Update to Healthcare Policy (June 2021):

Google has announced a new certification program for health insurance advertisers to
aid in curbing misinformation or fraud. This special certification will
be required for ACA health insurers or third-party brokers who want to
run Google Ads. Brokers will need to provide documentation showing they are permitted under state law to sell health insurance. 
 

 

Beginning May 3rd, 2021, brokers can apply for certification. Certification must be completed by June 2nd, 2021. If certification is not completed by June 2nd, Google will no longer be able to serve their ads.

 

You can Read Full Google Ad Policy Here >

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

Hello Broker Partners,
Molina’s premium payment portals have transitioned to our new vendor HealthPlan Services (HPS).

Please review our new Payment Guide for more information about our revamped payment platform and user flow.

New Molina Payment Guide

We are not currently able to take payments through our MyMolina member portal, but the functionality should be available again soon. Also, recent enrollment changes and payment updates are not reflecting on some members accounts yet. Please check back on their accounts tomorrow. Additionally, please let us know if you run into any other issues with the updated functionality.

VIEW FULL MOLINA PAYMENT PORTAL PDF

We appreciate your patience as we upgrade our Enrollment, Premium Billing and Payment systems.

MOLINA CONTRACTING >

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

Dear Producers, We are pleased to announce that the 2022 Medicare certification training will be available to producers in July.

Details

WHAT

2022 Medicare certification training will be available soon.

The annual mandatory training will include two sections:
the AHIP and the HCSC curricula. Sections 1 and 2 must be completed by
individual producers and sub-producers including all agency principals.
All producers must complete all courses in order to be deemed certified
to sell 2022 MAPD/PDP plans.

WHEN

June 21st, 2021 AHIP Training Begins

The AHIP training
will be available on June 21st, 2021. Once again, HCSC has negotiated a
lower rate for our contracted producers. The AHIP discounted rate for
our producers is $125 instead of $175. In order to receive the
discounted rate, you must use the AHIP/HCSC partner link we’ll provide
at a later date.

July 7th, 2021 HCSC Training Begins (Tentative)

The second section
of the training including the HCSC training and other required forms
will launch on July 7th. All producers must complete the training prior to
marketing/selling 2022 MAPD/PDP plans.

WHY

The Centers for
Medicaid and Medicare Services, as well as HCSC, requires producers to
complete the annual training process in accordance with CMS regulations
at Title 42 of the Code of Federal Regulations, Parts 417, 422, and 423.

 

2021 Medicare Curriculum Announcement

The 2021 AHIP course will not be available after June 17th, 2021 at 11:59 p.m. CST.

Producers who wish to complete the
2021 MAPD/PDP curriculum may instead take the 2022 AHIP course along
with the 2021 Blue Cross Medicare Options plan course, exam and forms.
As of Wednesday, July 7th, producers seeking to complete the 2021 training
will be assigned a dual plan year curriculum for both 2021 and 2022.
The combined curriculum will satisfy the certification requirement for
both 2021 and 2022.

Your Medicare Renewal Compensation

All producers must be certified by
December 31st, 2021 to retain all prior year renewals (exemptions apply
for PDP plans sold between 2006 and 2008).

Stay Tuned!

In the next few weeks, you will be
receiving a series of emails with updates and more detailed instructions
on how to complete your certification.

”Training on Us Program“ will launch soon! To learn more
on how we may cover your 2023 AHIP Course costs, look out for additional information in future communications.

 

MEDICARE CONTRACTING & MORE >

 

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

2021 Producer Special Enrollment Period Bonus

Individual and Family Plans: Cigna Health and Life Insurance Company


Program rules: 

Bonus is based on new sales submitted from February 15th to May 31st (from February 8th to May 31st in Colorado) for policies effective as of 6/1/21. In order for sales to qualify, customers must make initial payment and be in active status. 

 Producer must submit a minimum of seven new SEP customers. At that time, any new medical sales bonus due will be paid, starting from the first 2021 SEP application. Customer plan changes do not qualify. 

