| Many state entities have recently announced, or will soon announce, the disallowance of National Producer Number (NPN) Overrides. To align with these state requirements and ensure consistent compliance across our footprint:
Effective October 15, 2025, Ambetter Health will prohibit the use of National Producer Number (NPN) Overrides across all states, regardless of CMS, state, or direct enrollment platform allowances.
Requirements for Producers:
- Application Submission: All applications must be submitted by the individual agent who negotiates, sells, and solicits the policy to the consumer using their own NPN.
- Licensing & Appointment: Any producer actively assisting with the application, plan selection, or enrollment process must be licensed, contracted, and appointed in every state where business is conducted.
- Preemption of External Guidance: This policy supersedes CMS, state, or platform guidance that may permit the NPN Override feature.
- Enforcement: Failure to comply may result in immediate termination of the agent and/or agency contract.
This update reflects Ambetter Health’s commitment to compliant business practices and consumer protection. |
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