CMS

The Importance of the Social Security Number (SSN) in the Health Insurance Industry

In the U.S. health insurance industry, the Social Security Number (SSN) is a fundamental element in various operational and compliance processes. This nine-digit number, assigned by the Social Security Administration (SSA), not only identifies individuals for social security purposes but also plays a crucial role in identity verification, risk assessment, and regulatory compliance within the […]

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Keys to Staying Updated: CMS Resources for Agents and Brokers

In the health insurance industry, Open Enrollment Period (OEP) is one of the most important times of the year. It’s when agents and brokers have the opportunity to assist their clients in selecting or renewing coverage. However, success during this season depends not only on your skills as an agent but also on your ability

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Essential Health Insurance Regulations Every Agent Must Know

The health insurance industry is one of the most heavily regulated sectors, and for agents, staying on top of the latest rules and compliance requirements is crucial to ensure both legal and professional success. As a health insurance agent, your clients rely on you not only to find the right coverage but also to navigate

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Easily Comply with CMS Regulations: A Guide for Health Insurance Agents

In the complex world of health insurance, keeping up with the regulations set by the Centers for Medicare & Medicaid Services (CMS) is crucial to avoid penalties, maintain customer trust, and operate within legal limits. For insurance agents and agencies, non-compliance with these regulations can have serious consequences, such as fines, loss of licenses, or

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Healthcare Access for DACA Recipients: Agents’ Guide & Latest Updates

In a significant stride towards inclusivity and healthcare accessibility, the U.S. Department of Health and Human Services (HHS), under the Centers for Medicare & Medicaid Services (CMS), has issued a final rule reshaping the landscape of healthcare eligibility for Deferred Action for Childhood Arrivals (DACA) recipients and certain other noncitizens. Effective November 1, 2024, this rule brings about pivotal changes, heralding a new era of healthcare coverage for thousands of previously uninsured individuals. For agents and agencies navigating these shifts, understanding the intricacies of this ruling is paramount to better serve their clients and communities.

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What Is Insurance Compliance?

Insurance compliance is a fundamental aspect of the insurance industry that directly impacts agents and agencies alike. In simple terms, insurance compliance refers to the adherence to rules, regulations, and laws governing the insurance sector. For agents and agencies, maintaining compliance is not just about following rules—it’s about ensuring ethical conduct, safeguarding customers, and upholding the integrity of the insurance marketplace.

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Essential Strategies for Regulatory Compliance in Independent Insurance Agencies

As an independent insurance agent or agency, is crucial to maintaining trust with clients and ensuring business sustainability. Compliance with regulations not only protects your clients but also shields your business from legal risks and penalties. Here are essential best practices to uphold regulatory compliance in your insurance operations:

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