Disclaimer

Attention: This website is operated by [Name of Company] and is not the Health Insurance Marketplace website. In offering this website, [Name of Company] is required to comply with all applicable federal laws, including the standards established under 45 CFR § 155.220(c) and (d) and standards established under 45 CFR § 155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Qualified Health Plans being offered in your state through the Health Insurance Marketplace website. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace website at HealthCare.gov.

you should visit the Health Insurance Marketplace website at healthcare.gov if:

  • You want to select a catastrophic health plan.
  • You want to enroll members of your household in separate Qualified Health Plans.
  • The plans offered here don’t offer pediatric dental coverage and you want to choose a Qualified Health Plan that covers pediatric dental services or a separate dental plan with pediatric coverage. Pediatric dental services are an essential health benefit.]
  • Privacy and Security requirements
  • Web-brokers may not create, collect,disclose, access, maintain, store, or usepersonally identifiable information (PII)collected from consumers in the contextof completing a Marketplace application for anything other than the authorized functions described in Section II(a) of the “Agreement Between Web-BrokerEntity and CMS for the Federally-facilitated Exchange Individual Market.”
  • Web-brokers must comply with the Marketplace’s privacy and security standards adopted consistent with 45CFR §155.260.
  • Additional resources can be found on CCIIO’s Agents and Brokers Resources webpage: http://www.cms.gov/CCIIO/programs-and-initiatives/health-insurance-marketplaces/a-b-resources.html.
  • The Web-broker Public List can be viewed at https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/a-b-resources.html#Web-broker Program for FFM Agents and Brokers.
  • The “QHP Landscape File” is available at https://www.healthcare.gov/health-and-dental-plan-datasets-for-researchers-and-issuers/.
  • The “Health Insurance Marketplace Public Use File (PUF)” is available at http://www.cms.gov/CCIIO/Resources/Data-Resources/marketplace-puf.html.
  • Web-brokers can access the FFM agent and broker registration and training on the CMS Enterprise Portal at https://portal.cms.gov.
  • The standard Summary of Benefits and Coverage 6-page template is available at https://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/Downloads/sbc-template-accessible.pdf.
  • A completed sample Summary of Benefits and Coverage form is available at https://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/Downloads/sample-completed-sbc-accessible.pdf.
  • For a description of the web-broker role and obligations as defined in regulation, review 45 CFR §155.220(c)(3).
  • For the regulatory authority for the “General Non-FFM Disclaimer” language, review 45 CFR §155.220(c)(3)(vii).
  • For the regulatory authority for the “Plan Detail Disclaimer” language, review 45 CFR §155.205(b)(1).
  • For the Marketplace privacy and security standards authority, review 45 CFR §155.260.
  • The March 2012 Exchange Establishment Final Rule (77 Federal Regulation 18315) established SADPs as a type of QHP, as well as permitted the use of we-broker websites to facilitate enrollment in the FFM.
  • The August 2013 Program Integrity Part I Final Rule (78 FR 54134),amended the web-broker requirements under 45 CFR §155.220(c).