Effective immediately, all brokers must use the Milliman Suitability Tool for every new Consumer Data Respondent (CDR). This tool replaces the old Prospect Assessment Questionnaire for primary subscribers and ensures a consistent, compliant assessment process.
What You Need to Know:
- Milliman Suitability Tool is now required for all new prospects. This must be completed prior to completing the enrollment forms (if eligible).
- Dependents (including spouses) must still be assessed through the Prospect Assessment Questionnaire.
- Member emails have been disabled — only brokers receive results.
- Results will either:
- Direct you to your back-office site with GigCare plan offerings, or
- Provide a notice that the prospect is not suitable due to potential high uncovered costs.
- Healthcare.gov direct-link emails are discontinued.
- Brokers remain responsible for ensuring each prospect receives a suitable, compliant plan recommendation based on their needs.
If you need help with the tool or the updated workflow, check out the online tutorial.
