Knowledge center

Field notes from brokers, builders, and the messy middle

Life insurance insurable interest and beneficiary requirements: what state law requires and what it does not

Regulatory

Life insurance insurable interest and beneficiary requirements: what state law requires and what it does not

August 26, 2026

NAIC suitability standards for annuity and life insurance sales: what Model 275 requires and where life products differ

Regulatory

NAIC suitability standards for annuity and life insurance sales: what Model 275 requires and where life products differ

August 26, 2026

ICHRA affordability test 2026: the employee-level calculation brokers need to run before the offer goes out

Regulatory

ICHRA affordability test 2026: the employee-level calculation brokers need to run before the offer goes out

August 25, 2026

Life insurance 7-pay MEC test: when a policy becomes a Modified Endowment Contract and what changes

Regulatory

Life insurance 7-pay MEC test: when a policy becomes a Modified Endowment Contract and what changes

August 24, 2026

Life settlements and viatical settlements: when selling a policy beats lapsing it

Regulatory

Life settlements and viatical settlements: when selling a policy beats lapsing it

August 22, 2026

Excepted benefits under NAIC model regulation: why supplemental insurance is exempt from ACA essential health benefit rules

Regulatory

Excepted benefits under NAIC model regulation: why supplemental insurance is exempt from ACA essential health benefit rules

August 21, 2026

Excepted benefits under NAIC and the ACA: why supplemental insurance products are exempt from essential health benefit rules and what can strip that status

Regulatory

Excepted benefits under NAIC and the ACA: why supplemental insurance products are exempt from essential health benefit rules and what can strip that status

August 20, 2026

Medicare Part D late enrollment penalty: how it is calculated, what counts as creditable coverage, and who is exempt

Regulatory

Medicare Part D late enrollment penalty: how it is calculated, what counts as creditable coverage, and who is exempt

August 19, 2026

Fixed indemnity plans: why they are not ACA-compliant major medical and the 2024 CMS required disclosures

Regulatory

Fixed indemnity plans: why they are not ACA-compliant major medical and the 2024 CMS required disclosures

August 18, 2026

NAIC life insurance replacement regulation: broker disclosure requirements, form timing, and the 1035 exchange trap

Regulatory

NAIC life insurance replacement regulation: broker disclosure requirements, form timing, and the 1035 exchange trap

August 17, 2026

ACA rescission of coverage rules: what brokers must know when a carrier cancels a plan retroactively

Regulatory

ACA rescission of coverage rules: what brokers must know when a carrier cancels a plan retroactively

August 14, 2026

Medicare Part D coverage gap post-IRA: what the $2,000 out-of-pocket cap actually changed

Regulatory

Medicare Part D coverage gap post-IRA: what the $2,000 out-of-pocket cap actually changed

August 14, 2026

ACA partial-year marketplace coverage: how APTC reconciliation works when a client leaves mid-year

Regulatory

ACA partial-year marketplace coverage: how APTC reconciliation works when a client leaves mid-year

August 13, 2026

Medicare T65 marketing rules: what brokers can and cannot do before a prospect becomes a beneficiary

Regulatory

Medicare T65 marketing rules: what brokers can and cannot do before a prospect becomes a beneficiary

August 13, 2026

Life insurance free-look period by state: how the right of rescission works after policy delivery

Regulatory

Life insurance free-look period by state: how the right of rescission works after policy delivery

August 12, 2026

Medicare CMS Communications and Marketing Guidelines: what broker-produced materials are restricted, what must be filed, and where agents cannot market

Regulatory

Medicare CMS Communications and Marketing Guidelines: what broker-produced materials are restricted, what must be filed, and where agents cannot market

August 10, 2026

Employer group coverage vs Medicare at 65: the 20-employee rule, primary vs secondary payer, and when delaying Part B is safe

Regulatory

Employer group coverage vs Medicare at 65: the 20-employee rule, primary vs secondary payer, and when delaying Part B is safe

August 7, 2026

ACA MAGI and alimony after TCJA: how the divorce year splits APTC eligibility for the same payment amount

