Here and Now
Caroline Gomez-Tom on Fraudulent Sales of Health Insurance
Clip: Season 2200 Episode 2238 | 4m 48sVideo has Closed Captions
Caroline Gomez-Tom on brokers misrepresenting and selling unsuitable health insurance.
Covering Wisconsin enrollment network and accessibility manager Caroline Gomez-Tom discusses a growing problem of online brokers misrepresenting, switching and selling unsuitable federal ACA policies.
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Here and Now is a local public television program presented by PBS Wisconsin
Here and Now
Caroline Gomez-Tom on Fraudulent Sales of Health Insurance
Clip: Season 2200 Episode 2238 | 4m 48sVideo has Closed Captions
Covering Wisconsin enrollment network and accessibility manager Caroline Gomez-Tom discusses a growing problem of online brokers misrepresenting, switching and selling unsuitable federal ACA policies.
Problems playing video? | Closed Captioning Feedback
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WELL, KATIE WEISENBURGER, THANKS VERY MUCH.
>> THANK YOU VERY MUCH.
>> IN CONSUMER NEWS RELATED TO HEALTHCARE, PEOPLE WHO SIGNED UP FOR MARKETPLACE AFFORDABLE HEALTHCARE ACT PLANS SHOULD BE AWARE OF UNSCRUPULOUS INSURANCE BROKERS WHO COULD DO A BAIT AND SWITCH.
SWITCHING PEOPLE'S EXISTING PLANS WITHOUT THEIR KNOWLEDGE AND POCKETING EXCESS PREMIUMS ACCORDING TO THE KAISER FAMILY FOUNDATION.
IN WISCONSIN, MORE THAN 250,000 PEOPLE ARE ON ACA PLANS THROUGH THE FEDERAL MARKETPLACE.
CAROLINE GOMEZ-TOM IS AN ACA ENROLLMENT NETWORK AND ACCESSIBILITY MANAGER FOR COVERING WISCONSIN.
SHE JOINS US NOW AND THANKS VERY MUCH FOR BEING HERE.
>> THANK YOU FOR HAVING ME, FREDERICA.
IN WISCONSIN MIGHT BE VICTIMS OF THESE WEB INSURANCE BROKERS?
>> WE'RE STILL KIND OF UNDERSTANDING AND TRYING TO FIGURE OUT THE VOLUME OF VOLKS TFOLKSTHAT ARE IMPACTED BY THIS.
WE WERE BROUGHT AWARE OF THIS BASED ON SOME OF OUR NAVIGATORS WHO HAVE SEEN INDIVIDUALS COME TO US BECAUSE THEY WERE DULY ENROLLED IN MEDICAID OR THE MARKETPLACE AND WE'RE HEARING IT FROM OTHER STATES WHERE THEY'RE GETTING A LOT MORE MALICIOUS PREDATORS, ESSENTIALLY, WHO ARE TRYING TO TARGET SPECIFIC COMMUNITIES, BUT WE'RE DEFINITELY SEEING MORE COME UP WEEK AFTER WEEK.
>> WHAT ARE SOME EXAMPLES YOU'VE SEEN IN TERMS OF UNSUITABLE POLICIES BECAUSE OF COVERAGE OF COST?
IS SOMEONE IS ACTUALLY STILL ELIGIBLE OR ENROLLED IN MEDICAID, WHICH IS THE STATE'S PROGRAM FOR LOWER INCOME FOLKS, AND EITHER THEY ARE UP FOR RENEWAL SOON OR THEY DO NEED TO RENEW AND SOMEONE EITHER REACHES OUT TO THEM PROACTIVELY, SOMEHOW GETTING THEIR CONTACT INFORMATION AND THERE'S A WAY OF SOMEONE JUST PUT HEALTH INSURANCE IN A GOOGLE SEARCH AND WENT TO A BAD WEBSITE.
