compliance corner

If you have marketing pieces you’d like our Compliance Department to review before you send them to print, we can ensure you’re using all the appropriate disclaimers required. Submit your marketing materials review request by clicking here.

In 2022, CMS issued new Medicare marketing rules and guidelines that applied to MA plans, PDP plans, and MAPD plans. There were several additions to the Final Rule that impacted how agents conduct business. One of the changes was the requirement to record your calls. We have created a helpful tool that outlines the requirements from the CMS Final Rule. Click here to access our FAQs regarding call recording requirements and the TPMO disclaimer.

Are you looking for an affordable call recording and storage solution? Learn more about our proprietary tool MedicareCENTER! Connect with us to learn how to easily record inbound and outbound calls, retain the calls for 10 years, and never run out of call storage. And the best part? There is no cost or hidden fees attached to our platform.

There were some changes with the TCPA, or Telephone Consumer Protection Act of 1991, impacting how agents communicate with other agents (for agent recruitment), how they communicate with policyholders and consumers, how to handle opt-out requests, and obtaining and maintaining appropriate consent to contact. Click here to download our guide and learn more about the compliance and rules surrounding topics like:

• Manual Calls
• Do Not Call Registry
• Calls via Autodialer
• Call Abandonment
• Artificial & Prerecorded Voice Calls
• Text Messages & Ringless Voicemails
• Faxing
• Consents
• Email Messages
• Permissible Hours
• Lead Generation, Acquisition & Sales
• Outbound Communication Flow

The Medicare Communications and Marketing Guidelines provide the marketing and communication requirements for MA, MAPD, and PDP plans. The communication and marketing materials vary based on intent and content and include both digital and traditional distribution methods. Some examples of the MCMGs are required disclaimers (e.g., TPMO disclaimer, Permission to Contact disclaimer, RSVP disclaimer, etc.), use of prohibited language, content to be used during educational and/or sales events, the pre-enrollment checklist requirements, and more. If you have a question regarding a guideline, please contact complianceboard@agentpipeline.com

We have compiled a list of additional resources from the Centers for Medicare & Medicaid Services (CMS) and the Department of Health & Human Services (DHHS):

• Department of Health & Human Services (DHHS), Office of the Inspector General
• Centers for Medicare & Medicaid (CMS): Fraud & Abuse for Professionals
• Centers for Medicare & Medicaid (CMS): Medicare Fraud & Abuse: Prevent, Detect, Report
• Centers for Medicare & Medicaid (CMS): Reporting Medicare Fraud & Abuse
• Centers for Medicare & Medicaid (CMS): Fraud Prevention Toolkit
• CMS National Training Program Resources
• Medicare Learning Network (MLN)’s Fraud, Waste, and Abuse Job Aid