Regulatory

ACA MAGI and alimony after TCJA: how the divorce year splits APTC eligibility for the same payment amount

August 6, 2026

Life insurance contestability period and suicide clause: what the 2-year window means for brokers and claims

Regulatory

Life insurance contestability period and suicide clause: what the 2-year window means for brokers and claims

August 5, 2026

Medigap guaranteed issue rights: the 6-month window at 65, when it ends, and what birthday-rule states change

Regulatory

Medigap guaranteed issue rights: the 6-month window at 65, when it ends, and what birthday-rule states change

August 3, 2026

Medicare IRMAA explained: the 2-year income lookback, the cliff, and how to appeal with Form SSA-44

Regulatory

Medicare IRMAA explained: the 2-year income lookback, the cliff, and how to appeal with Form SSA-44

July 31, 2026

ACA risk adjustment: how CMS redistributes billions between carriers and what it means for market stability

Regulatory

ACA risk adjustment: how CMS redistributes billions between carriers and what it means for market stability

July 30, 2026

ACA family glitch rule: how the 2022 Treasury fix changed dependent APTC eligibility

Regulatory

ACA family glitch rule: how the 2022 Treasury fix changed dependent APTC eligibility

July 29, 2026

Medicare Part B late enrollment penalty: what ACA brokers need to tell pre-65 clients

Regulatory

Medicare Part B late enrollment penalty: what ACA brokers need to tell pre-65 clients

July 28, 2026

ACA Section 1557: nondiscrimination rules for health plans

Regulatory

ACA Section 1557: nondiscrimination rules for health plans

July 25, 2026

State mini-COBRA laws and ACA enrollment: a broker's guide

Regulatory

State mini-COBRA laws and ACA enrollment: a broker's guide

July 23, 2026

ACA coverage for veterans: TRICARE, VA health care, and Marketplace eligibility

Regulatory

ACA coverage for veterans: TRICARE, VA health care, and Marketplace eligibility

July 22, 2026

ACA Section 1332 state innovation waivers: broker guide to reinsurance and subsidy effects

Regulatory

ACA Section 1332 state innovation waivers: broker guide to reinsurance and subsidy effects

July 21, 2026

ACA enrollment for Native American and Alaska Native members: monthly SEP and zero cost-sharing

Regulatory

ACA enrollment for Native American and Alaska Native members: monthly SEP and zero cost-sharing

July 20, 2026

ACA marketplace plan grievances and appeals: the three-level process

Regulatory

ACA marketplace plan grievances and appeals: the three-level process

July 19, 2026

ACA external appeal rights: what Section 2719 requires and the broker workflow after a claim denial

Regulatory

ACA external appeal rights: what Section 2719 requires and the broker workflow after a claim denial

July 18, 2026

ACA plan crosswalk at renewal: what CMS auto-assignment means for your members

Regulatory

ACA plan crosswalk at renewal: what CMS auto-assignment means for your members

July 17, 2026

State by state Marketplace coverage

Regulatory

State by state Marketplace coverage

July 16, 2026

ACA 1095-B and 1095-C: what brokers need to know at tax time

Regulatory

ACA 1095-B and 1095-C: what brokers need to know at tax time

July 15, 2026

ACA state individual mandate penalties in 2026: which states still enforce them

Regulatory

ACA state individual mandate penalties in 2026: which states still enforce them

July 14, 2026

ACA COBRA exhaustion SEP: the broker workflow when 18 months of continuation coverage ends

Regulatory

ACA COBRA exhaustion SEP: the broker workflow when 18 months of continuation coverage ends

July 13, 2026

ACA Medicaid unwinding: the enrollment wave brokers are still working in 2026

Regulatory

ACA Medicaid unwinding: the enrollment wave brokers are still working in 2026

July 11, 2026

ACA medical loss ratio and MLR rebates: what the 80/20 rule means for brokers and members

Regulatory

ACA medical loss ratio and MLR rebates: what the 80/20 rule means for brokers and members

July 10, 2026

ACA Marketplace coverage for immigrant members: eligibility rules every broker needs to know

