Health Insurance
Supplemental
Group Health
Medicare
Referrals
100

Often referred to as Obamacare.  Can be sold on and off exchange, by various carriers

What is the Affordable Care Act

100

Gives policyholder a lump sum benefit to help pay expenses associate with an accident or illness

What is Supplemental Insurance

100

2-20 employees; in some cases as few as 1 employee

How large of a group can Steve write insurance for?

100

October 15 - December 7

What are the dates for the Medicare Annual Enrollment Period?

100

Ohio, Michigan, Texas, Florida

What states is Steve licensed to sell insurance in?

200

As of September 1, 2024 can be sold for a maximum of 4 months.

What are Short Term Medical plans

200

Cancer, Critical Illness, Accident, Dental/Vision, Hospital Indemnity

What are the types of supplemental insurance that Steve offers?

200

HMO or PPO

What types of plans are offered by group insurance carriers in Ohio?

200

Covers medical costs with fixed copays, fixed coinsurance.  Usually costs the insured little or no monthly premium.

What is a Medicare Advantage Plan?

200

Self employed, employer doesn't offer insurance, new to area, turning 26, turning 65

What are examples of good referrals for Steve?

300

Questions that are asked by the insurance agent to determine when an applicant qualifies for the product applied for.

What is Underwriting

300

Pays a fixed amount per day for each day the beneficiary is hospitalized.  Can also be paid as a lump sum benefit.

What is Hospital Indemnity?

300

Underwritten or ACA plans

What are two options for groups applying for coverage?

300

Covers costs that Original Medicare (A and B) don't cover with a few key exceptions (Part B excess and Part B deductible).  Cost for the plan paid by insured.

What is a Medicare Supplement?

300

Doctors, dentists, P&C Agents, employment agencies, landscapers, plumbers, any trades people

What are examples of good referrals for Steve?

400

Standar Bronze, Standar Silver, Standard Gold

What are the Marketplace plans that each insurance company is required to offer

400

Doctor sends medical records to the insurance company detailing the treatment received.

How does a beneficiary file a claim for supplemental benefits?

400

Group size, age, health status of group members

What determines the rate for a group insurance plan (except ACA plans)

400

Maximum of $2000.  Insured will pay a deductible (on some plans) and copays until this is reached.

What is a Prescription Drug Plan? (Donut Hole)

400

Complaints about insurance, doctor doesn't take insurance, medications are too high, cost of insurance is too high

What things should you listen for when thinking about referrals for Steve?

500

November 1 through January 15

When can an individual enroll in an ACA (Marketplace) plan?

500

Next day or any day within 60 days of application

When can a supplemental plan become effectve.

500

Southern Ohio Chamber Association and Ohio Farm Bureau

What organizations offer group health insurance that Steve can write?

500

Loss of coverage, reduction in service area, move, new to Medicare

When can someone enroll in or change plans, outside of the Annual Enrollment Period?

500

small employer that does not want to offer group insurance but what's to explore how they can help employees with insurance costs

What would be a great referral for Steve?

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