Welcome to Insurance Lovers Misbehavin' Agents likewise Enrollers


"Agents may convey enrolled some consumers inwards health coverage through for 2016 or 2017 without the consumers' permission"

That, according to the folks at CMS.

Now, how exactly does this happen? I mean, eventually someone has to pay a premium, no?

Well, no, non precisely:

"Income information on the [victims'] applications was misstated inwards ways that maximized premium tax credit subsidy amounts inwards add-on to eliminated whatever involve for monthly out-of-pocket premium payments."

So Uncle Sugar was only sending checks to Anthem, or Kaiser, or whomever. And they solely industrial plant life out, apparently, when folks started getting notices from CMS inwards add-on to the IRS nearly coverage info.

So, no harm, no foul, you say?

Au contraire:

For 1 thing, that's our money going to the insurers. And for another:

"[C]onsumers who reported beingness affected yesteryear the enrollments did non convey to pay whatever premiums out of handbag slice the coverage was inwards effect, [but] they may correct away expression tax bills inwards add-on to tax filing problems because of the unauthorized enrollments."

So here's a question: agents are licensed yesteryear the states, but this would seem to alive on a Federal seat out (US tax dollars). So how testament the offending agents perps alive on held to account?

Or fifty-fifty will they?

Be interesting to know, no?

[Hat Tip: Co-blogger Bob V]