If a consumer creates a new OE application and enrolls in a new plan without adding the prior year's agent NPN, while auto-enrollment remains for the old plan, what will the Marketplace do?

If a consumer creates a new OE application and enrolls in a new plan without adding the prior year's agent NPN, while auto-enrollment remains for the old plan, what will the Marketplace do?

• A. Cancel auto-enrollment in the plan associated with last year's agent-facilitated application and enrollment.
• B. Automatically enroll the consumer in the new plan.
• C. Defer the decision to the QHP issuer.
• D. Block further applications for that consumer.

Answer: (A)

When a consumer starts a new online enrollment and picks a different plan, the system recognizes that the prior auto-enrollment tied to the old plan should no longer stand. Auto-enrollment is linked to the agent who facilitated the previous year’s enrollment through that agent’s NPN, so introducing a new application with a new plan breaks that link. The Marketplace cancels the auto-enrollment for the plan associated with last year’s agent-facilitated enrollment to prevent overlapping or conflicting enrollments, while the consumer’s new plan enrollment remains active. The issuer isn’t consulted in this step, and the action isn’t about blocking applications.

When a consumer starts a new online enrollment and picks a different plan, the system recognizes that the prior auto-enrollment tied to the old plan should no longer stand. Auto-enrollment is linked to the agent who facilitated the previous year’s enrollment through that agent’s NPN, so introducing a new application with a new plan breaks that link. The Marketplace cancels the auto-enrollment for the plan associated with last year’s agent-facilitated enrollment to prevent overlapping or conflicting enrollments, while the consumer’s new plan enrollment remains active. The issuer isn’t consulted in this step, and the action isn’t about blocking applications.