Regulatory

ACA Marketplace coverage for immigrant members: eligibility rules every broker needs to know

July 7, 2026

ACA exceptional circumstances SEP: what CMS authorizes outside the standard list

Regulatory

ACA exceptional circumstances SEP: what CMS authorizes outside the standard list

July 6, 2026

ACA mental health parity: what Marketplace plans must cover for behavioral health

Regulatory

ACA mental health parity: what Marketplace plans must cover for behavioral health

July 5, 2026

When does ACA Marketplace coverage start: effective date rules for OEP and SEP

Regulatory

When does ACA Marketplace coverage start: effective date rules for OEP and SEP

July 3, 2026

ACA Marketplace and Medicare coordination: the transition rules brokers need before members turn 65

Regulatory

ACA Marketplace and Medicare coordination: the transition rules brokers need before members turn 65

July 2, 2026

ACA tobacco surcharge: how the 1.5x rating rule works and which states opt out

Regulatory

ACA tobacco surcharge: how the 1.5x rating rule works and which states opt out

July 1, 2026

ACA SEP documentation requirements: what CMS accepts for each qualifying event

Regulatory

ACA SEP documentation requirements: what CMS accepts for each qualifying event

June 30, 2026

ACA loss of Medicaid SEP: the Medicaid-to-Marketplace transition brokers handle wrong

Regulatory

ACA loss of Medicaid SEP: the Medicaid-to-Marketplace transition brokers handle wrong

June 29, 2026

QSEHRA for small employers: what ACA brokers need to know before setting the contribution

Regulatory

QSEHRA for small employers: what ACA brokers need to know before setting the contribution

June 28, 2026

ACA income inconsistency notice: what brokers do when the Marketplace disputes the APTC

Regulatory

ACA income inconsistency notice: what brokers do when the Marketplace disputes the APTC

June 27, 2026

APTC repayment caps: how much members owe when income exceeds the projection

Regulatory

APTC repayment caps: how much members owe when income exceeds the projection

June 26, 2026

ACA employer coverage affordability test: when employer plans block the subsidy

Regulatory

ACA employer coverage affordability test: when employer plans block the subsidy

June 25, 2026

ACA quoting in 2027: what brokers should watch now

Regulatory

ACA quoting in 2027: what brokers should watch now

June 22, 2026

ACA enrollment numbers 2025 vs 2026: what brokers should notice

Regulatory

ACA enrollment numbers 2025 vs 2026: what brokers should notice

June 19, 2026

CMS plan year 2026 rule changes: a broker summary

Regulatory

CMS plan year 2026 rule changes: a broker summary

June 18, 2026

NPN vs EDE certification: what ACA brokers actually need

Regulatory

NPN vs EDE certification: what ACA brokers actually need

June 17, 2026

Data security for independent insurance agents: a practical checklist

Regulatory

Data security for independent insurance agents: a practical checklist

June 16, 2026

What the No Surprises Act actually does

Regulatory

What the No Surprises Act actually does

June 15, 2026

HIPAA for independent insurance agents: what the rules actually require

Regulatory

HIPAA for independent insurance agents: what the rules actually require

June 14, 2026

ACA grace period: what brokers need to tell APTC members before they miss a payment

Regulatory

ACA grace period: what brokers need to tell APTC members before they miss a payment

June 13, 2026

The ACA coverage gap: what brokers in non-expansion states need to know

Regulatory

The ACA coverage gap: what brokers in non-expansion states need to know

June 12, 2026

Essential health benefits: what every ACA plan must cover

Regulatory

Essential health benefits: what every ACA plan must cover

June 11, 2026

Form 1095-A and Form 8962: what ACA brokers need to know at tax time

Regulatory

Form 1095-A and Form 8962: what ACA brokers need to know at tax time

June 10, 2026

State-based exchanges vs Healthcare.gov: what ACA brokers need to know

Regulatory

State-based exchanges vs Healthcare.gov: what ACA brokers need to know

June 9, 2026

How to read a CMS Marketplace plan ID

Regulatory

How to read a CMS Marketplace plan ID

June 4, 2026

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