Hi <<First Name>>,

IMPORTANT: If you are in a Walmart store, you must MUST schedule through December 15th per direct Health! This is in the contract and must be adhered to.

If you are planning on being the the store the first quarter of 2019, there will be more information coming about that and make sure you let your HBH Champion know that you will need your kiosk during that time so that they do not throw it away.

Please see below for last minute application instructions and how to end your AEP with a Bang!

An Important message from TOM!

Thank you for your work and if you have lead money please send receipts for 10 or more apps for 200 repayment from Nick and me.

Make sure you send totals for MAPD apps and Supplement's written to win a week at Hilton Head island

Thank you for all you have done working on several new ways for you to make money.

Looking forward to our January meeting

Why do you want to send your completed applications to Premier?

1. They scrub your applications before they send them in and promptly contact you if corrections need to be made.
2. They keep the SOA on file so that you do not have to keep 10 years worth of papers.
3. For leads!!!
*** If you do online applications you can upload a pdf to Premier and check the box that it was an electronic application or that it has been sent to carrier. ***

Please see the below list of all of your downline agents that have qualified for this month’s mailer.

Sandy Hill: 505996, $230 mailer with 27 apps

Laura Veal: 550425, $230 with 15 apps

Lucille Lake: 125818, $230 mailer with 12 apps

Rui Cambetas: 1302933, $305 mailer with 9 apps

Jan Kinn: 1324719, $305 mailer with 8 apps

Alison Jockell: 550780, $305 mailer with 7 apps

Sharron Hancock: 1246614, $305 mailer with 6 apps

Please remind the agents that they will need to have the leads ordered by the end of this month.

If you have further questions, please let me know.

Thank you and have a great day!

Jessica Planer

Premier Marketing | National Marketer

800-365-8208 ext. 4062 |

jplaner@premiersmi.com | www.premiersmi.com

A Message from WellCare Sales Communications

Electronic Fund Transfer (EFT) Form Submission Post Enrollment

Members who select Electronic Fund Transfer (EFT) as their payment method will be mailed an EFT form post enrollment. In order to activate EFT, they must complete and return the form to WellCare by mailing to the address listed at the top of the form.

Agents should not collect this form and submit along with the enrollment application at the point of sale. EFT forms submitted with the enrollment application will NOT be processed.

If a current member inquires about signing up for EFT, agents can provide the EFT form or instruct them to locate onwww.WellCare.com. Agents are permitted to assist with completing the form however, cannot either complete the form or submit it on their behalf.

12/7 Enrollment Fax Submission

The AEP deadline is quickly approaching! The last day for appointments resulting in a 1/1 enrollment using the AEP election is 12/7. Please submit applications as soon as possible to avoid a possible delay in coverage for the beneficiary.

Please take the following steps when submitting applications through WellCare’s enrollment fax:

1. Check/confirm complete and accurate information is listed on the application

2. Fax the application to the appropriate fax line: 1-866-388-1521 (PDP) and/or 1-866-473-9124 (CCP)

3. Confirm all pages of your fax are successfully submitted

Important! Please allow time for applications to process and reflect in your Agent Connect portal.

If you experience issues with the WellCare fax line/process please contact Sales Support by submitting an Agent Connect support ticket.

Application Search Tool Tips

Remember these tips for navigating the Application Search Tool in your Agent Connect portal!

1. Utilize the search fields at the top of the page to help narrow your search results. Note: When searching an effective date the format MM/DD/YYYY must be used. All other search criteria is NOT case sensitive.

2. Clear search results by clicking Clear and then Search to refresh the page.

3. Click the arrow next to the field name to sort results in ascending/descending order.

4. Click the Next/Previous button at the bottom of the page to view a history of application submissions.

Access You Book of Business 24-7!

Agents can view/export their book of business directly from their Agent Connect portal by completing a few easy steps!

