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2025 Marketplace Final Rule: What You Need to Know
In this episode, we break down the CMS Final Rule for the 2025 Marketplace and what it means for agents, insurers, and consumers.
Key highlights include:
Past-due premium enforcement: Carriers may require payment of prior premiums before activating new coverage, with flexibility for state-specific rules.
Standardized Open Enrollment:
→ 2026: Nov 1 – Jan 15
→ 2027 and beyond: Federal deadline of Dec 15
Tighter eligibility verification: 75% of applications will be randomly selected for verification.
DACA exclusion: DACA recipients will no longer be eligible for Marketplace coverage.
Financial…
The skinny
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