Script & Phone List for Reporting Fraudulent Agent

Reporting Fraudulent Agent to Marketplace

Script

“Hello, my name is [Clients Name], and I am contacting you to report fraudulent behavior by an insurance agent named [Agent’s Name]. The agents NPN number is _________.

I met this issue on [Date], when I discovered that this agent had accessed and made fraudulent changes to my Marketplace application without my authorization.

The agent’s actions are genuinely concerning as they have fraudulently accessed my confidential information. I believe these actions may violate insurance regulations or ethical standards, and I request that this agent be reprimanded accordingly.

I am available to provide any further information that may be needed for your investigation. Please do not hesitate to contact me if you need additional details or clarification.”

To download the Template for Agent Email to CMS Help Desk, HealthSherpa, State Department of Insurance, or Carrier click here.

(Note: agent, make sure you have your client on the phone as well.)

Phone List

CarrierPhone
Aetna CVS1-(844)-365-7373
Ambetter1-(877)-687-1196
BCBS TX1-(888)-697-0683
Cigna1-(800)-997-1654
Molina(888)-560-2025
Oscar(855)-672-2755
United HealthCare(877)-369-2073
HealthCare.Gov1-(800)-318-2596