What are the two most common types of fraud committed by agents nationwide on Exchanges?

The correct answer highlights the specific tactics used by agents that compromise the integrity of healthcare exchanges. Unauthorized Enrollment refers to situations where an agent enrolls a consumer in a health plan without their consent or by using false information. This fraudulent practice can lead to individuals being covered under insurance plans they did not choose or agree to, often resulting in significant issues with coverage and financial obligations.

Unauthorized Plan Switching is another prevalent tactic, where agents may switch a consumer’s existing plan to a different one without their knowledge. This can be driven by the agent’s desire for higher commissions, rather than the best interest of the consumer. It is crucial for consumers to be empowered with the right information and to remain aware of their healthcare plan choices, ensuring they are fully informed before any changes are made.

These two forms of fraud are particularly detrimental as they erode trust in the healthcare system and can cause financial and health-related turmoil for consumers who rely on accurate information and proper representation in their insurance matters. Other options may address different aspects of fraud but do not specifically align with the most common fraudulent behaviors observed among agents in relation to exchanges.