1. Click the Book of Business Extract sub-tab from your portal homepage

2. Enter the date in YYYYMMDD format in the FromDate and ToDate fields at the top of the screen

3. Click Run

4. Click Save

5. Click the Excel (XLS) icon to export to Excel

Agent Personalized URL (PURL) Enrollments - Reminder

Remember, we offer a non-agent-assisted, online application tool where beneficiaries can self-enroll within your book of business. The PURL is available to active certified agents just 7-10 days after all certification requirements are successfully completed. A PURL is assigned to an agent using the following format for both CCP and PDP lines of business:

WellCare/TexanPlus: wellcarerep.com/agentID
‘Ohana: ohanarep.com/agentID
Easy Choice: easychoicerep.com/agentID

Agents have the flexibility to market their PURL to Medicare beneficiaries via the following:

Business card
Flyer
Website
Social Media pages

By utilizing the PURL, beneficiaries have access to a plan compare tool that will provide an overview of each benefit available in their market. Once the plan selection is made, the beneficiary can continue with the online application.

After submission and processing, the agent will receive credit for the enrollment. Commissions will reflect on your statement in the Agent Connect portal.

Note: Agents cannot complete the online application on behalf of the beneficiary, or assist the beneficiary with completion of the application via the PURL.

Please download the PURL FAQ for answers to questions related to a PURL.

Tutorials for Utilizing WellCare’s Online Enrollment/Plan Tools

Tools at your fingertips! Access the Agent Resource Center to view video tutorials on how to utilize online resources that we offer.

Formulary Look-Up: View our Formulary Look-Up Tutorial for steps on searching for detailed information related to prescription drug coverage.
Provider Lookup: Access our Provider Look-Up Tutorial for details on navigating the online provider/pharmacy directory, map/satellite view of provider locations and comparison of providers by hours of operation, location.
Agent-Assisted Online Application: Watch our Online Application Tutorial for information on how to complete online applications.

Additionally, the following step action guides of the tools are available for you to carry with you for reference during your appointments.

Archived Agent News

Click here to read archived WellCare communications.

Useful Links

Agent Connect

Agent Connect User Guide

Agent Website

Agent Assisted Enrollment Portal

Contact Us

Click here for WellCare points of contact.

Connect with Us

Learn more about WellCare and follow us on facebook, LinkedIn, Twitter, YouTube and WellCare's Blog

Special enrollment opportunities may be available to Medicare beneficiaries impacted by natural disasters

A special enrollment period (SEP) exists for individuals affected by a weather-related emergency or major disaster who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections. The SEP is available from the start of the incident period and for four full calendar months thereafter.

Individuals impacted by Hurricane Michael in Alabama and Georgia are eligible for this SEP, which extends into early February. View a list of impacted counties in our 2019 service area, and the SEP start and end dates by county here.

Who’s eligible for this SEP?

Individuals will be considered “affected” and eligible for this SEP if they:

Reside, or resided at the start of the incident period, in an area for which the Federal Emergency Management Agency (FEMA) has declared an emergency or a major disaster, and has designated affected counties as being eligible to apply for individual or public level assistance;
Had another valid election period at the time of incident period; and
Did not make an election during that other valid election period.

In addition, the SEP is available to those individuals who don’t live in the affected areas, but rely on help making health care decisions from friends or family members who live in the affected areas.

Guidance for assisting eligible beneficiaries with this type of SEP

IMPORTANT: You cannot use this SEP opportunity to proactively market to beneficiaries. However, you can assist any clients who contact you about this SEP. Just ensure you follow the instructions below to avoid processing delays.

In the “Confirm your enrollment period” section of the application, check the box for:

"I was affected by a weather-related emergency or major disaster (as declared by the Federal Emergency Management Agency (FEMA)). One of the other statements here applied to me, but I was unable to make my enrollment because of the natural disaster."

Please note: If beneficiaries in the impacted areas want to enroll, or change plans, during the Annual Election Period (AEP) for a January 1, 2019, effective date, do not check any of the SEP check boxes. They are only applicable outside of AEP.

Questions?

If you have any questions, please contact your local Aetna Medicare broker manager.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance and its affiliates (Aetna).

Prior to engaging in the sale of Aetna or Coventry Medicare products, producers must be ready to sell, which means certified, contracted, licensed in the applicable states, and appointed by Aetna in accordance with state law. As permitted in certain states, Aetna will order appointments after the first sale. This communication is intended for use by brokers only and is not intended for distribution to Medicare beneficiaries. Any publication or distribution of this communication to unauthorized recipients without Aetna’s approval is prohibited.

Help/Contact us:
If you have any questions, please Contact Us.

