Call Center at
1-800-318-2596, which provides assistance in over 150 languages. TTY
users should call 1-855-889-4325. Consumers can also find a local
assister or agent/broker in their area: https://www.healthcare.gov/find-assistance/.
Consumers who live in a state with a Marketplace that operates its own
platform should visit their state Marketplace website or call center for
information on accessing these additional savings through their
State-based Marketplace.

(Original article published by CMS.Gov ‘https://www.cms.gov/newsroom/press-releases/american-rescue-plan-lowers-health-insurance-costs-americans-who-may-have-lost-their-job’)

Boost your book of business with ACA, Medicare, Life and more contracting!

 

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Agent Alert: Breaking News for Life & Health Insurance Agents and Brokers

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Members who received Unemployment Insurance Benefits (UIB) any week in
2021 can now take advantage of additional APTC and Cost-Sharing
Reductions (CSR). 

Please review the communication below from Covered
California for detailed information.

https://trello-attachments.s3.amazonaws.com/5e14ddfa4dbc1542ad7033e3/60d5f35dc6135f666b6a40ac/befa09f569261f462cc053b22ad05ed3/Covered_CA.png 

Make sure you have your Carrier Contracting for ACA Sales & Medicare Sales!

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