So I hear Cigna is going to

[bill3173]

Re: So I hear Cigna is going to screw us out of a commision

Healthagent, you are absolutely correct in your assertion. Technically there is no uw on newborns, nobody worth their salt as a health agent would or could dispute that, however, the company will calculate their risks in these cases.

If they are brazen enough to jump out front and say hey dummies, we're not going to pay you for a family of 10, if there's one GI.

Do you really think that they'd hesitate to rewrite their comp guidelines to stiff you on a family/newborn with problems, if they can get away with it?

Again, there's no disputing the logic in your assertion, but is what they are currently doing to the agents bring them the business logical?

 

[STIBROKER]

Re: So I hear Cigna is going to screw us out of a commision

JUST got off the phone with them and JOHN is right...if the child is added in the 30 day period and is FUBAR you still get the commission....now after 30 days then added you lose....

 

[Crabcake Johnny]

Re: So I hear Cigna is going to screw us out of a commision

Scott, can you call my wife and tell her I was right about something.

 

[AllenChicago]

Re: So I hear Cigna is going to screw us out of a commision

It's interesting how CIGNA worded their new compensation language to account for ANY Guranteed Issue person in the family. They're thinking down the line and it's a harbinger of how we'll be paid as more of the ObamaCare legislation is translated into law going forward.

The way these big-time companies are running away from child G.I., it makes you wonder why any of them would want to get into the Government-run Exchange that will be in full swing come 2014, when/where every legal US citizen will have to be accepted.

I'm surprised we haven't seen some mergers and/or exiting of the business by the smaller health insurers yet.

.

 

[nolaagent]

Re: So I hear Cigna is going to screw us out of a commision

Answer this question. Say the carriers are going to pay commission on GI kids or even GI kids only. You found some uninsured prospects at the local children's hospital with some high dollar conditions. Would you sign them up with one of your carriers and screw with their MLRs?

I'd send them and all my other catastrophic cases to healthcare.gov PICP and try to put them into insolvecy! Help the carriers with healthy cases. Bankrupt the public option!

 

[somarco]

Re: So I hear Cigna is going to screw us out of a commision

I really do not think cigna has thought that far ahead

Of course they didn't. They are like HHS. Make it up on the fly, throw it against the wall and see what sticks.

can you call my wife and tell her I was right about something

Won't do any good. Tomorrow is a new day and the old rules apply.

 

[jbage007]

Re: So I hear Cigna is going to screw us out of a commision

I stand corrected.


Had to call Cigna today about a client so thought I would shoot for some clarification.

What I did NOT understand is that unlike virtually all of the other major carriers, Cigna is NOT eliminating "child-only" policies. They want the child only plans to come direct to them and not be on parent's policies - apparently because it will be impossible to "properly rate" the policy.

Loosely translated: They are just the opposite of everyone else. They have figured out that they are allowed to charge out the wazoo for child only coverage, and I presume they intend to do so, ummm, without regard to health status of the applicant.


How do you channel the sickie kids to individual plans? Easy. Don't pay commissions to agents if those kids are on the family plan.

Suddenly I have a newfound lump in my throat for Cigna. It's my new favorite company.


Seriously, why not?

Unlike GR, Humana, etc., they are NOT charging different rates if you have not had coverage in 30 days, nor are they forcing you to wait 15 to 30 days for coverage to begin.

My Florida client is able to apply by tomorrow (end of July) and still get Aug. 1 effective date - with standard rates, despite the fact that he has not had coverage in years.

The other carriers would bump his rate through the roof and make him go through needless waiting periods. I actually have a fiduciary duty to recommend this option to him and I did.

I *heart* Cigna.

 

[djs]

Re: So I hear Cigna is going to screw us out of a commision

....but what happens now if the child is born with an uninsurable condition? There is no underwriting and comp is still paid.

What Cigna is stating is that no comp is paid on deal where the child doesn't qualify based on current UW guidelines. But there are no UW guidelines for newborns since they're not subject to underwriting.

Should be interesting to hear Cigna's answer to this one.

Now you have me confused.... I agree with your premise, but you seem to miss the point that after 9/23, there isn't any underwriting declines for any child. I know, that is where it gets into a murky world.

So, how do you have 2 different worlds? If they are GI from here, then okay, but if they are GI from over here, then its a no go.

I have a feeling there is a 'clarification' coming on this.

Dan

P.S. Yes, I know they can do whatever they darn well feel like.

 

[Crabcake Johnny]

Re: So I hear Cigna is going to screw us out of a commision

Reference post #92 - it was already clarified.

 

[txagt39]

Re: So I hear Cigna is going to screw us out of a commision

Healthagent, you are absolutely correct in your assertion. Technically there is no uw on newborns, nobody worth their salt as a health agent would or could dispute that, however, the company will calculate their risks in these cases.

If they are brazen enough to jump out front and say hey dummies, we're not going to pay you for a family of 10, if there's one GI.

Do you really think that they'd hesitate to rewrite their comp guidelines to stiff you on a family/newborn with problems, if they can get away with it?

Again, there's no disputing the logic in your assertion, but is what they are currently doing to the agents bring them the business logical?

CIGNA no doubt is probably rewriting their game plan as we type if they read these posts. And YES they are screwing agents on the commission. If there is a way to get out of paying agent commissions on any type of GI situation and I'm including newborns, they most certainly will as has been evidenced already by their latest announcements to rip off the agents. Once we submit an application they can't tell us anything due to HIPPA so who's to know how many cases will be non-compensated due to GI as an excuse with no basis??? THey know if they go this route they get to keep all the premium.

They are not too worried about offending the agents just like most of the other carriers making changes to the agent compensation systems, with reduced or eliminated commissions. They are going to sell direct as much as they can if they can't keep volume up by people being forced to buy it and the GI situation they will come back licking our feet trying to court us again. Their unrealistic profit margin is just fine but the agent commission is an expense they can't bear....give me a break, they are all full of C _ A P and they think we're idiots and actually believe it. They CSR's have absolutely no compassion and could care less, their idea of "service" is picking up the phone after 14 rings, these are salaried folks who do not understand the word advocate, they will be pushed to sell whatever their carrier's flavor of the day is. Once again, the agents who expect to be compensated for their time are the evil in the picture. We need to start charging by the hour to help folks wade the murky waters of this Cra_ called government healthcare. They couldn't figure it out before...now they have got to trust someone with an attitude on the phone? Give me a break.