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How to Enroll in the SHOP Marketplace in 2017: For Agents and Brokers

How to Enroll in the SHOP Marketplace in 2017: For Agents and Brokers


>>Female Speaker: Welcome
to an online demonstration of the SHOP Marketplace
enrollment process for agents and brokers. This demonstration will
focus on the steps brokers will need to complete in
order to enroll their small clients in SHOP Marketplace
coverage through HealthCare.gov. Agents and brokers who have
signed the SHOP privacy and security agreement for
the current plan year are eligible to help small
employers enroll in SHOP Marketplace coverage. Small employers must first
authorize a SHOP Marketplace registered agent or broker
to work on their behalf before the agent or broker
can help them with the application and
manage their account. Once an agent or broker is
authorized on an account, they will remain the broker
on record even upon renewal, unless the employer, or
the agent, or broker takes action to remove
the authorization. To add an agent or broker
to a SHOP Marketplace application, employers
will log into their healthcare.gov account and
click the “Find an Agent or Broker” tab at the
top of their screen. Employers can search for an
individual agent or broker by name, or national
producer number. The employer will select an
agent or broker to authorize from the list of agents
and brokers found. Then, an authorization
request will be sent to the agent or broker. The agent or broker will
then log into their SHOP Marketplace account and
accept the perspective client’s authorization under
the “Manage Clients” tab. Agents and Brokers aren’t
able to work with employers in the SHOP Marketplace,
unless they accept the authorization in the SHOP
Marketplace Agent/Broker portal. Now that you’ve seen how an
employer authorizes an agent or broker to work on
their behalf in the SHOP Marketplace, we’re going
to log into the SHOP Marketplace Agent/Broker
portal, and walk you through the application and
enrollment process. Unlike employers and
employees, agents and brokers will log into the
SHOP Marketplace through the CMS Enterprise portal, or HealthCare.gov/marketplace/small-businesses/agents. You’ll be prompted to accept
the terms and conditions of the enterprise portal. Then, you’ll log
into your account. The login information is the
same login you created when logging into the CMS
Enterprise portal during part two of the
Marketplace registration. Upon logging in you’ll
see a message that you’re authorized to work in
the SHOP Marketplace. The demographic information
provided during the registration process has
been prepopulated on the SHOP Marketplace
Agent/Broker portal. Make sure the appropriate
contact information is listed here, because this is
the information employers will see when searching for
an agent or broker in the SHOP Marketplace. If you need to make changes
to the information listed, log into your Marketplace
Learning Management system account, and edit
your information. Prospective employer clients
must log into their account and send an authorization
request to you to work on their behalf. To accept that
authorization, click the “Manage Clients” tab. All SHOP Marketplace clients
who have authorized you will appear on this screen. As you can see, the agent
has a pending client authorization. To accept this
authorization, you’ll select “Add.” Once the client has been
accepted, you’ll officially be authorized to work on
the employer’s behalf. Through the “Manage Client”
tab, you also have the ability to edit your
client’s basic demographic information, and add client
notes for any employer you’re working with. You also have the ability
to remove or change an employer’s status
to inactive. Now, we’ll walk you through
the steps you must take to submit an application on
behalf of an employer. First you should determine
if the client is eligible for SHOP Marketplace
coverage. Under the “Manage
Enrollments” tab in the SHOP Marketplace Agent/Broker
portal you can do things like determine if your
clients are eligible to participate in the SHOP
Marketplace and create proposals and enrollments
for your clients. You must fill in the
client’s basic business demographic information and
determine who the primary contacts are for the group. Then, you’ll attest to the
client’s eligibility for the SHOP Marketplace and click “Save & Continue.” Next, you’ll create a
proposal for your employer clients. To create a proposal
you’ll select the “Manage Enrollments” tab. The steps taken in “Create
Proposal” are the same steps an employer would take if
they were enrolling without your help. Once you create the
proposal, save it, and send it to your client for
review and approval. For more detailed
information on the SHOP Marketplace application and
enrollment process, watch the SHOP Marketplace
enrollment video for employers. If your client reviews the
proposal and wants to make any changes, you’ll have
to create a new proposal. If the proposal is accepted
by your client, log into your SHOP Marketplace
Agent/Broker portal account, and create an enrollment
from the existing proposal. To create an enrollment from
a saved proposal, you’ll select the “Manage
Enrollments” tab. On the “My Clients” page
you’ll see a list of your clients. On the “Saved Proposals”
page you’ll see the saved proposals for the
selected employer. Select the “View Details”
button on the “Saved Proposals” screens to
see the “View Employer Enrollment Details” page. This is also where agents
and brokers go back and look at the employer’s offer of
SHOP Marketplace coverage, as well as monitor the
group’s participation rate. Select “Create Enrollment”
on the “View Employer Enrollment Details” screen
to confirm your selection. Once you create the
enrollment, employees will get an email from the SHOP
Marketplace with their participation code. Employees will need this
participation code to accept or waive their employer’s
offer of SHOP Marketplace coverage. All employees must create an
account on HealthCare.gov to accept or waive their
employer’s coverage offer. For more information on the
employee enrollment process, watch the SHOP Enrollment
video for employees. Once employees have accepted
or waived their employer’s coverage offer, and the
minimum, participation rate has been met, log into your
SHOP Marketplace account. Go to the client’s profile,
and sign, and submit the application on behalf
of the employer. Remember, you can’t make
payments on the employer’s behalf. The employer will have to
immediately send in their premium payment once the
enrollment has been created, in order for their
coverage to be effective. This concludes the SHOP
Marketplace video for agents and brokers. For more information on the
SHOP Marketplace, contact the SHOP call center, or
visit HealthCare.gov.

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