Agents with support staff such as administrative assistants, interns, and marketers are obligated to adhere to some regulations. Below is an overview of those regulations in addition to a few helpful links. Please let us know if you have further questions as we are happy to help!

 

OIG & GSA

The employer is required to run monthly Exclusion Checks on each of their office staff maintained by the Office of Inspector General (OIG) and the US General Services Administration (GSA). Employer must also run the Exclusion check prior to hiring employee. The employer must Document and Retain proof of method used, date preformed, employee list and results found.

HHS-OIG List of Excluded Individuals and Entities (LEIE)

GSA System for Award Management (SAM)

 

CMS Fraud Waste & Abuse

Support Staff must complete the CMS Fraud Waste & Abuse Training. 

 

Code of Conduct

Support Staff must read the Code of Conduct from either Aetna or UnitedHealthcare. The Code of conduct must be distributed within 90 days of hire and annually thereafter. The employer must also retain proof of distribution for each employee via email, website portal or contract.

UHC Code of Conduct  

Aetna Code of Conduct 

Aetna Compliance Guide

 

Contact us to learn more, contract, or ask questions! 800-689-2800