Questions for Agents and Brokers

 

Can brokers receive commission?

Yes, as they do for products off the Marketplace. Commissions will come directly from a carrier and will vary based on company commission rules. Brokers must follow Marketplace rules regarding presenting all plan options to individuals and businesses. 

Do small businesses need to enroll through the Marketplace to be eligible for tax credits? 

Small businesses must apply and receive a favorable eligibility determination through the Marketplace and enroll in a SHOP-Certified plan directly with the insurers.

Are there any minimum participation requirements?

Participation requirements may apply. Please check directly with prospective insurers to determine if minimum participation requirements apply for enrollment in SHOP-Certified coverage. 

How can sole proprietors enroll through the Marketplace?

Federal guidelines require sole proprietors to enroll through the Individual Marketplace. 

Is an employer group with employees outside New York State considered an eligible small business through the Marketplace?

Yes, as long as the small business has a physical business location in New York State and is otherwise eligible. 

Is there one application for all carriers?

Yes. 

Do small businesses need to obtain a favorable eligibility determination from the Marketplace to be eligible for tax credits?

Yes.

 

 

Resource Type
Frequently Asked Questions
Publication Date