250,000 Agents in the Federal Exchanges???

In a Federal Register notice out yesterday CMS officials are projecting 254,095 health insurance agents and brokers will sign up to sell the “metal plans” in the new federal health insurance exchange (HIX) system.  Quarter. Million. Agents. OMG.  And the scary part: they face a fraction of the regulatory requirements Medicare sales agents do.

“Federally facilitated exchanges” will operate in some two dozen states next year — largely in Red States with a significant presence of independent brokers, such as Florida, Texas and Arizona.  The final regs on the Federal exchange issued last May included a surprise provision allowing agents to sell exchange products to eligible individuals — designed to get more enrollment into the program faster through this huge distribution channel.

CMS plans to collect information about producers through a registration process, and by verifying a producer’s licensure status and issuer appointments. Once the agents get through the registration process, they will be able to get any required training and take any required exams on the CMS Learning Management System site.

In addition to using the producer data to run the exchange training process, “CMS will use the collected data for oversight and monitoring of agent/brokers.”  Exchange agents would probably have to register with the system annually, and getting through the entire process could take each agent an average of 4.7 hours, CMS estimated.

Here at Gorman Health Group, we certify, train and manage over 30,000 agents selling Medicare products.  And I can tell you that less than 5 hours’ training and a bare-bones certification process means there are going to be plenty of sleezeballs selling the “metal plans” to the chronically uninsured.  And that will only serve to confuse and exploit huge numbers of them, diminish support for health reform, and bring complaints down upon sponsors.  We need a tougher system than CMS outlines here to ensure these vulnerable Americans don’t fall prey to predatory salespeople.

 

Resources

Senior Vice President for Public Policy, Jean LeMasurier, summarizes the February 7, 2013 notice from CMS regarding Agency Information Collection Activity.

Download a podcast on the key components of OEV calls and get advice on how to handle rapid disenrollment — and other common challenges.

Learn how Gorman Health Group certifies, trains and manages sales agents with our Sales Sentinel tool.