Arizona Carrier to Offer " Off Exchange" Plans with Out a SEP

[toddoxley]

I received an email and I followed up with a call to verify this. A new, local "not for profit" company called Meritus will offer their off exchange individual product between now and 11-15 with out a need of a SEP. Very Interesting... Anyone else hearing this in there market ?

 

[TXINSURANCE]

Do they allow agents and do they pay any compensation?

 

[RayNY]

*their* ("there" is a location. Sorry, pet peeve)

Their website: Home | Meritus says open enrollment ends 3/31 and sign up by then no less than 3 times on the home page alone. I presume this was something you don't have in writing?

I have had carriers (verbally) say they aren't verifying QE's for clients who apply after OEP, but it's all been very hush-hush. Still waiting on a SEP procedure from every single carrier in the state-they don't know how they're going to handle it. Sounds like some of them can't check and just decided not to.

 

[binky1]

I received an email and I followed up with a call to verify this. A new, local "not for profit" company called Meritus will offer there off exchange individual product between now and 11-15 with out a need of a SEP. Very Interesting... Anyone else hearing this in there market ?

Wait. I thought we could still enroll members off exchange without the subsidy? Anthem has told me they'll still enroll members regardless of SEP - SEP is only for subsidy qualification right?

 

[RayNY]

SEP is for individuals, regardless of where they buy it or who pays. We've discussed this ad nauseam over the past few months.

If a carrier has chosen to not enforce SEP, that's their choice. While it is technically possible for a carrier to not enforce it by choice, they are opening themselves up to some severe adverse selection in the opinion of some seasoned veterans.