The Daily Brief for Benefits Professionals
BenefitsWire
Health & Welfare Plans
September 24, 2026
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3 items · ~2 min read
Top of the Brief
CMS Targets Unauthorized Marketplace Enrollments and Broker Misconduct“CMS is taking a more aggressive approach to Marketplace program integrity. On September 22, 2026, the agency announced that it had canceled approximately 315,000 unauthorized enrollments covering more than 760,000 individuals.”
In this issue
Regulatory Action and Guidance (2) · Health & Welfare Plans (1)
Regulatory Action and Guidance
2 items“CMS is taking a more aggressive approach to Marketplace program integrity. On September 22, 2026, the agency announced that it had canceled approximately 315,000 unauthorized enrollments covering more than 760,000 individuals.” MORE >>
Source: Groom Law Group
“It’s part of a larger crackdown on what the Trump administration says is fraud in the Affordable Care Act exchanges. Brokers and agents are intermediaries to help people find and sign up for coverage. They largely work on commission from insurers, which creates a financial incentive to maximize enrollments. Reports of broker misconduct in the ACA have been rampant in recent years, with instances of brokers switching enrollees from one plan to another without their permission or enrolling people in coverage without their consent. Although new brokers comprise only 11% of all brokers, they accounted for 30% of all compliance-related terminations for the 2026 plan year, according to the CMS. Th” MORE >>
Source: Healthcare Dive
Health & Welfare Plans
1 item“With employers seeking ways to tackle premium hikes, individual coverage health reimbursement accounts could be part of the solution.” MORE >>
Source: PLANSPONSOR