Ok thanks. Talked to Cigna and they said I could write it with them as long as Cigna is primary because they won't coordinate benefits.
off exchange is available for U65 Medicare benes in NC. The original question was for exchange plans or subsidized plans which are not allowed if you're on Medicare.
This is interesting. Why would a carrier want to write a U65 Medicare beneficiary (disabled) as Primary, and refuse to coordinate?