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Agent Update Memo — October 2024

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

Senior Marketing Specialists Updates

Carrier Updates

  • Anthem Kansas DSNP now available to contract, just need to choose a KS appointment (only product available, no PDP or regular MAPD)

  • The UHC Medicaid eligibility lookup tool is available in: AL, AR, CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KY, MI, MO, MS, MT, NC, ND, NH, NM, NY, OH, OK, PA, SC, SD, TN, TX, VA, VT, WI, WY

  • Earn more with Health Risk Assessments (HRA’s)! The following carriers have announced that they are offering HRAs. Reach out for details: Anthem (SNP), UHC (SNP), Devoted (All plans), Cigna (all plans), WellCare (SNP)

    • PDPs – who is/isn’t paying for PDP’s:

    • On PDP Plan Mappings:
    • Reminder – WellCare is not paying commissions on new/renewal business. They WILL keep AOR’s with PDP’s on file if you are active, certified, and ready to sell. 

Industry Updates

  • Scope of Appointment Reminders:  
    • Scope of Appointment (SOA) forms are valid for 12 months.   
    • Agents and brokers must obtain an SOA 48 hours prior to a personal marketing appointment unless it is the last 4 days of an individual’s valid enrollment period or the individual initiated an in‑person walk‑in meeting.
      • Inbound phone calls are considered to be a walk in as well, meaning you do not have to wait the 48 hours.  
  • All marketing, sales, and enrollment calls must be recorded in their entirety. The requirement still applies to inbound and outbound calls. You also must continue to obtain an individual’s consent to record the call, and you must end the call if the individual refuses to grant permission to record the call.
  • EMPLOYEE COMPLIANCE  
    • If an employee is not a licensed agent, they need to take the CMS FWA training and the company needs to keep proof YEARLY.  
    • All employees prior to hire and monthly need to be run on the OIG exclusion check. Screenshot the search results and store for up to 10 years.  
  • Make sure you are prepared with the Department of Labor Salary Changes in 2025 and have made team adjustments accordingly.
  • Deft Research – 2024 Gut Check Highlights
  • Anthem and Mercy are in contract negotiations, if they are not able to renew, Mercy will not be in network as of 1/1/25.

AEP Updates

  • AEP Information:  
    • AEP Toolkit – Find Certifications, sneak peeks, Provider look up tools, event registration forms, resources and more to ensure all your AEP “quick grab” links are in one place
    • Popup Tent – Videos on what you need to know this AEP
    • With 90% of people receiving negative ANOC’s, it’s important to recap your appointment to avoid complaints to Medicare: Plan Recap Sheet  
  • AEP Hours:  
    • AEP Extended Hours will begin on September 30th   
      • Reminder this is 7AM to 6PM 
    • You can contact us by phone (800-689-2800), Livechat (chat bubble on the bottom of our website, and by email.
    • Ask your Agent Resource Specialists for their direct line if texting is your preferred method of contact!  

Receiving up to date information is important…you always send it well ahead of time which allows us time to process the information and do what is necessary. Always helpful and dependable as you willingly and efficiently assist me with questions or concerns about anything. Medicare questions in general, products, procedures, or marketing assistance. Have never talked to anyone there who was able to help me. Always with a “smile”. That is very important to me.

~ George P.

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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