Bonus program is based on number of customers submitted at the agent level. Customer counts will be capped at six customers per policy.  

Eligible products include all IFP medical products in all markets. 

Cigna reserves the right to charge bonuses back if brokers have over 15% of their membership leave the plan or not maintain continuous coverage for the first four months of their policy contract. 

Cigna will offset any over payment against other compensation due and payable to producer.

 

DOWNLOAD PDF HERE 

 

CIGNA CONTRACTING > 

 

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

INDIVIDUAL HEALTH PLANS: New Members

COMMISSION: $100 per Member

Qualifications & Details:

  • Must enroll a minimum of 5 new members to be eligible for the bonus.
  • Bonus is on every new member sold, once a minimum of 5 have been effectuated
  • Bonus is retroactive and applies to effective dates of March 1st through September 1st, 2021. Policies must be bound by September 1st to qualify
  • Bonus will be calculated for a one-time payment in September and paid in October


 

Exclusions: 

  • Transfers between Individual plans, and accounts transferred due to change in broker of record.
  •  General Agents are excluded from this program and do not qualify for the bonus.

The writing agent must meet all compliance regulations and must be appointed in the state of Texas and be in good standing at the time of sale and bonus payment.  

Bonus payments are made payable to the Producer/Agency who receives standard commissions payments. No advance payments will be made. 

The terms and conditions of this commission schedule are subject to change at the sole discretion of Friday Health Plans and/or its designated representatives upon notice to the broker.  

Final interpretation of any or all provisions in this commission schedule, or resolution of any disputes arising from this compensation plan, rests solely with Friday Health Plans and/or its designated representatives.  

This provision is applicable to all insurance producers and insurance agencies over whom the Texas Division of Insurance has authority.  

Commissions will be paid only if agent/agency is licensed and in good standing with the State of TexasAppointment with Friday Health Plans must be current.  

See Friday Health Plans producer agreement for all for all terms and conditions pertaining to commission schedule.  

Friday Health Plans reserves the right to amend, change, or terminate this commission and bonus schedule as outlined in the Producer Agreement.

 DOWNLOAD PDF HERE 

GET CONTRACTED TO SELL FRIDAY HEALTH PLANS > 

 

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

The Centers for Medicare & Medicaid Services
(CMS) report that over 528,000 Americans signed up for health insurance
from the start of the 2021 Marketplace Special Enrollment Period (SEP)
for consumers in HealthCare.gov States through March 31st, including
approximately 322,000 signups from March 1st to March 31st. 

February 15th – March 31st, 2021

The Centers for Medicare & Medicaid
Services (CMS) report that over 528,000 Americans signed up for health
insurance from the start of the 2021 Marketplace Special Enrollment
Period (SEP) for consumers in HealthCare.gov States through March 31st,
including approximately 322,000 signups from March 1st to March 31st.

The number of people signing up for health
insurance from the start of the SEP opportunity on February 15th through
March 31st represents a substantial increase from 2020 and 2019, when
209,000 and 171,000 consumers signed up for health insurance
respectively.[1]
In previous years, SEPs were available only for qualifying life events,
whereas this year the Biden Administration opened a SEP to all
Americans in response to the COVID-19 Public Health Emergency.

Data suggest a more diverse set of American
consumers are enrolling in health insurance coverage through the SEP. Of
enrollees who identified a race from February 15th through March 31th, 17%
identified as Black, compared to about 11% during the same period in
both 2020 and 2019. In addition, lower income Americans represent a
larger percentage of new plan selections so far during the SEP compared
to prior years. Among consumers requesting financial assistance, 41%
have a household income between 100% and 138% of the federal poverty
level, compared to 38% in 2020 and 33% in 2019.

Definitions and details on the data are included in the glossary at the end of the report.

READ FULL REPORT > 

 

If your looking to expand your book of business and client reach as a professional life and health insurance agent, you are in the right place. 

Check out enrollinsurance.com now.

 

 

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

Bonus Program Extended!