You are receiving this because you have elected to communicate with Aetna through email. If you no longer wish to receive these particular messages via email, you may unsubscribe at any time.

We are located at 151 Farmington Ave, Hartford, Connecticut 06156.

Privacy Statement | Terms of Use | Privacy Information | Member Disclosure

©2018 Aetna Inc.

Guidance and deadlines for end of AEP enrollments

Friday, Dec. 7	All AEP applications for a January 1, 2019, effective date must be completed, signed, dated and received by the agent no later than 11:59 p.m., December 7, 2018. You, the agent, must sign and date the application no later than 11:59 p.m., December 7, 2018, too. You may not backdate the member signature date, agent receipt date, or agent signature date.
Submit apps within 2 days	We must receive signed enrollment applications within two calendar days after you receive them from beneficiaries.
Sunday, Dec. 9	December 9, is the last day to submit all applications that were signed and dated December 7, 2018.
After AEP	If you receive a completed enrollment application after AEP ends on December 7, do not hold or destroy it. Under CMS rules, you must still submit it to us within two calendar days as noted above. We then will process or deny the enrollment as appropriate.

Use the Ascend Virtual Sales Office app to submit your final AEP enrollments

The Ascend app is a fast and efficient way to submit your final AEP enrollments. It can help you save time and potentially squeeze in a few more client appointments. Review the top 5 ways the Ascend app can help you close out AEP.

Ensure you submit paper enrollments to the right spot – Addresses and fax numbers vary by plan

Remember, mailing addresses and fax numbers to submit 2019 enrollment applications vary by plan. If you accidentally send an enrollment application to the wrong spot, it will cause delays and the application may be denied. The correct address and fax number appear on page 1 of the enrollment form, and corresponds to the code that appears in the bottom right corner. Use this flyer as a helpful resource.

Make sure you fill out applications completely and correctly to avoid processing delays and additional outreach to your clients

Make sure all your enrollment applications are processed efficiently, without delays, by completing all required fields, including the applicant’s Medicare number.

When we receive incomplete applications, before we can process them, we have to contact the enrollees to verify their information.

If we’re not able to verify their information by phone, we’ll send a letter to your client asking them their Medicare information by a designated date. If we don’t receive it by the designated date, the application will be denied.

Check your clients' application status online

You can check the status of your clients' MA/MAPD and PDP enrollment applications on Producer World. Just go to the Individual Medicare page and click on “Reporting.” The Pending Application report shows applications being processed. Once approved, applications appear on the Medicare Book of Business report.

Medicare Open Enrollment Period returns Jan. 1

The Medicare Advantage Open Enrollment Period (MA OEP) will return in 2019. From January 1 – March 31, members can make a one-time election to switch to another MA plan (with or without Part D coverage) or to return to Original Medicare (with or without Part D coverage). For more information, download the OEP Rules of the Road playbook.

During MA OEP, plan sponsors and producers aren’t allowed to solicit MAPD enrollments. For details on what you can and can’t do, please review section 40.7 of CMS’ 2019 Medicare Communications and Marketing Guidelines.

Get a discount on E&O coverage

Did you know Aetna and Aetna Coventry Medicare agents are eligible to receive a discounted rate on errors and omission (E&O) coverage? Yep. There’s a special program, administered by Gallagher MGA Insurance Services, that offers E&O coverage packages for agents and agencies. Learn more or apply online.

Need assistance? Here’s who to call (for brokers only)

Filling out enrollment applications	Aetna Medicare Broker Services Department 1-866-714-9301 8 a.m. to 8 p.m. ET, M - F 9 a.m. to 2 p.m. ET, Saturday
Enrollment options (fax, mail, electronic/Ascend)
Application status
Ready-to-sell status
Getting access to the Ascend app
2019 plan benefits Select prompt 2 to be directed to 2019 plan benefits
Looking up in-network providers Before calling the hotline, check our online tools: • aetnamedicare.com/findprovider • coventry-medicare.com/findprovider	Provider Lookup Hotline 1-855-242-9735 7 a.m. to 9 p.m. CT, M - F (Available during AEP only, for ready-to-sell brokers)

In case you missed it...

