Identifying Fraud: Communication from the Health Insurance Marketplace Processing Center

Michigan Primary Care Association

Since October 1, 2013, consumers, assisters, and even Health Insurance Marketplace Call Center representatives have used the Marketplace paper application as a way to capture information while the Centers for Medicare and Medicaid Services (CMS) continues improving Recently, the Michigan Department of Insurance and Financial Services responded to concerns of fraud related to phone calls from people claiming to be Health Insurance Marketplace representatives.

Legitimate Phone Calls
The U.S. Department of Health and Human Services has contracted with a third-party firm named Serco to process Marketplace paper applications. All applications that are mailed to the processing center in London, Kentucky, are reviewed, and those which are incomplete or present a complex family structure are set aside for follow-up. Serco began contacting applicants by phone three weeks ago to complete or clarify application information.

If you are contacted by Serco about your Marketplace paper application, your caller ID may read…

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