As a result of violations of ACA Section 1557 nondiscrimination rules, which action may a health plan take regarding an agent or broker?

Prepare for the Fraud, Waste, and Abuse Test. Explore a variety of questions with detailed hints and explanations. Equip yourself for success!

Multiple Choice

As a result of violations of ACA Section 1557 nondiscrimination rules, which action may a health plan take regarding an agent or broker?

Explanation:
Enforcing nondiscrimination rules against agents or brokers is the focus. ACA Section 1557 prohibits discrimination in health programs and activities, including the marketing and enrollment work done by agents or brokers. If a broker violates these nondiscrimination requirements, the health plan can respond by revoking the broker’s appointment, which ends the broker’s contract to market and sell the plan on the plan’s behalf. This action directly supports compliance and protects beneficiaries. The other options don’t address enforcement against a broker: repairing infrastructure is unrelated to disciplinary actions; hiring freezes are general staffing decisions; provision of tax credits is a government subsidy activity, not an enforcement action a plan would take against a broker for nondiscrimination violations.

Enforcing nondiscrimination rules against agents or brokers is the focus. ACA Section 1557 prohibits discrimination in health programs and activities, including the marketing and enrollment work done by agents or brokers. If a broker violates these nondiscrimination requirements, the health plan can respond by revoking the broker’s appointment, which ends the broker’s contract to market and sell the plan on the plan’s behalf. This action directly supports compliance and protects beneficiaries. The other options don’t address enforcement against a broker: repairing infrastructure is unrelated to disciplinary actions; hiring freezes are general staffing decisions; provision of tax credits is a government subsidy activity, not an enforcement action a plan would take against a broker for nondiscrimination violations.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy