Additional Guidance on 2024 CMS Final Rule by Cigna

Following the release of the 2024 Final Rule by The Centers for Medicare and Medicaid Services (CMS), Cigna has developed a frequently asked questions (FAQ) document to provide additional guidance to agents.

The Final Rule takes critical steps to protect people with Medicare from confusing and potentially misleading marketing while ensuring the prospect has the accurate and necessary information to make coverage choices that best meet the client's needs.

This resource will provide you with answers to commonly asked questions and scenarios regarding the 2024 CMS Final Rule.

As a Medicare agent, it is crucial to understand CMS guidelines to ensure you remain compliant. Please take some time to review the FAQ document carefully.

Highlights from the FAQ document include the following:

• Scope of Appointment (SOA) & Business Reply Card (BRC)
• Can a non-licensed individual collect an SOA for a licensed agent/broker?
• Does a new SOA have to be obtained if the original agent is no longer with the company?
• And more!
• Marketing and educational events
• Can I distribute BRCs and business cards at educational events?
• Can I set a personal marketing appointment at educational events?
• And more!
• Pre-Enrollment Checklist (PECL)
• Do I need to cover the PECL during telephonic enrollments?
• Where can I find the PECL form?
• Telephonic recordings 
• What type of interactions with beneficiaries must be recorded?
• How long should call recordings be retained?
• Medicare image, marketing materials, and Third-Party Marketing Organizations (TPMO) disclaimers 
• Can I use the CMS Medicare card image without approval?
• When advertising benefits, do they have to be available to the beneficiaries in the service area? 
• And more!
• TPMO oversight 
• Are TPMOs required to report the TPMOs that they contract with?
• When should I report issues of non-compliance to Cigna Healthcare?

Please note that you must be logged in to Cigna’s Producer’s University to view the FAQ document.