What should an agent inform a consumer about switching to a higher-rated plan?

An agent should inform a consumer that switching to a higher-rated plan generally cannot be done outside of designated enrollment periods, which includes the Annual Election Period. During this time, beneficiaries are allowed to make changes to their plans, including switching to plans with higher ratings if they choose to do so.

This information is vital for consumers as it helps them understand the specific time frames during which they have the flexibility to review and select plans that might better suit their healthcare needs, especially as circumstances can change over the course of a year. Understanding this limitation also helps consumers avoid any confusion or frustration regarding their ability to make changes to their coverage outside these established periods.