This guide explains how to fix Marketplace document requests using the "Letter of Explanation" form for various life events. It outlines the fastest way to upload the form via HealthSherpa or mail it to the Marketplace for review.
CMS requires health insurance agents obtain a customer’s consent prior to helping them apply for a subsidy and/or enroll in a Marketplace Qualified Health Plan
Understanding CMS Requirements for Marketplace Enrollment
Overview of CMS Marketplace enrollment rules: attestation at call start, plan review at call end, consent and documentation (including 10-year retention), AOR disclosure, and agent best practices.
Use to provide a written explanation if clients cannot submit other requested documents to confirm a life event, such as loss of coverage, moving, or marriage, in order to qualify for a special enrollment period.