CON
TRA
CT
ING
Oh the places we'll go
100

If a producer is contracted to sell UnitedHealth Group’s commercial small group plans or Golden Rule, does that allow them to sell the Medicare products as well?


No, 

In order to offer UnitedHealth Groups Medicare portfolio, the producer will need to be contracted, licensed, appointed and certified with our Medicare and Retirement business segment.

 

NOTE: EDC producers can sell group also. ICA, Internal, ISR, or Non-Licensed producers cannot sell group policies.

100

Can a producer order enrollment kits prior to being contracted and/or certified using their Party ID?

Producers cannot order enrollment kits nor offer any products from UnitedHealth Group’s portfolio until they are a contracted, appointed and certified producer for UnitedHealth Group.  They will need to wait to receive their Welcome Letter from the Agent Lifecycle Management Department which will provide their writing number.

100

If a producer received a letter stating that their resident state license is expired and they will be terminated, where should they submit their license?

 

 

If producer is active: 

What date was their license activated with the State?

  • If under 2 days:  Allow up to 2 days for NIPR to update that information.  Our contracting database feeds off of NIPR (National Insurance Producer Registry).
  • If it has been longer than 2 days: Advise producer to verify with their resident state and make sure the license is showing up on NIPR (National Insurance Producer Registry).
  • If you feel it necessary to escalate to Contracting Tier 2, please be very specific in your SR to them, explaining why you are escalating this. Example:  The producer’s Resident License was reinstated on (DATE, more than 2 days ago) and they are scheduled to be terminated for License Expiry.


If producer is terminated:

Advise the producer they are inactive in our system at this time.  The producer should contact their upline for further assistance with completing and submitting all new contracting paperwork as required to re-contract.


If a producer was already inactive at the time their license expired, they will not be notified by UHC.

100

How does a producer change NMA? (Same process is following for a producer going from NMA to ICA)


The agent has two options available to them.

For an immediate move, they will need to obtain a release from their current NMA.

If they cannot obtain a release as required for an immediate move; they can commence a required 3 month waiting period by submitting a valid Notice of Intent to Move.


100
Which document can we see which Line of Authority (LOA) for a license is needed?

Contracting Guide

200

How long do I have to complete my required certifications so my contract can be completed?

The producer has 90 days from the date listed on their party ID letter to complete certifications for issuance of a writing number.

200

What are the ways an agent can contract with UHC M&R?


There are 3 types of contracting:


Individual = Agent is contracting as themselves and not an agency and will only have one writing ID for themselves to write business.

Non-Writing Principal = Agent is contracting as an agency where the agency will have the writing ID to write business and the agent will NOT have an individual WID.

Writing Principal = Agent is contracting as an individual and as an agency where there will be two writing IDs – one for the agent and one for the agency – that can be used to write business.

200

If a producer is terminated, either by their request or UHC, will they still receive renewal commissions?


 

No, if an agent (active or servicing) is terminated for any reason their renewals for enrollments effective 1/1/14 and later will stop and will not restart.


Exception: The producer will continue to receive renewals only if they were not terminated for cause, for select plans effective prior to 2014.

200

What is the significance of a “Just in Time” state?

If an agent requests to be appointed in a JIT state, they will not be officially appointed until a sale is made in that state. Once the sale is made the agent will be appointed in the entity/entities that pertain to the product sold.

200

Where can we see which entities make up an appointment for a state?

Appointment Fees Doc

300

Is there a time limit to send in my new contract?


Paperwork must be sent in with current dates for processing.  Signature dates will expire as follows:

  • Relationship Hierarchy Addendum: 30 days from signature date
  • Agreements: 30 days from signature date
  • Appointment Application: 30 days from signature date
300

Can UHC advise why a background was denied?



We are unable to advise of specific reasons a background was denied however, the PHD can advise there was adverse information on the background check and the producer should expect to receive a letter in the mail within 10 business days that will have further information.


NOTE:  If the producer has not received the letter, and it has been more than 12 days, create an SR to obtain a copy of the background decline letter to provide to the producer.


The producer can also submit an appeal inquiry to big.notifications@uhc.com

300

If a producer’s upline is cancelling their contract, does the producer need to submit a new contract?


If upline requested termination: All Solicitor downline producers will be terminated. Producers at the Agent level and above will be re-assigned to the next upline.

 

If UHG requested termination for upline: The producer will remain active under the next upline in their hierarchy. 

NOTE: This does not apply to Solicitors. Solicitors will be terminated if their direct upline is terminated.

300

Can the agent make a sale if the appointment in Jarvis is a Y, but the license is a N?

 


No. An agent needs to be properly licensed in the state before they can make a sale even if the appointment is marked as a Y.

300

Which document can we find the email address for MGM (local agent support)?

Key Market Contacts


There is another place in Jarvis we can point them to Medicare Product Portal

400

Why would a producer receive a party ID letter but not be able to access Jarvis to complete certifications?

 


It can take up to 72 hours from the date the party ID letter was issued to grant access to the learning center via Jarvis.  Producers should allow that timeframe to pass and try logging in again.

400

How many times can a failed background be appealed?



Producers may appeal a failed background two times.  If the producer fails both appeals, they will need to wait one year from the date listed on their denial letter before attempting to contract with UHC again.

400

I’m calling to obtain a copy of my contracting with UnitedHealthcare.  Can you provide me a copy?



If the agent is requesting a copy of the contract they signed the SSR can escalate a request to Contracting Tier 2 who will attach the signed contract to the SR. The SSR will then email the signed contract to the agent.

400

After 10/01/2023 - what are the levels in an EDC Hierarchy?

After 10/1/2023:

  • National Marketing Alliance (NMA)
  • Strategic Marketing Organization (SMO)
  • Field Marketing Organization (FMO)
  • Master General Agent (MGA)
  • General Agent (GA)
  • Agent
  • Solicitor

Note: Not all Hierarchies will have each level, this is just the potential and structure they will be in. 


400

What document can we find what is needed for contracting sitatuations like a Release from their current upline?

Contracting Guide

500

Can a principal and an agency be contracted under different channels?



No. A principal and an agency must be contracted under the same channel (EDC, ICA, IMO, etc). If they are in the EDC channel the principal and agency must also be under the same NMA. If they submit onboarding paperwork for one entity and not the other, to change channels/hierarchies, the older of the two contracts will be terminated per Agent Request/Channel conflict.

500

Where are missing documents submitted?


As all contracting paperwork is now submitted via Sircon/eContracting process there are two options to submit missing documents.


  • Express Contracting Upload
  • Email the requested documentation to aobmsdoc@uhc.com.


Option 1 is prioritized over option 2 as all paperwork should be submitted electronically now.

500

Does a producer need to sign a contract every year with their upline?

 


No.  However, the producer will need to complete required certifications annually.

500

Who determines the producer level?


The producer’s upline determines their level.  The producer must contact their upline for any producer level changes.

500

Where can we direct an agent who wants to contract as a Direct to UHC Agent?

If an agent wishes to contract accordingly please direct them to the Direct to UHC Agent walk-up site Agent contract request form for Medicare | Brokers | UnitedHealthcare (uhc.com) (https://www.uhc.com/agents-brokers/medicare-plans/agent-contract-request-form).

M
e
n
u