Ensure You Get Credit for Marketplace Enrollments!

Health Insurance Marketplace® sent this bulletin at 01/06/2017 03:57 PM EST

agents and brokers - selling in the healthcare dot gov marketplace

Get Credit for Marketplace Enrollments!

When assisting clients enrolling in coverage through HealthCare.gov and the Marketplace (or Side-by-Side) Pathway, make sure to include your National Producer Number (NPN) on both the application AND on Plan Compare. Your NPN must be listed correctly for you to receive compensation for enrollment transactions.

Application NPN Data Entry Locations:

In the longer Classic application on the “Help applying for coverage” tab, the consumer is asked if he or she is receiving help applying for coverage. The consumer or call center representative should select the “Agent or Broker” radio button and enter your information (see upper part of screenshot below).
In the shorter 2.0 Marketplace Application, the consumer or call center representative should select click on the “Another person helping me complete my application” check box and enter your information (see lower part of screenshot below).
As a best practice, if you are using the Direct Enrollment Pathway (i.e, an issuer's or web-broker's website) to help a consumer complete enrollment, you should also enter your NPN at this point on the application.

Screenshot of Marketplace application entry fields for National Producer Number

Plan Compare NPN Data Entry Location:

Later in the Marketplace Pathway enrollment process, there's a question on the Plan Compare screen that asks consumers “Did someone help you select a plan and enroll?” The consumer or call center representative should select this link at the bottom of this screen to enable the pop-up box (see screenshot below).
The consumer or call center representative should then select “Agent or broker” from the drop-down menu in the pop-up box and enter your information, including your NPN.
To ensure you're compensated, make sure the same NPN is listed on the application AND here in Plan Compare.

Screenshot of Plan Compare showing fields for entry of the National Producer Number

If you're assisting a consumer with enrollment via the Direct Enrollment Pathway, your NPN should be automatically populated. However, if the issuer's or web-broker's online application process offers opportunities to enter your NPN, in addition to the entry points noted above, it's a best practice to do so to be sure you're credited for the enrollment.

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