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ACA health insurance plans are being switched without enrollees' OK


Rogue insurance agents access consumer information on the Affordable Care Act federal marketplace and make the changes. Policyholders can lose their doctors and end up owing back taxes.

On Feb. 26, the Centers for Medicare & Medicaid Services sent a " plan switch update" to industry representatives acknowledging "a large number of 2024 cases" and outlining some of its technical efforts to resolve problems when complaints are lodged. "Those bad eggs now have access to all this private information about an individual," including household income, Social Security numbers, and dependents, says Joshua Brooker, a broker who follows the issue closely as chair of a marketplace committee for the National Association of Benefits and Insurance Professionals, a trade group. One worker in a government office that helps oversee operations of the federal exchange told KFF Health News of personally handling more than 1,200 complaints about unauthorized switches or enrollments in the past three months, averaging about 20 a day.

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