Medicare Compliance

Urgent Agent Action Required: CMS Mandates New Reporting

The Centers for Medicare & Medicaid Service (CMS) recently released new reporting requirements for third-party marketing in reference to Medicare Advantage (MA) and Medicare Advantage plus Part D (MA-PD) advertising. These new reporting requirements apply to carriers and organizations as well as agents who solicit these types of products.

Compliance Reminders Heading Into AEP

With the Medicare Annual Election Period (AEP) quickly approaching, you may have questions surrounding what you can and cannot do to market plans before October 1, which is the start of the AEP marketing period. 

FDR Compliance Requirements

CMS requires that all FDRs fulfill specific Medicare Compliance Program Requirements. We will describe these requirements in this document.

Keys to a Compliant MA Presentation

CMS holds all agents who enroll clients in Medicare Advantage and Part D prescription drug plans responsible for their marketing behavior. All of the carriers have compliance oversight teams that monitor the activities of agents selling their products.

Marketing Materials

Agents create and use a variety of materials to advertise that they sell Medicare products such as Medicare Advantage and Part D products. These include, but are not limited to, letters, postcards, posters, brochures, scripts, radio and television ads, billboards, banners, signs, yellow page ads, church bulletin ads, social media content and websites.

Sales Events and Educational Events

Events put on to educate the public about Medicare Advantage and Part D can be a great way to establish your presence in the community.

Privacy and Security

There are numerous regulations requiring the protection of consumer information, particularly the HIPAA Privacy Rule and Security Rule, as well as state breach notification laws.

Resource Documents

Resource documents for Compliance.