State warns about ACA-compliant health plans amid misrepresentations
That's because some brokers have marketed plans as compliant when they were not, which can have costly results for consumers, the
"We have taken action against seven agents in the past 20 months who misrepresented limited benefit plans as complying with the ACA," acting Insurance Commissioner
Most were outside
In July, a department consent order shows, Zangari reached an agreement with the department in which she admitted to misrepresenting to clients on at least three occasions that supplemental insurance policies were ACA-compliant. Among other violations, she also misrepresented clients' income so they would qualify for subsidies they were not otherwise eligible for, the order shows.
Signing a consent order meant Zangari agreed to waive her right to an administrative hearing and accepted the department's findings and conclusions. Her insurance license was revoked as a result.
A message left for Zangari Friday morning was not immediately returned.
Consumers who erroneously purchase non-compliant insurance plans could face tax penalties and possibly large medical bills, Altman said, as such plans may not cover pre-existing conditions or all of the minimum essential benefits required under ACA regulations.
Consumers can verify a plan is ACA-compliant by calling the insurance company directly, or through localhelp.healthcare.gov, insurance officials said.
Information on ACAopen enrollment also is available at www.insurance.pa.gov, by clicking on "201 ACA Health Insurance Open Enrollment" under key services. They alsocan contact the
Altman's warning comes at a critical time for those who rely on the plans, as this year's open enrollment window is shorter than in previous years. It opened on
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