THEY COULD HAVE ACCIDENTALLY GOT ON THIS LIST OF NUMBERS THAT PEOPLE WILL CALL.
OTHERWISE, IT'S ACTUALLY SOMEONE THAT MAYBE THEY REACHED OUT, TOO, BUT THEY'RE OUT OF STATE AND THEY'RE NOW GETTING SIGNED UP FOR A MARKETPLACE PLAN, USUALLY A ZERO-DOLLAR A MONTH PLAN, BUT BECAUSE THEY ACTUALLY SHOULD STILL BE ON MEDICAID, ARE NOW DUALLY ENROLLED IN THESE PROGRAMS, AND IT'S NOT UNTIL THEY'RE ACTUALLY TRYING TO SEEK HEALTHCARE OR TAX TIME WHEN NOW THE I.R.S.
IS SAYING THEY HAVE TO RECONCILE TAX CREDITS THAT THEY NEVER KNEW THEY HAD, THEY'RE TRYING TO FIGURE OUT WHAT WENT WRONG.
>> SO I UNDERSTAND THAT MANY OF THESE BROKERS DOING THIS ARE OUT OF STATE.
>> WE HAVEN'T SEEN ANY BAD ACTORS THAT ARE FROM WISCONSIN, SO I WANT TO LEAD WITH THAT.
AND WE ACTUALLY DO A REALLY GOOD JOB OF WORKING WITH OUR AGENT AND BROKER COMMUNITY HERE IN WISCONSIN.
PARTNER WITH THEM, AND WE ACTUALLY HAVE QUITE A LENGTHY SCREENER BEFORE WE EVEN INCLUDE THEM IN HOW WE ADVERTISE FOR ENROLLMENT ASSISTANCE.
>> SO WHAT CAN PEOPLE DO TO PROTECT THEMSELVES FROM THIS?
>> SO, OF COURSE, KNOWING THE WEBSITE THAT YOU'RE PUTTING IN REGARDING SEEKING ENROLLMENT FOR HEALTH INSURANCE, MAKING SURE THAT IT HAS A .GOV ENDING.
IF YOU'RE ENROLLING IN THE HEALTH INSURANCE MAIRKT PLACE, IT'S HEALTHCARE.GOV.
AND THEN YOU'RE SEEKING ASSISTANCE AND YOU'RE TALKING TO SOMEONE ON THE PHONE OR SOMEONE REACHES OUT TO YOU, DON'T HESITATE TO ASK QUESTIONS, BECAUSE IF THERE'S ANY RED FLAGS, YOU SHOULD JUST STOP THE CONVERSATION AND SAY, I WILL CALL SOMEONE IF I NEED ADDITIONAL HELP AND JUST END IT THERE.
BUT ASKING QUESTIONS LIKE WHAT'S YOUR LICENSE NUMBER?
WHO ARE YOU -- WHO DO YOU WORK FOR?
THE OFFICE OF THE COMMISSIONER OF INSURANCE OR COVERING WISCONSIN OR THE HEALTH INSURANCE MARKETPLACE?
ANY PERSON WHO IS LEGITIMATELY TRYING TO HELP YOU CAN EASILY ANSWER ANY OF THOSE QUESTIONS AND USUALLY AUTOMATICALLY GOES THROUGH A CONSENT PROCESS.
WE ALWAYS JUST ENCOURAGE FOLKS EVEN TO CALL US DIRECTLY FROM THE GET-GO, BECAUSE EVEN IF IT'S JUST A QUESTION TO MAKE SURE THEY'RE AT THE RIGHT SPOT, LIKE WE'D RATHER THEM DO THAT THAN BE UNSURE AND THEN FIND OUT THE HARD WAY.
>> YEAH.
THANK YOU FOR THAT IMPORTANT INFORMATION FOR WHAT PEOPLE SHOULD LOOK FOR.
CAROLINE GOMEZ-TOM, THANKS SO CAROLINE GOMEZ-TOM, THANKS SO
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