CMS Review of Web-broker Sample Clauses

The CMS Review of Web-broker clause establishes the authority of the Centers for Medicare & Medicaid Services (CMS) to evaluate and oversee the operations of web-brokers that facilitate health insurance enrollment. In practice, this clause allows CMS to conduct audits, request documentation, and assess compliance with federal standards by web-brokers, ensuring that these entities adhere to regulatory requirements. Its core function is to maintain the integrity and reliability of the enrollment process by holding web-brokers accountable, thereby protecting consumers and upholding the standards of the health insurance marketplace.
CMS Review of Web-broker. SPA Submission. CMS will review the Web-broker’s SPA submission. If the SPA indicates that the Web-broker has not sufficiently implemented any identified required control(s), CMS will require remedial action. A Web-broker that does not submit the required SPA documentation or implement any required remedial actions may be subject to the Termination with Cause provision (Section VIII.b) of this Agreement or prohibited from executing the subsequent plan year’s Agreement. In addition, CMS may delay providing final approval or may withdraw prior approval of Web-broker’s DE Environment if the Web-broker does not address to the reasonable satisfaction of CMS findings suggesting significant security or privacy risks. 13 The Risk Acceptance Form is available on CMS zONE at the following link: ▇▇▇▇▇://▇▇▇▇.▇▇▇.▇▇▇/document/privacy-and-security-audit. Appendix C: Definitions‌ This Appendix defines terms that are used in the Agreement and other Appendices. Any capitalized term used in the Agreement or Appendices that is not defined therein or in this Appendix has the meaning provided in 45 C.F.R. § 155.20. (1) Advance Payments of the Premium Tax Credit (“APTC”) has the meaning set forth in 45 C.F.R. § 155.20.
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