The Centers for Medicare & Medicaid Services (CMS) offers the
following suggestions to help you and your clients have a better experience
working with the Health Insurance Marketplace:
·
Reduce
your wait time when contacting the Marketplace Call Center by avoiding calling
during the following peak periods:
o
9:00
AM to 12:00 PM Eastern Time (ET)
o
4:00
to 6:00 PM ET
o December 13 to 15 (other peak
periods will include January 13 to 15 and January 29 to 31)
·
Share
this Marketplace Application Checklist with your
clients to be sure they have gathered all the information needed to complete
the enrollment process successfully.
·
Remember
that consumers need to tell the Marketplace every 365 days that an agent or
broker is authorized to work on their behalf.
o If you don’t have a current
authorization in your client’s file, he or she must provide verbal
authorization to a Marketplace Call Center customer service representative
before you can access the client’s information and ask questions on his or her
behalf.
o Avoid delays by working with
your clients to complete these reauthorizations during off-peak hours and
before the enrollment deadline days noted above.
CMS
has different call centers available to help you and your clients:
·
The
Agent and Broker Call Center can answer questions about how agents and brokers
can complete training and get registered to participate in the Marketplace, and
their National Producer Numbers (NPNs). Call 855-267-1515 and select option
“1,” Monday through Saturday from 8:00 AM to 10:00 PM ET through December and
January. The Agent and Broker Call Center is closed on Sundays and holidays,
but will be open 24 hours on Sunday, January 31, 2016.
o Also refer to the Agents and Brokers Resources webpage, which
contains resources for agents and brokers assisting clients to select and
enroll in coverage through the Individual Marketplace, as well as employers and
employees obtain coverage through the Small Business Health Options Program
(SHOP) Marketplace.
·
The
Marketplace Call Center can answer specific questions or issues with a
consumer’s Individual Marketplace application at 1-800-318-2596. The
Marketplace Call Center is available 24 hours a day, 7 days a week. Remember
that you must either have a current authorization in your client’s file to
access his or her information, or your client must provide such an
authorization to this call center by phone.
o The SHOP Marketplace Call
Center can answer questions about SHOP coverage at 1-800-706-7893, Monday
through Friday from 9:00 AM to 7:00 PM ET.
CMS appreciates your assistance in
helping your clients make best use of Marketplace resources to get enrolled in
coverage for plan year 2016.
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