Exchanging Mapd Policy for Another

[axeman462]

I have a client that during this AEP wants to switch from a UHC PPO to a UHC HMO for next year. I was just wondering how this would work commission wise. Would I get a chargeback, or be paid a commission for rolling the business over to a different MAPD?

 

[goillini52]

I have a client that during this AEP wants to switch from a UHC PPO to a UHC HMO for next year. I was just wondering how this would work commission wise. Would I get a chargeback, or be paid a commission for rolling the business over to a different MAPD?

I haven't done MA for a couple of years, but wouldn't they treat it as a renewal since they're staying in MA(especially within the same company)...and only pay you half of FYC? As far as chargebacks, as I recall there were none if they kept the plan for 3 months.

 

[axeman462]

I haven't done MA for a couple of years, but wouldn't they treat it as a renewal since they're staying in MA(especially within the same company)...and only pay you half of FYC? As far as chargebacks, as I recall there were none if they kept the plan for 3 months.

That makes sense

 

[Nelson C. Janney]

I would agree. As far as the inter company replacement? Not sure.

 

[Midlevel]

You will just stay as AOR and keep getting renewal commissions (or start getting renewals if 2013 was first year on PPO with UH.

 

[yogooglethis]

I have a client that during this AEP wants to switch from a UHC PPO to a UHC HMO for next year. I was just wondering how this would work commission wise. Would I get a chargeback, or be paid a commission for rolling the business over to a different MAPD?

If PPO on books less than twelve months than you get a charge back for the proration , if on renewal then obviously you don't but either way you get the 12 month advance for the replacement

 

[axeman462]

If PPO on books less than twelve months than you get a charge back for the proration , if on renewal then obviously you don't but either way you get the 12 month advance for the replacement

Is the 12 month advance $200 or $400?

 

[yogooglethis]

Is the 12 month advance $200 or $400?

200 clams would be deposited in your account