CMS Update - August 22, 2025
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On Friday August 22nd, a federal court in Maryland pressed “pause” on several parts of CMS’ Program Integrity Rule, some of which were supposed to begin August 25.
What we know:
Certain CMS Program Integrity rules have been temporarily paused for implementation, including:
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$5 premium for $0 passive renewals
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Expansion of SEP pre-enrollment verification
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And DMIs for certain income variances
More to Come
We expect that CMS will share guidance with agents and brokers on the impacts to the 2026 Open Enrollment Period. We will share additional detail once they do.
It is time to prepare for Open Enrollment 2026!
Each year Stephens-Matthews kicks off the open enrollment season by hosting a virtual summit.
During our summit you will get industry updates, expansion maps, marketing strategies and more straight from the carriers.
September 18, 2025
Cumbre Virtual en Español octubre 10, 2025
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All times are Eastern (New York)
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Stephens-Matthews Q&A
Hosted by Tessa (Marketing), Meagan (Commissions)
and Jessica (Agent Contracting) |
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Molina
Hosted by Kahassai Tafese
Marketplace Sales Manager / Molina |
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ACA 101
Hosted by Tessa Wolfe
Sr. VP of Marketing / Stephens-Matthews
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UnitedHealthcare IFP Plans
Hosted by Leigh Carl
IFP / ACA Agency Manager / UHC |
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TBD
ACA Carrier Pending
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4:00 pm |
Antidote
Hosted by Jason Madrak
Head of Sales / Antidote |
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Allstate Ancillary
Allstate & HealthSherpa ENG platform
Hosted by Caden Bradbury
Allstate Health Solutions |
5:00 pm |
Cigna
Hosted by Natalie Milas
IFP Senior Broker Manager / Cigna |
1:00 pm |
UHC Cross Sales
Hosted by Jerry Wagner
National FMO Account Executive / UHC |
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