American MGA Insurance

Compliance

Compliance Corner

We take a proactive approach to compliance and strongly emphasize protecting our agents’ book of business. We aim to help our agents operate their agencies confidently and minimize the risk of compliance issues. We believe that a strong compliance program is essential for protecting your business, your reputation, and we are committed to providing you with the necessary guidance and support to achieve this goal.

Compliance Corner FAQs

Does American MGA Insurance provide compliance training?

In addition to the traditional Combating Fraud, Waste, and Abuse Training, Agent Pipeline provides additional training through the Agent Elevate program on Avoiding Sales Allegations, Selling Over the Phone, and more.

Here are some other helpful compliance training resources:

  •  

Our Chief Compliance Officer and Marketing Compliance Lead have simplified the submission process for filing marketing materials with CMS.

You can submit your marketing materials to be filed by clicking here.

If you have marketing pieces you’d like our Compliance Department to review before you send them to print, we can ensure you’re using all the appropriate disclaimers required. Submit your marketing materials review request by clicking here.

In 2022, CMS issued new Medicare marketing rules and guidelines that applied to MA plans, PDP plans, and MAPD plans. There were several additions to the Final Rule that impacted how agents conduct business. One of the changes was the requirement to record your calls. We have created a helpful tool that outlines the requirements from the CMS Final Rule. Click here to access our FAQs regarding call recording requirements and the TPMO disclaimer.

Are you looking for an affordable call recording and storage solution? Learn more about our proprietary tool MedicareCENTER! Connect with us to learn how to easily record inbound and outbound calls, retain the calls for 10 years, and never run out of call storage. And the best part? There is no cost or hidden fees attached to our platform.

There were some changes with the TCPA, or Telephone Consumer Protection Act of 1991, impacting how agents communicate with other agents (for agent recruitment), how they communicate with policyholders and consumers, how to handle opt-out requests, and obtaining and maintaining appropriate consent to contact.

The Medicare Communications and Marketing Guidelines provide the marketing and communication requirements for MA, MAPD, and PDP plans. The communication and marketing materials vary based on intent and content and include both digital and traditional distribution methods. Some examples of the MCMGs are required disclaimers (e.g., TPMO disclaimer, Permission to Contact disclaimer, RSVP disclaimer, etc.), use of prohibited language, content to be used during educational and/or sales events, the pre-enrollment checklist requirements, and more. If you have a question regarding a guideline, please contact info@dfwus.com

At American MGA Insurance, we take a proactive approach to compliance to protect your business. Our Compliance Team helps agents stay up-to-date with Medicare regulations through clear communications, training sessions, and support with reviewing and filing marketing materials. We focus on prevention, not reaction. We provide agencies with policies and procedures for identifying and reporting compliance issues, staff training, and tools for regular monitoring and auditing. We encourage agents to conduct internal audits to spot potential issues before they become major problems. Reporting compliance concerns is easy and vital to keeping the Medicare industry trustworthy and reliable for seniors’ healthcare needs.

Email

Email info@dfwus.com

concerns, details or questions about an incident, and indicate if you wish to remain anonymous.

Please include the name(s) of the organization(s) involved, as well as any relevant individuals.

Compliance Hotline

To report an incident, call our 24/7 hotline at
855.277.7770.

You can leave a message anonymously, or if you provide a call-back number, we’ll follow up with you for additional information.

Mail

You may mail written correspondence marked confidential to:

American MGA Insurance Board

2435 N central Expy Fl 12, Richardson, Tx, 75080