To help you navigate recent rule changes from The Centers for Medicare & Medicaid Services (CMS), we have created an informative guide that highlights all of the most important updates for plan year 2026. 

As part of our ongoing commitment to compliance and clarity, we are refining our approach to National Producer Number (NPN) override usage, which refers to agents or solicitors submitting Marketplace applications using another agent’s or principal’s NPN. 

If any of the members in your book of business have dual enrollment in both Medicaid (or the Children’s Health Insurance Program (CHIP)) and an Individual & Family Affordable Care Act (ACA) Marketplace plan, they will no longer be eligible for savings or tax credits used towards their Individual & Family plan and will need to pay full price for their Marketplace plan if they want to keep both types of coverage.