CMS FFM Agent case studies
CMS FFM Agent · Put your knowledge to work in context.
The CMS FFM Agent credential refers to the certification a person completes to be registered with the Centers for Medicare & Medicaid Services (CMS) as an agent or broker who can help consumers enroll in coverage through the Federally-facilitated Marketplace. CMS maintains a dedicated Agents & Brokers section on CMS.gov, with sub-pages covering registration and training, open enrollment, direct enrollment partners, general resources, a video learning center, an Agent & Broker FAQ, Marketplace help desk and call centers, the Registration Completion List, the Marketplace Registration Tracker, and the AB Suspension & Termination List. The CMS FFM Agent case studies are 5 cases and about 3,184 words.
1Registration and training before Open Enrollment
Priya is a licensed agent in two FFM states. On October 24, she completed CMS Enterprise Portal identity proofing and began the current plan-year FFM registration training.
595 words, about 3 min2Family eligibility with employer coverage and a mid-year loss
The Ortega family-Marcus (40), Lena (38), and children ages 12 and 8-applies for coverage on March 3. Marcus’s employer offers self-only coverage at 240 per month and family coverage at 980 per month.
689 words, about 3 min3Comparing silver plans with cost-sharing reductions
Elena, 58, earns 33,000, about 175% of the federal poverty level for a single adult. She needs a silver plan.
649 words, about 3 min4Call-center marketing, consent, and discriminatory statements
BrightPath Insurance Agency runs a call center in an FFM state. Its script begins, “We’re calling from the health insurance marketplace,” and never mentions that BrightPath is not CMS and does not include the TPMO disclaimer.
609 words, about 3 min5Special enrollment period, immigration status, and a request to backdate
Luis, 34, is a lawful permanent resident who received his green card in 2021. He is single, earns 28,000, and lives in an FFM state.
642 words, about 3 min