Does Anyone Know when the Additional Payments for MA Plans Will Be?

[jdeasy]

Hello, my first time here. PLEASE HELP. I was new to the MA insurance field as of OCT 08. I have already had enough. I just wish I had been around for years previous. I guess I just started at the absolute wrong time. I was selling mainly UnitedHealthCare products under an FMO. I haven't submitted any business since starting my new job a few weeks ago. My FMO got upset for me leaving and is withholding commissions from me I submitted in March on up. He's stating that since I am not writing any more business he has to keep my commissions in case of charge-backs up to a year. From my understanding, charge-backs can only occur after 3 months if it is a chronic-illness which are not even in my county. Anyway, he is going to owe me for initial MA enrollments as well,that is how I got to this forum in the first place. Can anyone tell me what my rights are in my situation as a independent broker agent working under an FMO? Is there an agency to call if he decides to just keep my money? I have never had a charge-back and I keep in touch with all my enrollees' to make sure they are satisfied and informed with what all the plan entails. I make sure they call me first to resolve any issues, and I have only had the best intentions with any potential client I ever serviced. Any info would be greatly appreciated as I have been very behind on bills transitioning jobs and this guy owes me enough to pay all my bills for the next coupe months!

Read your contract. Also, there could be chargebacks if the enrolle moves out of the service area or if they die. The FMO should be concerned about chargebacks, but, they should not keep all of your money either. Still, it foes back to your contract, if it says they can keep all the money, you can bet that they will.

 

[jacobtn]

sounds like you did the right thing by no longer selling these. Start selling FIAs and life insurance, Med Supps for the health side. You'll be richer and happier.

 

[mikenfl]

Read your contract. Also, there could be chargebacks if the enrolle moves out of the service area or if they die. The FMO should be concerned about chargebacks, but, they should not keep all of your money either. Still, it foes back to your contract, if it says they can keep all the money, you can bet that they will.

Thanks for the info. The thing is I never really told him I was done for sure. I told him to pay me some commissions or I was going somewhere else. I can still sell MA products and work my other job. In fact I will have the opprotunity to place marketing material in PCP offices all over a huge radius. Secondly I never signed a contract with my FMO directly, just with each insurance company I was appointed with. Will that make any difference in my case?

 

[jdeasy]

Thanks for the info. The thing is I never really told him I was done for sure. I told him to pay me some commissions or I was going somewhere else. I can still sell MA products and work my other job. In fact I will have the opprotunity to place marketing material in PCP offices all over a huge radius. Secondly I never signed a contract with my FMO directly, just with each insurance company I was appointed with. Will that make any difference in my case?

It depends on whether your contract assigned your commission to your FMO. If you didn't, the company is the one not paying you. If you signed your commissions to the FMO, I hope for you sake it's not Parker and Asses. If it is, you will never get paid.

I haven't written a Pyramid in 14 months, yet, they pay me my renewals every month like clockwork. They take out any chargebacks dues to people leaving the service area or for deaths. I don't get any of my Coventry renewals because they are thru Parker. My contract with them didn't say they could keep my commissions, but, they just keep them anyway.

First, see what your contract says. If it's not in there that they can not pay you when you stop writing business, take it up with your FMO and tell them it's not in the contract and that you are going to the dept of insurance in your state about it. Sometimes that gets their attention. If it doesn't, it's a civil case and you are looking at an uphill battle that will cost you more than the commissions are worth.

 

[kristin]

was it just united health care that cms screwed up or is it all companies that they are pulling the may 1st reports. all of the other companies I write for have not said a word about a problem with their report

 

[lbenford]

To All Agents That Wrote Medicare Advantage 2009,

I just sent a request over to a news-media station about our delay in being paid for over 6 months for the insurance carriers. My most concern was WellCare since that is who I wrote for and now they are not paying what is due only on as earned basis and we have not gotten that yet.


The News Reporter wanted to know how many people were effected in Georgia. I told him this is nationwide. His reply was that The Station did not think their viewers would be interested in hearing our story. Why wouldn't people want to hear that we have not been paid for work done over six months ago.

He suggested that I get more people to speak with me.

It is up to us to scream loud enough so that "THEY" will listen.

If any agents are in Georgia that wrote for an Insurance Company for MA plans and haven't gotten paid their 2nd half commissions please email me...then maybe we can get our stories heard...

[email protected]

 

[Insuranceman]

I just got off the phone with Coventry, the commisions rep I spoke to told me the only paid commisions to the agents that were set up to receive electronic funds. She had no information on when of if the agents whould be paid by check.

 

[Russ]

Got this from United Healthcare today by email....

"Update: CMS Initial-Year Commission Payments - Corrected File Not Received
We communicated on Thursday, May 21, that the CMS files that were previously received containing initial-year commission payment data was incorrect and that CMS would be furnishing new, corrected files. Please note that, as of today, Friday, May 29, 2009, the corrected files have not been received.
The complexity and volume of this data requires us to process the files throughout the weekend after they're received. In order for our teams to have the time necessary to successfully complete the processing, we must receive the files from CMS by noon CDT on Wednesday of each week to avoid another week-long delay.
For example, if we were to receive the files from CMS prior to noon CDT on Wednesday, June 3, we would begin processing the data immediately and throughout the following weekend, June 6-7. We would send EFT data on Monday morning, June 8, and electronic payments would post no later than Wednesday, June 10. Paper checks and statements would be mailed on Tuesday, June 9. Note: This time frame is intended only as an example to help clarify what to expect when the corrected files are received. CMS has not provided any specific time frame in which we can expect to receive the corrected files.
We continue to work diligently to prepare our systems and procedures for timely processing of the corrected files once received. We apologize for the inconvenience the CMS delay in sending an updated file may have caused, and thank you for your continued patience.
Sincerely,
Commission Team
UnitedHealthcare Medicare Solutions"

 

[Insuranceman]

I can't wait for goverment run health care.

 

[kristin]

I have only heard of UnitedHealth care having a problem, I received the same e-mail. all other companies told me everything is fine. Did anyone receive any word in writing like the UnitedHealthCare one?