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Health Plan Options
 

OE_UPDATE

AGENT INFORMATION NOT ALWAYS TRANSFERRING WITH ON-EXCHANGE APPLICATIONS 


CMS recently identified that healthcare.gov is not always passing the agent's name and National Producer Number (NPN) to health insurance carriers. As a result, Highmark cannot assign agent and agency numbers to these policies, and commission cannot be paid.


If producers believe this information is missing, they should contact their General Agency (GA). The GA should then check the daily activity reports and commission statements to see if this information was sent to Highmark, prior to taking any additional action.

 

Please note - the producer hotline cannot verify if the agent's name or NPN is on an application. This can only be done by the GA.

If the GA confirms the information is missing, producers must complete the Client Verification on Producer Assistance form and return it to Distribution Administration within 90 days of the client's effective date. Additional information on the producer assistance verification process can be found in the Jan. 7 Agency Action Alert . This verification process was created for situations like this to provide producers the opportunity to get proper credit for sales.

 

Please contact your individual sales channel consultant if you have any questions.