Marketplace  Certification


Our office oversees the training and certification requirements on a state level for the Federal Health Insurance Marketplace located at www.healthcare.gov. Details on how to start or renew your certification as a certified exchange producer, certified application counselor, and navigator are below.


Certified Exchange Producers (CEPs)

We offer Montana insurance agents special training in the Federal Health Insurance Marketplace so they can become CEPs.

Training for New Certified Exchange Producers

 

Federal Training Resources

The Centers for Medicare & Medicaid Services (CMS) has released a number of resources to assist with completing the plan year 2020 Federally-facilitated Marketplace (FFM) agent and broker registration and training requirements. Plan Year 2020 Registration and Training can be found at https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Plan-Year-2020-Registration-and-Training.html.  The page provides links to step-by-step instructions for completing the plan year 2020 FFM registration and training via the Marketplace Learning Management System (MLMS) or through CMS-approved vendors.

In addition, CMS has released a number of registration guided tour videos for different steps of the process. Please note: Agents and brokers previously registered with the FFM should start at Step 4 and use their existing FFM user ID and password.

Watch the videos here:

These videos, along with other registration and training resources, can be also be viewed by visiting the Agents and Brokers Resources webpage on the CMS website.

State Training Requirements
  • Complete federal training(approximately 5 hours of online training)
  • Complete state training through AD Banker http://www.adbanker.com/. The course is estimated to take 2-3 hours. The fee for the course is $149.95.
  • Apply for CEP certification with our office. Online certification applications are available at nipr.com.
    • Click on “Apply for License”, click on appropriate resident status, Click on the green “Apply here” button and choose the individual option.  The correct license type is Certified Exchange Producer.  Paper applications are also accepted. There is no fee for CEP certification. The online processing fee is $5.00.
  • CEPs should request appointments with all Marketplace carriers
Requirements for Returning Certified Exchange Producers

The Federal Health Insurance Marketplace requires certified exchange producers to complete annual registration and training.

An overview of registering to participate in the Marketplace for the 2020 plan year can be found at https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Plan-Year-2020-Registration-and-Training.html on the Centers for Medicare and Medicaid Services website.



Certified Application Counselors (CACs)

CACs are health care provider staff who have been trained to help people understand, apply for and enroll in insurance coverage through healthcare.gov.  CACs must be employed by a Certified CAC Organization.  If you leave the employment of a CAC Organization, you must move your CAC license to an inactive status.  If you move to another CAC Organization, your CAC license may remain active.

Training for New Certified Application Counselors
  • Complete federal training.  Once an organization is certified by the federal government, they should receive a link to the training required by their CACs.
  • Complete state training through AD Banker at adbanker.com. The course is estimated to take 2-3 hours. The fee for the course is $149.95.
  • Apply for CAC certification with our office. Online certification applications are available at nipr.com.

Navigators

Navigators are public advisors who help individuals and small employers compare the health insurance options on healthcare.gov. First Choice Services received a Montana Navigator grant for the 2020 enrollment period.  First Choice Services is a West Virginia based organization that is planning a phone-based outreach and enrollment campaign throughout Montana during Open Enrollment and beyond.  They can be reached at https://acanavigator.com/mt/home.

Training for New Navigators
  • Complete federal training. Navigator grant leads should provide the link to navigators.
  • Complete state training through AD Banker http://www.adbanker.com/. The course is estimated to take 2-3 hours. The fee for the course is $149.95.
  • Pass an examination and background check. The exam is available at Pearson Vue testing centers in Missoula, Helena and Billings. Schedule an appointment for the exam
  • Apply for Navigator certification with CSI. Online certification applications are available at nipr.com.


Questions about federal training?

Certified application counselors: CACQuestions@cms.hhs.gov
Navigators: NavigatorGrants@cms.hhs.gov


Need more help?
  Call the Commissioner’s hotline at 800-332-6148