Cancellation
When should a member call to cancel their policy?
Before the effective date of the plan OR before the call by date
What is the C/I for a Disenrollment call?
Disenrollment:Info Given
Charades
until your team gusses
CI Screen used to check signature date of the policy
PAPI
Main Mentor doc used for DE
Disenrollment and Cancellation Medicare Inbound Calls Team Overview
What tools do I need during the cancellation research process?
CRM, CI, Emme
Requirements for a member to Disenroll
Available Election Period
Request After Effective Date
Written Request
Do 20 situps
In which CI screen can I find the Transmit Stats Code?
PAIG
Use Workable Transmit Status Code for Calls to determine if code 51 is workable or non-workable
Non-Workable
Does the member need to enroll in a new policy after cancelling their policy?
No, their previous policy gets reinstated.
What information needs to be included in a written request?
"I wish to disenroll from my plan type for de/date due to having election period."
Signature
Humana ID
Pushup
Do 10 push ups
CI screen used to determine if an application was agent assisted
PAIE
Mentor Document used to complete a Cancellation
Medicare Plan Cancellation Calls
What is another word used for cancellation?
Null
How can a member submit their written request?
Fax
Online
KARAOKE TIME
Sing a song
CI screen used to research OSBs
POSB
Where do I transfer my case if it is still not workable after 3 days?
Service Center: Louisville
Department: RSO Enrollment
Topic: Disenrollment/Cancel - Individual and Group Medicare Only
What do I do if the policy the member is not showing in CRM or CI?
Let the member know that the request has been processed and pend the case for 3 days.
Do I need to create METs for DE? If so, when?
Only when the member refuses to submit a written request
JUST DANCE
Dance a whole song of the other team's choice
Which enrollment source codes tell me if a PDP was auto enrolled?
C, A, R, H
Which METs do I need to create while processing a cancellation?
Task:Request Recieved/ Action:Complete/ Source Inbound Call from Member
Task:Updated Humana Systems/ Action: Completed/ Source CI
Task: Closing Task/ Action: All Updates Completed/ Source: Humana Representative