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Information on the Health Insurance Marketplace for Producers/Agents

Under the Affordable Care Act, Louisiana will have a have a Health Insurance Marketplace where health insurance plans will be available to consumers. Producers will play a role in educating consumers about the Marketplaces, helping them compare plans, and helping to estimate if they are eligible for federal subsidies based on the information provided by the consumer. Most importantly, they can also help consumers enroll in coverage. The Centers for Medicare & Medicaid services anticipate that producers will also play a critical role in helping qualified employers and employees enroll in coverage through the Small Business Health Options Programs (SHOPs).

If you are a professional seeking more information about the Health Insurance Marketplace and how you can help to apply for coverage, you can get the latest resources here.

If your organization is a community health center or other health care provider, hospital, a non-federal governmental or non-profit social service and your organization would like to help by training your staff to assist people applying for coverage through the Marketplace, you can apply to be a Certified application counselor (CAC) organization.

Training for the Health Insurance Marketplace for Producers/Agents

In Louisiana, all producers participating in the Marketplace must register with the Centers for Medicare & Medicaid Services (CMS) so that they may assist consumers for marketplace coverage.

Producer registration has two parts, which both require a National Producer Number (NPN). Agents and brokers can look up their NPN at https://pdb.nipr.com/html/PacNpnSearch.html

Part I of the registration is available now on the Medicare Learning Network (MLN). This registration includes:

  • Training courses and exams (required for the Federally-facilitated Individual Marketplace, strongly encouraged for the Federally Facilitated-SHOP)
  • Federally facilitated Marketplace Agreements (required for the Federally facilitated Individual Marketplace)
  • Federally facilitated SHOP Agreement (required for the Federally Facilitated SHOP)

Part II will be available soon on the CMS Enterprise Portal: https://portal.cms.gov/. Part II:

  • Is only required for agents and brokers operating in the Federally-facilitated Individual Marketplace
  • Includes creation of an Federally Facilitated Marketplace user account and identity verification
  • Requires the MLN user ID created in Part I

Producer training takes between 3.5-4 hours to complete. To check when Part II of registration will become available, as well as other information, please visit the CMS agent and broker resources page.