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Communication Materials Guide

Explains CMS rules for communication materials, including required disclaimers, prohibited language, and the marketing “bright line.”

Updated over 3 weeks ago

Purpose of This Guide

This guide explains how to create CMS-compliant communication materials for your Medicare business.

Communication materials are educational and informational and are subject to different rules than marketing materials. Spark provides this guidance to help agencies:

  • Create compliant materials from the start

  • Avoid accidentally crossing into marketing

  • Submit materials correctly for compliance review

If your material meets the definition of Marketing, follow the Marketing Materials Requirements Guide instead.


What Are Communication Materials?

Communication materials are one-to-one (1:1) messages that provide general, informational content about Medicare or your services.

They may:

  • Explain how Medicare works

  • Describe the services you offer as a licensed agent

  • Provide administrative or follow-up information

They may not promote plans, benefits, or coverage features.


Important CMS Rule: The Marketing “Bright Line”

CMS defines any material that mentions a benefit as Marketing.

If your material mentions:

  • Dental, vision, or hearing benefits

  • Cost savings or premiums

  • Star ratings

  • Carriers or plan names

➡️ It is Marketing, not Communication, and must follow marketing submission requirements. Note sure:


Required Disclaimer for Communication Materials

The only disclaimer required on communication materials is: “We are not affiliated with the U.S. Government or the federal Medicare program.”

This disclaimer should be clearly visible on written materials.


How to Create Compliant Communication Materials

DO This

  • Keep content educational and neutral

  • Focus on Medicare basics or your role as an agent

  • Use clear, calm, non-promotional language

  • Submit materials for compliance review before use


AVOID This

When creating communication materials, avoid language or tactics that may mislead, pressure, or confuse beneficiaries.

Specifically, do not:

  1. Use the words “customized” or “personalized” when describing Medicare

  2. Use the word “entitled” unless referring specifically to Original Medicare

  3. Use phrases like:

    • “Get the money you deserve”

    • “See what benefits are available to you”

  4. Use language that could be misleading or confusing

  5. Create fear or anxiety (e.g., “plans that could bust your budget”)

  6. Create urgency (e.g., “Act now or lose your benefits”)

  7. Use fear-based tactics suggesting loss of coverage

  8. Use formatting that creates urgency:

    • ALL CAPS

    • Oversized fonts

    • Red text

    • Repetitive punctuation (!!!)

  9. Use the word “Senior”

    • Use “people with Medicare” or “Medicare beneficiaries” instead


Phone Number Disclosure Requirement

If a communication material includes a phone number that connects to a sales agent, you must clearly disclose this.

Use this exact statement immediately before or next to the phone number:

“Calling this number will connect you to a licensed insurance agent.”

This applies to emails, texts, and other 1:1 messages.


Use of the Word “Free”

Use of the word “free” is very limited and often risky.

Allowed:

  • “Free” may be used only to describe:

    • Mandatory, supplemental, or preventive benefits

    • Zero-dollar cost sharing for all members

Not Allowed:

  • Zero-dollar premiums

  • Premium reductions (including Part B buy-downs)

  • Deductibles or cost-sharing

  • LIS or dual-eligible cost sharing

If Using “Free” in a Service Context:

Phrases like “Free Medicare Plan Comparison” must include:

  • “No obligation to enroll” in the same sentence or close proximity

  • If space is limited, an asterisk may reference a legible footnote


Images and Visuals

  • Do not use American flags, patriotic color schemes, or government-style imagery

  • Do not use images of actual Medicare cards

  • Generic card images are acceptable


Lead Generation Forms (PTC / BRC)

With the one-to-one consent rule effective 10/1/24, all lead generation forms must include updated consent language.

Spark-approved disclaimer language may be used, with your agency name specified.

Important Notes:

  • Lead generation forms must be reviewed by a carrier before approval

  • Spark Compliance will submit these to carriers on your behalf

  • Approval is required before use


Helpful Resources

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