medicare supplement 2013. madp guidelines jan 1 st -feb 14 th ma members allowed to disenroll from...

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Medicare Supplement 2013

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Medicare Supplement

2013

MADP Guidelines Jan 1st-Feb 14th

• MA members allowed to disenroll from their MA plan during this period with an effective date of disenrollment after Jan 1st.

• GI situations –applicants will be underwritten unless they’re in a GI situation and applying for the plan listed in the Guide to Health Insurance , pages 22-23.

• Medigap rights include:– Joined MA plan when first enrolled in Medicare at age 65 and leave the

plan within first 12 months of joining– Terminated Medigap policy to enroll in MA plan for first time, then leave

within 12 months of enrolling (page 23 for details)– Enrolled in MA plan leaving the service area or Medicare program

altogether

Required documentation

• One of the following must be submitted as proof:– A copy of MA plan’s disenrollment notice– A copy of letter applicant sent to their MA requesting disenrollment:

or – Signed statement that the applicant has requested to be

disenrolled from their MA plan

• If documentation is not available at time of application, it may be faxed at a later date – Obtain policy number (this is on Case Monitoring Report)– Write policy number on the documentation– Fax to 402-997-1920

Our Product Landscape

New Products in 2012

• United of Omaha– AL, MT, UT, WA, WY, FL*

• Mutual States - Reflex– ID, IL, MO, NV,TN, WI

• Omaha Insurance Company– KY, MD, MI, MS,ND*, PA, WV, CT, OH, SC

All Include The Household Discount!*Pending approval

Household Discount:Check Before You Quote

Do you want to offer your client the lowest rate they may qualify for?

Then, before you provide your client a premium quote, check to see if they may be eligible for a 7% household discount (12% in Missouri).

Note: Not all companies/states have a Household Discount Feature

Household Discount Eligibility

– Individuals who reside together for at least one year or a married couple residing together apply together for and are both issued a policy.

– Individuals who reside together for at least one year, a married couple residing together, or in a civil union partnership where one of the individuals have an existing Medicare supplement plan with Mutual of Omaha Insurance Company , United World Life Insurance Company, United of Omaha Life Insurance Company or Omaha Insurance Company. (NOTE: If individual applying is issued a policy, the individual they reside with that already owns an existing policy will also receive the discount)

Applicable for up to four policyholders in a single household

For Missouri- The applicant is eligible for a discount if, at the time of application, they are residing with a spouse or domestic partner

Household Discount Removal

– One of the individuals terminates their policy– One of the individuals lapses their coverage– The individuals no longer reside at the same address

For Missouri- The discount will not be removed at any time

Discount will NOT be removed if one of the individuals becomes deceased

Offer Clients a Choice:Plan F vs. Plan G

• The only difference between a Plan F and a Plan Gis coverage of the Part B Deductible

• Below is a comparison in price using a premium example that reflects how G is generally* priced in relation to F

Annual PremiumPlan F $1,458Plan G $1,195

Add Part B Deductible* to $ 140Plan G Premium: + $1,195

$1,335Compared to Plan F - $1,458

An annual savings of $ (123)

* Remember that both premium rates and the Part B deductible change from year to year and this sort of savings for the policyholder is not always present.

Producer Use Only

Question

Q: When would an individual choose a Plan G over Plan F?

A: When there is a cost savings associated and the individual is comfortable setting aside

funds to pay for the Part B Deductible.

Note: If the individual is in certain Guarantee Issue situations where Plan G is not available on a Guarantee Issue basis, the individual would need to be underwritten in order to purchase Plan G.

Help your client determine whether Plan G or Plan F better

meets their financial and insurance needs.

Producer Use Only

Med Supp e-app

• New internet assisted electronic application using voice and electronic signature released.

• Accessed on Sales Professional Access– Training Manual– Brainshark Presentation– Sandbox to get comfortable with app

Marketing Account Program 2013

• To earn credits producer must have at least 5 new business applications issued in that month (Open Enrollment & Underwritten only)

• ½% of ANBP is applied to credits for paper apps• 1% of ANBP is applied to credits for e-apps• 1 credit = $1• Can order company collection merchandise or being

reimbursed for items that assist in growing their business

Thank you!