Getting Paid

[Ann H]

CMS and insurers can process the MAPD business pretty fast.

PCIP was slower than molasses in January. Did any of you agents receive your $100 finder's fee yet? The PCIP apps I helped people do was without commission, and I saw people declined for ridiculous reasons, lapsed when they could prove their check cleared, told to wait another 6 months before eligible to apply again, asked absurd questions for claims....

I sure hope this is closer to the Med Supp model.

 

[somarco]

Sign up is done thru HHS exchange portal, then HHS sends carrier new client info, and sends the subsidy (not requested by carrier)

All bureau checks will happen right away on HHS website, that is what this giant data hub is for.

How does that Kool Aid taste, Bill?

I'll be able to have a link from my website to a landing page where someone can fill out the app, and I'll get credit for it.

I assume you mean just like your MAPD business works.

CMS and insurers can process the MAPD business pretty fast.

True, but those apps aren't 21 pgs are they?

PCIP was slower than molasses in January. Did any of you agents receive your $100 finder's fee yet? The PCIP apps I helped people do was without commission, and I saw people declined for ridiculous reasons, lapsed when they could prove their check cleared, told to wait another 6 months before eligible to apply again, asked absurd questions for claims....

PCIP was simple compared to this.

 

[AllenChicago]

Obama and HHS want 70% of eligible non-insureds to own a subsidy-assisted exchange plan by the end of 2015. But the Treasury department wants to pay out as little money as possible in subsidies. Their entire system and mindset is to COLLECT money from the public..like a vacuum cleaner sucks dirt.

If a consumer inputs income, or other dollar amounts, that are just a tad wrong, the Treasury will deny the subsidy until the applicant takes the responsibility to get it correct. Because it's government, the applicant probably will not know that his $$$ figures were not correct until he/she gets a letter in the U.S. mail asking them to recheck their sources, login and make corrections. Perhaps even start from scratch? Whatever can delay and/or minimize Treasury payments (subsidy payments) to Insurance Companies is the methodology they will follow.

Cynical? Perhaps. But we have seen time and time again that each government agency has their own little world, rarely communicate with each other, and are run by power hungry personalities with oversized egos. It wouldn't surprise me one bit if the ultimate destroyer of Obama's Affordable Care Act is one of his very own government departments.

Perhaps the title of this thread should be changed to NOT Getting Paid.
ac

 

[Dave020]

Stuy119 wrote:

I'll be able to have a link from my website to a landing page where someone can fill out the app, and I'll get credit for it.

I assume you mean just like your MAPD business works..

At least in CA my exchange contacts have told me this ain't going to happen. Either it will be done "manually" or perhaps they may, if time permits, set up something with Quotit, Norvax and HealthConnect. There will be no protected broker link to direct exchange enrollments in California. They don't have the time nor the interest.

 

[Yagents]

Yagents wrote:
I'll be able to have a link from my website to a landing page where someone can fill out the app, and I'll get credit for it.

Just for the record, I did not say this. Stuy119 did.

This is what I said:
HHS will have a broker portal that you sign into.

And yes Bob, sour grape is my favorite flavor of kool aid. Gotta have some faith, or the depression will take over.

 

[somarco]

Bill, I have a bit more history in this industry than you. You (and others) may see me as cynical but I believe my view is a bit more realistic.

I have seen many changes over the years, and seen a lot of govt intrusion that has completely changed the market and in some cases, eliminated products. You probably don't remember when RLR and Section 79 life insurance products were "hot".

Alibamacare is the most radical change in the market affecting almost everyone. The few people that may be helped by Alibamacare contasts dramatically with the majority of the population that will be negatively impacted by this law.

Most consumers will lose, as will most agents. But the number of consumers negatively impacted by Alibamacare greatly exceeds the agents.

Good agents will survive, but their ability to make a living in the exchanges (if they ever become operational) is going to be limited.

Alibamacare is the death of traditional health insurance outside of large group plans and especially those that are self funded. It has been compared to MAPD but this is much more complex than the MAPD market and will never work as billed.

 

[Dave020]

Fixed it, Bill, sorry.