November 16: Check out the 2019 Journey Handbooks
November 2: Ensure your enrollment applications are processed efficiently
October 19: Are you using the correct fax number when you submit enrollments?

Quick links

Search for providers
Compare plans and estimate costs
2019 ready-to-sell requirements
Complete Aetna’s 2019 producer certification
Sign up for 2019 MA/MAPD product training
How to submit enrollments
Get commission reports on Producer World
2019 Aetna Medicare Producer Guide

Good Morning Georgia Agents!

I’ve been getting lots of questions the last couple days about the Dental Allowances on our plans:

Did you know that with our Dental Allowance members can see any dentist they want and do not have to worry about networks?!

Did you know for 2019 the allowance now covers Preventative AND Comprehensive, including Extractions, Fillings, Dentures, Implants…and even Teeth Whitening? Yes it does! Most anything with an ADA code can be reimbursed.

Did you know that the Aetna Essential plan for 2019 has a $750 Dental Allowance and the Aetna Medicare Select and Basics plans have a $500 Dental Allowance? The Dental Benefit on our DSNP plan has a $1500 Dental Benefit (works differently than an allowance so they don’t have to pay up front).

How do members get reimbursed? They just need to mail a copy of the paid receipt to the address on the back of their card (with their member ID and DOB written at the top). Forms are available online at AetnaMedicare.com but not necessary. They will receive reimbursement within 2-6 weeks.

Good to know! J

Kimberly Hatfield
Broker Manager, NE Georgia

M: 417-425-6367
E: HatfieldK1@aetna.com

2000 Riveredge Parkway, Suite 300
Atlanta, GA 30328

Premier Marketing | Learn about Dual Special Needs Plans

Dual beneficiaries offer a unique opportunity to sell in the Medicare market all year long, because of the quarterly Special Election Period that is available.

Knowing what all is available in your market creates even
greater opportunities for success!

Learn how partnering with Premier Marketing's DSNP portfolio, with support and resources available to you in YOUR market, can add to your sales and your success!

Join us for details on Wednesday, December 12th @ 11 am CST.

If you are having trouble viewing this message, please click here or visit our website.

Concerned about Compliance and dates?
Submit Applications direct to the Carrier! –
please do NOT send us the copies!

On behalf of the Sales Teams, Marketing, Contracting, New Business and Commissions Departments, we want to take this opportunity to express our sincere THANKS. Premier has been experiencing another outstanding AEP thanks to all of you!

Your success is our success and know that we value each and every one of our agents as a partner. Remember, those clients affected by Natural Disasters have until the end of the year to receive an SEP opportunity. Please contact our office for any guidance or help.

Let us know how we can help grow your business in 2019.

GET YOUR APPLICATIONS IN ON TIME!

December 7th - We will receive faxes until 5:00 pm CST

December 8th - We will receive faxes until 11:00 am CST


HBH RETAIL COMMUNICATIONS JOURNAL SPECIAL EDITION

		AEP countdown has begun! The AEP is almost over! It amazing how fast this season has passed! Thank you to everyone who has participated this year and made this season our most successful season yet! Store Exit Reminders · Thank You! - Agents will be leaving store on December 15^th so don’t forget to “Thank” the store management for their assistance during your time in store. · Last Day! – Notify your HBH Champion of you last day in store so they can plan your exit. · Contact Details – Share your contact details so the store staff can share it with future potential clients. · Kiosk Breakdown – The store management is in charge of the kiosk breakdown once you leave so all you have to do is take your personal belongings with you. *** If you plan on working the 1^st Quarter in store, you need to make sure you communicate with your HBH Champion and make the proper arrangements regarding your kiosk and its storage and stand up on January 7^th. More details coming shortly * · Report, Report, Report!** Your store refund and the ability to maintain your store in future years is dependent on reporting a minimum of 90% of your activity! Login today and make sure you have reported on all of your approved events.

AEP Refund Criteria
   Refund Criteria Reminder! Make sure you qualify for your store refunds! Stores are eligible for a $250 refund based
   on agent compliance and following all program rules including:
§  Agents must have the required minimum of 2 participating Medicare Advantage carriers ready to sell to qualify for the refund
§  Agents must attend all events as scheduled - Failure to appear for a scheduled event is a CMS violation
§  Agents are required to follow all CMS rules and regulations
§  Agents must maintain an average of 3 days a week with a minimum of 20 hours per week for the duration of the program
§  Agents must maintain a 90% reporting threshold throughout the program to qualify for a refund
    If an agent fails to adhere to any of the items listed above the store refund will be forfeited!

