How much we making Med Supp
An Agent submits an application for Plan G in AL with a GI that is approved. How much can they expect to make with the 9 month advance?
$9.08
A client is on on AARP Medicare Advantage from UHC VA-0011 after an agent signed them up years ago. They decide to sign up with Humana and put in an application. However they get cold feet and contact a new local EDC agent to submit a new AARP Medicare Advantage from UHC VA-0011 application in for the same effective date as the Humana plan. Will the new local agent be the AOR?
No as there was no gap in coverage.
An Agent signs a New to Medicare client on a MAPD in CA with an effective date of 03/01/2024. How much will the renewal amount be? Will they receive a true up payment? How much?
Renewal will be $317.50; True up $444.50
An application has been approved, but it is showing an incorrect WID. You pull the original application up and you find the correct WID is on the application, the agent just does not have the best handwriting. Do they need to send in an appeal?
No, we can escalate to Commissions Tier 2 referencing the original application.
An agent did not complete their certifications until a week after they wrote 20 plans. The commissions are now showing held. Are we able to escalate now the certifications are complete? If so to who?
No, it is based off the application signature date so the commissions will remain held.
An Agent submits an Plan N application in the state of CO with GI. How much can they expect to make with their 9 month advance?
$214.50
A client is on on AARP Medicare Advantage from UHC VA-0011 after an agent signed them up years ago. They decide to sign up with Humana and put in an application. However they get cold feet and contact a new local EDC agent to submit an AARP Medicare Advantage from UHC VA-0013 application in for the same effective date as the Humana plan. Will the new local agent be the AOR?
Yes as they switch the client's plan from UHC VA-0011 to UHC VA-0013
An Agent signs a client up on a MAPD in VA with an effective date of 05/01/2024. The client has only had a PDP before. How much will the renewal amount be? Will they receive a true up payment? How much?
Renewal amount $204.00 ; True up $203.33
An application has been approved, but it is showing an incorrect WID. You pull the original application up and the whole agent section has been cut off due to the fax coming in. Does the agent need to send in an appeal?
Yes they will need to email phd@uhc.com with the supporting documentation.
An agent realized they never received commissions for a plan in 2020. You pull it up and do the research and find no reason as to why the commissions did not processed. Are we able to escalate? If so to who?
No as it is out of the statute of limitations.
An Agent submits an Plan G application in the state of TX for GI for someone who is 63. How much can they expect for their 9 month advance?
$0
On 10/15 A client submits an application for the UHC Dual Complete VA-Y002 (HMO-POS D-SNP) that is approved for 01/01/2024. In November, they speak with an agent for Humana and submit an application. They decide UHC has more benefits so they call right back into DTC to submit a new application for the UHC Dual Complete VA-Y002 (HMO-POS D-SNP). Will the original UHC agent be AOR?
No as the plan did not go active so they will not retain AOR.
An Agent signs a client up on a MAPD in ME with an effective date of 11/01/2024. They were on a MAPD years ago. How much will the renewal amount be? Will they receive a true up payment? How much?
$51 ; no true up
An Agent's neighbor already has a UHC Dual Complete VA-Q001 with a AOR. They have recently gotten close to the neighbor so they want to be their AOR. The neighbor has written a note saying as such but they do not want to switch their plans. Do you think this appeal will be approved? Why or why not?
No as there was no change of plans and the Neighbor never submitted an application for the client.
An agent's commissions are showing held due to not certified as of the application signature date. You verify they had completed their certifications. Do you escalate? If so to who?
Yes, you can escalate to Certifications Tier 2 to research and then re-assign the SR to Commissions Tier 2 after they come back and say the issue has been resolved.
An Agent submits an Plan G application in the state of HI. How much can they expect to make with their 9 month advance?
$123.75
A client has had a AARP Medicare Supplement Plan N but they would like to switch to plan G. They are not able to contact they Agent of Record so they ask their buddy who is an agent to submit an application for them. Will their buddy be the AOR?
No as switching from one AARP Medicare Supplement to another is not commissionable.
An Agent signs a client up on a PDP in NJ with an effective date of 01/01/2024. The client has only had a Medicare Supplement plan. How much will the renewal amount be? Will they receive a true up payment? How much?
$50 ; $50
An Agent submits an application for the UHC Dual Complete VA-Q001 for a client, that pends as the client did not qualify for the plan. Instead of calling their agent, the client calls into DTC who realizes they actually qualify for the UHC Dual Complete VA-V001 so they submit a new application. The UHC Dual Complete VA-V001 application is approved. Will the original Agent be AOR?
No as the application they submitted was never approved
An Agent's commissions are showing held due to not appointed as of application signature date, but you verify they are showing appointed/licensed. Do you escalate? If so to who?
Yes, you can escalate to Contracting Tier 2 and then re-assign the SR to Commissions tier 2 after if valid.
(Note: Verify if it is a JIT state as commissions may be held for up to two weeks after approval date information can be found on page 23 of contracting guide)
A Solicitor wrote a Plan F in the state of LA using a GI. How much can they expect to make with their 9 month advance?
They will need to speak with their upline.
An Agent signs a client up for the UHC Dual Complete VA-S002 (HMO-POS D-SNP) for 02/01. In March they find out their Medicaid has updated so they qualify for the UHC Dual Complete VA-Y002 (HMO-POS D-SNP). They go online and submit a new plan on the member site. Will the original AOR be retained?
A client submits a Non SNP MAPD for a existing UHC client who has lost their Medicaid. They complete a Health Assessment after. How much will they make for completing the HA?
An Agent signed their client up in 2018 on a Medicare Supplement plan G. In 2023, the client decided they wanted to try out a MAPD plan so the agent switched them. The client missed the freedom of the Medicare Supplement, so they called into DTC to switch back to their original Plan G. Will the Agent remain as AOR for the Medicare Supplement?
No
An Agent calls in with a check they found when redoing their floors. The check is from 2018 so it is out of statute of limitations. Are you able to verify it is outstanding and request a re-issue?
Yes, we are still able to request checks to be resent even out of statute of limitations.