Enrollment Questions

[bpenn9]

I have mainly been in the MA world but with non renewing plans I plan on writing quite a few med supps this year.

If a MA plan non renews can you write a med supp in Oct with a Jan 1 effective?

Another situation, if someone has a med supp effective Nov 1 (wrote in Aug), but you go and write a diff med supp in Oct, does that classify as replacement or not being the original med supp actually was not in effect yet? Does the client simply need to cancel the first med supp policy?

 

[houcoogster]

Ask this question to your med supp carrier.

 

[Frank Stastny]

I have mainly been in the MA world but with non renewing plans I plan on writing quite a few med supps this year.

If a MA plan non renews can you write a med supp in Oct with a Jan 1 effective?

Another situation, if someone has a med supp effective Nov 1 (wrote in Aug), but you go and write a diff med supp in Oct, does that classify as replacement or not being the original med supp actually was not in effect yet? Does the client simply need to cancel the first med supp policy?

Most companies will allow the agent to set the effective date up to three months in advance of the application date. A few will only allow that 60 days in advance of he application date. Check the underwriting guide with each company or call the company.

Are you asking because in some states the commission with some companies is different if it considered an external replacement? Would this be for someone who is turning 65 and taking a Med Supp for the first time or coming off of an MA plan and going on a Med Supp for the first time?

If so, I have not encountered a situation like that before. My initial reaction would be that it wasn't an external replacement because although the policy may have been issued it still hadn't gone into effect.

It raises an interesting question when it comes to filling out the application. Maybe someone else has encountered that.

 

[Longtimeagent]

In regards to your first point - Someone coming off an MA/MAPD that is losing coverage due to no fault of their own, will have a GI status for a med supp. That is starting October 1st, for an effective date of Jan 1 and goes all the way to Jan 31st for an effective date of Feb 1st. You can sign them up GI for any med supp that you wish to. Make sense?

And for your second question, it is not considered replacement as the first policy is/wasn't in effect yet. I recently sold a UoO to a couple losing group benefits (not T-65, actuall T-79,78) I They had already signed up for (but was not happy with) AARP, and I was able to write them for about $35 less and have an agent . I didn't fill out replacement, as there is no policy in effect. As long as you are not writing it within the same company - ie UoO plan F to plan N/G/etc....get my point? Hope that helps....go write tons of supps in Oct to folks losing PFFS coverage!!!

Death to MA's!

 

[bpenn9]

In regards to your first point - Someone coming off an MA/MAPD that is losing coverage due to no fault of their own, will have a GI status for a med supp. That is starting October 1st, for an effective date of Jan 1 and goes all the way to Jan 31st for an effective date of Feb 1st. You can sign them up GI for any med supp that you wish to. Make sense?

And for your second question, it is not considered replacement as the first policy is/wasn't in effect yet. I recently sold a UoO to a couple losing group benefits (not T-65, actuall T-79,78) I They had already signed up for (but was not happy with) AARP, and I was able to write them for about $35 less and have an agent . I didn't fill out replacement, as there is no policy in effect. As long as you are not writing it within the same company - ie UoO plan F to plan N/G/etc....get my point? Hope that helps....go write tons of supps in Oct to folks losing PFFS coverage!!!

Death to MA's!

Thanks, I knew they had GI just wasn't sure how far out I could write effective date, that helps a lot. I agree, time to write a lot of med supps.

 

[jdeasy]

Thanks, I new they had GI just wasn't sure how far out I could write effective date, that helps a lot. I agree, time to write a lot of med supps and that is why I am having my wife get her health license so I can keep captive for now and build up supp business through her, off the books! Frank will be helping us out there!

They have 63 days from the date their coverage ends to get a med sup as GI. If their plan ends on Dec. 31, they have 63 days from that date. They can also do it before, but, you are not out of time until the 64th day after they lose coverage.