SEP SC AARP Paper app

[vic120]

Ok I have to do a paper app for UHC in SC

I have received an email from Cigna stating there is SEP due to wild fires
South Carolina
Declaration information New
Declaration #701
State declaration: Wildfires
SEP incident dates: 03/01/2025 - 04/15/2025
This SEP declaration is effective: 03/01/2025 - 05/31/2025
Impacted counties for SEP purposes: All



But on the paper app for UHC there is not SEP disaster option on it

there is a SEP (SEP reason ) and a place to put explanation

Will it get kicked back if I just put wild fires?
or is there a difrent way to state it?

 

[axeman462]

Ok I have to do a paper app for UHC in SC

I have received an email from Cigna stating there is SEP due to wild fires
South Carolina
Declaration information New
Declaration #701
State declaration: Wildfires
SEP incident dates: 03/01/2025 - 04/15/2025
This SEP declaration is effective: 03/01/2025 - 05/31/2025
Impacted counties for SEP purposes: All



But on the paper app for UHC there is not SEP disaster option on it

there is a SEP (SEP reason ) and a place to put explanation

Will it get kicked back if I just put wild fires?
or is there a difrent way to state it?

just writing "DST" would be fine, but if you wrote "DST - Wild Fires" to help clarify for the UW I'm sure they wouldn't mind.
Its their job to verify an SEP is eligible, They'll see it either way.

 

[TwoCents]

Ok I have to do a paper app for UHC in SC

I have received an email from Cigna stating there is SEP due to wild fires
South Carolina
Declaration information New
Declaration #701
State declaration: Wildfires
SEP incident dates: 03/01/2025 - 04/15/2025
This SEP declaration is effective: 03/01/2025 - 05/31/2025
Impacted counties for SEP purposes: All



But on the paper app for UHC there is not SEP disaster option on it

there is a SEP (SEP reason ) and a place to put explanation

Will it get kicked back if I just put wild fires?
or is there a difrent way to state it?

What election did your client miss?

 

[vic120]

What election did your client miss?

I dont create the situation I just do the best for my clients

You know they are getting calls all day long from India waiting to move them

I don't actively look to do this, but if I have a client like this who has been on Humana for a long time with me and just found out that Humana droped her local facility

and she is very concerned about it, I am not going to let her take calls from India for the next 6 months hoping she does not move

I am sure you would do the same

 

[sman]

I dont create the situation I just do the best for my clients

You know they are getting calls all day long from India waiting to move them

I don't actively look to do this, but if I have a client like this who has been on Humana for a long time with me and just found out that Humana droped her local facility

and she is very concerned about it, I am not going to let her take calls from India for the next 6 months hoping she does not move

I am sure you would do the same

The issue is, both you and the client are technically saying the client missed the AEP/OEP to make a change due to this event.

 

[TwoCents]

I dont create the situation I just do the best for my clients

You know they are getting calls all day long from India waiting to move them

I don't actively look to do this, but if I have a client like this who has been on Humana for a long time with me and just found out that Humana droped her local facility

and she is very concerned about it, I am not going to let her take calls from India for the next 6 months hoping she does not move

I am sure you would do the same

So the right thing to do would be to have the client call 800-Medicare to seek an SEP and how the dropped facility creates a hardship.

 

[vic120]

So the right thing to do would be to have the client call 800-Medicare to seek an SEP and how the dropped facility creates a hardship.

Ok so that is what you would do have the client go direct??
and what you still service their account for free too?

I am soo confused on why you all would feel this way
I mean CMS does not even hold any standard on this

There was literally a gun violence SEP in NY for 2 years at one point
it is literally a joke

You really think CMS thinks only people who missed an entire EP because there is gun violence are using this

Again I do not market using this, I do not look to use anything, I just don't want to lose anymore clients that go through issues and get picked off by the many calls they get

The only way I even use it if there is some change in plan, drug cov issue, CS issue, or Med supp premium no longer affordable

I literally do like 3 to 5 a year on this

 

[straightnochaser]

Ok so that is what you would do have the client go direct??
and what you still service their account for free too?

I am soo confused on why you all would feel this way
I mean CMS does not even hold any standard on this

There was literally a gun violence SEP in NY for 2 years at one point
it is literally a joke

You really think CMS thinks only people who missed an entire EP because there is gun violence are using this

Again I do not market using this, I do not look to use anything, I just don't want to lose anymore clients that go through issues and get picked off by the many calls they get

The only way I even use it if there is some change in plan, drug cov issue, CS issue, or Med supp premium no longer affordable

I literally do like 3 to 5 a year on this

Does UHC have that specific disaster listed in Jarvis? If they don't it won't go through, and I don't understand why you need to do a paper app, the Jarvis application portal has an option for DST as does sunfire/connecture.

Also I would also write the policy, crazy to send them to Medicare and lose a client especially with ALL the shenanigans that go on in this industry.