 

[bluediamond]

So what is anyone's take on writing existing clients thru the exchange? Do you believe the carrier's will pay new commissions? Half my client base will qualify for subsidy.
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Bill, I have a bit more history in this industry than you. You (and others) may see me as cynical but I believe my view is a bit more realistic.

I have seen many changes over the years, and seen a lot of govt intrusion that has completely changed the market and in some cases, eliminated products. You probably don't remember when RLR and Section 79 life insurance products were "hot".

Alibamacare is the most radical change in the market affecting almost everyone. The few people that may be helped by Alibamacare contasts dramatically with the majority of the population that will be negatively impacted by this law.

Most consumers will lose, as will most agents. But the number of consumers negatively impacted by Alibamacare greatly exceeds the agents.

Good agents will survive, but their ability to make a living in the exchanges (if they ever become operational) is going to be limited.

Alibamacare is the death of traditional health insurance outside of large group plans and especially those that are self funded. It has been compared to MAPD but this is much more complex than the MAPD market and will never work as billed.

Yes, many changes since the early 90's and although now that this is going to happen, I feel there are just too many agencies involved for a smooth operation. I am leaning towards that this whole thing may have been set up to fail so the U.S. would slowly lean toward's a single payor system, such as Medicare for all.

 

[Newby]

Bill, I have a bit more history in this industry than you. You (and others) may see me as cynical but I believe my view is a bit more realistic.

I have seen many changes over the years, and seen a lot of govt intrusion that has completely changed the market and in some cases, eliminated products. You probably don't remember when RLR and Section 79 life insurance products were "hot".

Alibamacare is the most radical change in the market affecting almost everyone. The few people that may be helped by Alibamacare contasts dramatically with the majority of the population that will be negatively impacted by this law.

Most consumers will lose, as will most agents. But the number of consumers negatively impacted by Alibamacare greatly exceeds the agents.

Good agents will survive, but their ability to make a living in the exchanges (if they ever become operational) is going to be limited.

Alibamacare is the death of traditional health insurance outside of large group plans and especially those that are self funded. It has been compared to MAPD but this is much more complex than the MAPD market and will never work as billed.

Do can't mean Nancy and Harry aren't making this country a better place for all Americans? They seem like such sincere people.

 

[Yagents]

Bob, You may have age and experience on your side, but I have youth and flexibility on mine. I've been part of two transforming markets over my short 20 year career and called both of them right.

For the first 10 yrs, I was a wholesaler to traditional stockbrokers. My job was to convert long term commissioned stockbrokers into fee based financial advisors selling no load mutual funds. Looking back over the past 20 years, the transition has occurred, and buying stock through a broker no longer exists. Fee based advising has grown dramatically and is a majority of the managed money today.

When I broke into the health business in 2004, HSA's became law. The old dog agent who trained me said that HSA's will never sell, and didn't make sense. I disagreed, and built my entire biz on HSA's. Looking back over the past 10 yrs, it's the biggest growing segment in health insurance market. In addition, I chose to never sell group plans, and only sold IFP. Which segment has grown, and which has gone down?

So, here we are today, with big changes again on the horizon. You can either figure out where the puck is going, or be rigid and go extinct. So, I'm going with my gut this time again and I'm positioned well for the upcoming changes. I do appreciate your insight and experience, as I need a push back, reality checks, and arguments to confirm or deny my thought process. That's why I love this board, it keeps me on my feet and keeps me thinking.
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I am leaning towards that this whole thing may have been set up to fail so the U.S. would slowly lean toward's a single payor system, such as Medicare for all.

Debbie already beat you to the punch:


Sen. Debbie Stabenow (D-Mich.) urged supporters of President Obama's healthcare law to see a single-payer system as its natural successor.

Stabenow backed Medicare-for-all at a gathering Thursday of consumer health advocates held by Families USA, a major supporter of healthcare reform.

"In my vision, someday, we see Medicare for all," she told the crowd. The Affordable Care Act "is a step forward, but in life, in change, in a democracy, we take [things] step by step."

Read more: 'Medicare for all,' Stabenow says - The Hill's Healthwatch
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