Earn up to $200 per member for new enrollments
through August 15th, 2021!
 


 

Don’t miss the chance to enroll new and existing clients in more affordable coverage!

Learn how much your clients in Texas can save with the recent expansion of APTC subsidy eligibility. See below for an example of how the subsidy changes would impact a 40-year-old at 150% of the FPL on a Bronze Classic Next 2 Plan in each county of Texas.

 Click here to download the PDF with Full Details >

 

Get Contracted To Sell Oscar Today >


Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

 President Biden announced that the Centers for Medicare & Medicaid
Services (CMS) is extending access to the Special Enrollment Period
(SEP) until August 15 – giving consumers additional time to take
advantage of new savings through the American Rescue
Plan. 

This action provides new and current enrollees an additional
three months to enroll or re-evaluate their coverage needs with
increased tax credits available to reduce premiums.

“Every American deserves access to quality, affordable health care –
especially as we fight back against the COVID-19 pandemic,” said HHS
Secretary Xavier Becerra. “Through this Special Enrollment Period, the
Biden Administration is giving the American people
the chance they need to find an affordable health care plan that works
for them. The American Rescue Plan will bring costs down for millions of
Americans, and I encourage consumers to visit HealthCare.gov and sign
up for a plan before August 15.”
 

As a result of the American Rescue Plan, additional savings will be
available for consumers through HealthCare.gov starting April 1. These
savings will decrease premiums for many, on average, by $50 per person
per month and $85 per policy per month. On average,
one out of four enrollees on HeathCare.gov will be able to upgrade to a
higher plan category that offers better out of pocket costs at the same
or lower premium compared to what they’re paying today. 
 

Consumers who want to access the SEP to enroll in coverage and see if
they qualify for financial help to reduce the cost of monthly premiums,
can visit

HealthCare.gov
or
CuidadoDeSalud.gov
to view 2021 plans and prices and enroll in a plan that best meets their needs. Additionally, consumers can call the

Marketplace Call Center
at 1-800-318-2596, which provides assistance
in over 150 languages. TTY users should call 1-855-889-4325.  Consumers
can also find a local assister or agent/broker in their area:

https://localhelp.healthcare.gov

 

Consumers who are eligible and enroll under the SEP will be able to
select a plan with coverage that could start as soon as the first month
after plan selection. Current enrollees will be able to change to any
plan available to them in their area. To take
advantage of the SEP, current enrollees should review their application
and make changes, if needed, to their current information and submit
their application in order to receive an updated eligibility result.
 

Additionally, beginning in early July on HealthCare.gov, consumers
who have received or have been determined eligible to receive
unemployment compensation for any week during 2021 may be able to get
another increase in savings when enrolling in new Marketplace
coverage or updating their existing Marketplace application and
enrollment. These savings to be made available starting in early July
for eligible consumers are in addition to the increased savings
available to consumers on HealthCare.gov starting April 1.
 

The SEP is currently available to consumers in the 36 states that use the
HealthCare.gov
platform. Consumers served by State-based
Marketplaces that use their own platform can check their state’s website
to find out more information on Special Enrollment Periods in their
state.
 

To see how the American Rescue Plan will bring down health care costs and expand on the Affordable Care Act, visit:

https://www.hhs.gov/about/news/2021/03/12/fact-sheet-american-rescue-plan-reduces-health-care-costs-expands-access-insurance-coverage.html
.

Still looking to get contracted with top carriers to expand your book of business?  Get ACA Contracting Here.

 

 

 

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com

OSCAR INDIVIDUAL

The following Commission Schedule shall apply to Oscar Individual Market policies in effect beginning January 1st, 2021 and shall remain in effect until terminated or replaced by Oscar in writing and within the Company’s sole discretion. The Commission Schedule for each respective market in effect at the time the commission is paid shall govern for the respective market.

Continue Reading Full Article: CLICK HERE

Or if you’re looking to Get Contracted With Oscar Health >>

 


 

Agility Producer Support
(866) 590-9771
support@enrollinsurance.com