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Agent Update Memo — August 2024

Below you will find new Medicare training and information both from Senior Marketing Specialists and the insurance industry as a whole.

AEP Updates

  • All Carrier Certification is available!
    • Certification guidelines, rollout details, sneak peeks, and agent guides on the AEP Toolkit!
    • NOTE: The NABIP test is taken by all key carriers except Aetna (which doesn’t require the AHIP or NABIP to certify).

Senior Marketing Specialists Updates

Compliance Updates

  • Remember when gathering SOA’s and drug lists that the method of gathering must be HIPAA compliant. Call us if you have questions.
  • Don’t forget to run all employees through the OIG exclusion list as well before hiring and monthly checks. Screenshot the search results and store for up to 10 years.
  • Review our Compliance Corner for important updates!

Industry Updates

Carrier Updates

  • UHC: LEAN Transitions to JarvisEnroll  
    • Provider Search
    • Formulary Look Up
    • UHC is continuing to restore the Medicare & Medicaid Eligibility Lookup tool on Jarvis for Medicaid eligibility verification. Montana and Texas are now available. Before the Annual Enrollment Period (AEP), UHCs goal is to restore access to all the states that were previously available. 
    • Check out their National Webinars: Visit Knowledge Center > Agent Training > National Webinar Schedule.
  • Cigna:
    • CHLIC Transition, read the broker resource page here.
    • Cigna has not notified us of any pending rate increases.
    • You can now begin ordering your 2025 Medicare Advantage (MA) and Prescription Drug Plan (PDP) sales materials on CustomPoint! to access CustomPoint, log in to Cigna For Brokers, then select CustomPoint from the dashboard to be directed to the site.
    • The ordering window for 2025 materials will be from July 15 to August 30. If you do not order during this time, you will not be able to order kits again until after October 1, 2024.
  • LifeShield: Commission changes!
    • Birthday Rule / Special Open Enrollment States:
      • KY, LA, MD, MO, OK
    • Reach out for updated commission schedules!
  • Bankers Fidelity: HIP, STC, Cancer now count 400% towards trips (formerly 300%).
  • Anthem: ending HRA payments (reminder Aetna and WellCare already have).
    • HRA administrative fee payments are ending for non-SNP (non-Special Needs Plan) Medicare Advantage plans as of July 31, 2024 for enrollment effective dates through August 1, 2024.    
    • HRA administrative fee payments are ending for SNP (Special Needs Plan) Medicare Advantage plans as of September 30, 2024 for enrollment effective dates through October 1, 2024.   
  • ACE: Rate Increases!
    • 8/1/24 Rate Change: AL, AK, AR, AZ, CO, DE, DC, FL, GA, ID, IL, IA, KS, MI, MN, MO, MT, NV, NH, NM, OH, OK, PA, RI, SC, SD, TX, UT, WV, WI, WY 
    • 9/1/24 Rate Change: LA, ND, TN, VT  
    • 10/1/24 Rate Change: INMS  
    • 1/1/25 Rate Change: KY, MD, NE, NJ, NC, VA 
  • Aetna: Front runners must complete AHIP by 9/30 to receive the free AHIP benefit.
  • Devoted:Didn’t get a chance to join us for our exclusive Devoted meeting? Reach out for details!
    • Devoted, a 5-Star plan and 2nd fastest enrollment carrier of 2024, has a lot of exciting expansion planned for 2025, if you aren’t already contracted, CONTRACT NOW, and make sure you’re on the forefront of 2025 contracting and product information!
    • Devoted Health’s MA plan is coming to even more states in 2025, including: AR, GA, IN, KY, MO, MS, WA, and WI.
    •  
  • WellCare:
    • If you have completed the 2025 AHIP & ACT required trainings, you will still need to log back into Centene Workbench to complete the 2025 TPME agreement when the 2025 TPME becomes available. This step of completing the 2025 TPME agreement is crucial to ensure you are ready and authorized to sell for the 2025 AEP season.
    • WellCare has decided to discontinue offering Medicare Advantage (MA) products in six states beginning with the 2025 Annual Enrollment Period. They will be exiting AL, MA, NH, NM, RI, and VT. WellCare will continue to offer Prescription Drug Plans in these states.
  • Mutual of Omaha: 
    • New pre-approval enhancements for FE, Universal Life, and Term Life. FAQ Here.
    • Earn extra cash with the cross-sell broker bonus for the MS and Dental insurance using the e-app.
  • Lumico: Effective September 1, there will be a rate adjustment for Med Supp policies underwritten by Lumico Life Insurance Company (Lumico) and Elips Life Insurance Company (Elips Life). You can view the rate changes here.  
    • For Lumico states (CO, LA, MN, MS, NC and SC)  
    • New policies will continue to be underwritten by Lumico in: CO and MN. Please note the following cut off dates:  
      • Applications signed on or after 8/1/24, with a requested effective date on or after 9/1/24, will be subject to the new rate.  
      • Applications signed on or before 7/31/24, with a requested effective date on or after 9/1/24, will receive the current rate.  
    • No new policies will be underwritten by Lumico in: LA, MS, NC and SC.  
    • For Elips Life states (CA, LA, MS, NC, ND, PA, SC, TN, TX and WI)  
    • Please note the following cut off dates:  
      • Applications signed on or after 8/1/24, with a requested effective date on or after 9/1/24, will be subject to the new rate.  
      • Applications signed on or before 7/31/24, with a requested effective date on or after 9/1/24, will receive the current rate.

Always have positive attitudes and very easy to work with. We all at MSS appreciate the knowledge level and can trust the information we get from you.

~ Diana F.

Senior Marketing Specialists AEP Toolkit

Our AEP Toolkit has all the marketing resources, certification walkthroughs, carrier specific details, and tools you’ll need in one easy to access spot!

Sources:

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