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Agents Brokers as TPMO’s and TPMO Disclaimer

Updated over a month ago

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CMS defines Third-Party Marketing Organizations (TPMOs) as:

“Organizations and individuals, including independent agents and brokers*, who are compensated to perform lead generation, marketing, sales, and enrollment related functions as a part of the chain of enrollment.”

This means you, as brokers/agents, must adhere to all CMS’ TPMO rules and guidelines.

Most Commonly used TPMO

The majority of agents will use this TPMO disclaimer as they don’t represent every single plan in their area:

"We do not offer every plan available in your area. Currently we represent [insert number of organizations] organizations which offer [insert number of plans] products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options."

If you need assistance calculating the number of organizations and plans you represent, Spark has the following tool:

CMS TPMO Rules and Guidelines

When is the TPMO Disclaimer Required?

  • Your Website

  • All Marketing Materials

    • The TPMO disclaimer is required on all marketing materials including print and TV/Radio Ads

  • Email/Chat/other Online Means of Communications

    • CMS rules day the TPMO disclaimer must be “electronically conveyed when communicating with a beneficiary through email, online chat, or other electronic means of communication”. It’s best practice to make the disclaimer part of your email signature to ensure you are compliant.

  • Sales Call- Within the first minute

    • The TPMO disclaimer is required to be verbally conveyed within the first minute of a sales call.

Record calls with beneficiaries in their entirety

CMS requires all marketing, sales, and enrollment calls to be recorded in their entirety. This includes virtual calls/meetings with beneficiaries (Zoom, WebEx, etc.). Marketing calls include retention marketing aimed at influencing a beneficiary to stay enrolled in a current plan and calls that mention ANY benefits (e.g. dental, vision, hearing, premium reduction, cost savings, etc.) Click here to see Spark’s Call Recording Feature.

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