To whom should you report a security incident involving suspected fraud for a client?

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Reporting a security incident involving suspected fraud for a client requires prompt communication with the appropriate authorities to ensure effective resolution and protection of the client’s interests. The correct choice emphasizes the importance of notifying both the Marketplace Call Center and the state Department of Insurance.

The Marketplace Call Center serves as a central hub for addressing issues related to the Federally-facilitated Marketplace, ensuring that incidents are documented and addressed at the federal level. On the other hand, the state Department of Insurance plays a crucial role in regulating insurance practices within the state, including overseeing fraud prevention and investigation efforts. By reporting to both entities, you enable comprehensive action to be taken, encompassing both immediate support provided by the Marketplace Call Center and the enforcement and regulatory procedures handled by the Department of Insurance.

This dual approach enhances the likelihood of a swift and effective response to the fraud incident, safeguarding the client's interests and maintaining the integrity of the marketplace.

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