HBH Walmart Program Agent Portal Login Instructions:

If you have not logged into the agent portal, we need you to complete that task today! You should receive a Welcome Email that includes all the details on how to login to the portal but just in case you did not, please follow the instructions below:

Please click the following link:
http://agent.directhealth.com/#/agent/login

Your User ID is the email you provided to your FMO to enter into the system and your password will be the first four letters of your last name with the first letter being capitalized plus 1234. For example: If your name is Jane Smith, your password will be Smit1234

Once you are in the portal, the system will force you to validate your NPN which will generate your Training Welcome Email from Brainshark. You will need to complete the training by following the instructions provided on that email.

In the event you need to reset your password, simply click the password reset button. The password will automatically default to the original format above, Example: Smit1234

Brainshark Training Module Login Instructions:
The HBH Walmart Program Training is being offered through Brainshark. After you complete your login to the HBH Walmart Agent Portal, the system will send you a separate email from noreplies@brainshark.com. This email will include your link to the training, HBH Walmart Program Brainshark Training, and your credentials to login. If you do not receive the email within 24 hours of logging into the portal, please reach out to the Agent Support to reset it for you. Keep in mind, this email from Brainshark will provide you a different URL and a different password to use to access your training than what you just used to log into the agent portal.

HBH Walmart Program Agent Support
Email: HBHagentsupport@marketpoint-brokerage.com
Phone: 877-230-3316

Some Aetna plans hace OTC benefits this year. Here are the Booklets.

CLICK HERE for AETNAT15 booklet
CLICK HERE for AETNAT25 booklet
CLICK HERE for Aetna 2019 Star ratings printable

Both of these have both English and Spanish languages in the same booklet.

If you are in a Walmart store and have an emergency and cannot make your shift, you may call Jerry Fidanza to fill in for you. (availability is geographically limited Snellville, Grayson, Lilburn, Stone Mountain, Lawrenceville, Loganville)
Jerry has done the training and is RTS with the HBH Walmart program.

Jerry Fidanza
678-371-0574 (m)

Please know that you should give him as much notice as possible as a courtesy and also he will only be available on a first come fist serve basis.

Changes that we know for 2019
CLICK HERE for the Aetna Expansion for 2019
CLICK HERE for Cigna HealthSpring First Peek
CLICK HERE for Wellcare 2019 Footprint
CLICK HERE for 2019 CMS Commissions
CLICK HERE for Medicare Categories
CLICK HERE for Silver Sneakers New Info

Did you know that you have a quoting tool for many products available free to you on the Premier website in the agent portal? This is great for Med-Supp, Life and other plans.

Important Documents:

Medicare Part's C & D Presentation Checklist
New Era Agent Contract
TIG Contact Sheet
2019 SNP Grid

Please check the Taylor Insurance Group Website to view the active Calendar for updates or changes.
https://taylorinsurancegroupsouth.com/calendar/

I have created a Drop Box Folder for pictures from our meetings. There are pictures that I have not added to the newsletters in the past. Also I think that I have this set so you can add any that you may have taken and would lie to share.

You do not need a password, just his link to see the pictures. I will have this link added to the important links that are in every newsletter.

DROP BOX Link for Pictures

Are you providing your clients with everything they need?

Here are some offerings your clients may need, and money you could be leaving on the table.
Be the multi-policy agent your clients need, it also creates loyalty from your client.

Short Term Home Health Care - Guarantee Trust Life - SuranceBay
Hospital Indemnity Plan - Guarantee Trust Life - SuranceBay

Please let Alison know when you contract with any new carrier so that she can make sure you get top commissions. Just send her a quick text or email.

View in browser

agents and brokers - selling in the healthcare dot gov marketplace

Marketplace 2019 Plan Information Now Available

On October 26, 2018, CMS launched updates to window shopping (the “See plans & prices” page on HealthCare.gov) which allow consumers to preview 2019 plans and prices before Open Enrollment begins. As in previous years, window shopping lets consumers browse plans without logging in, creating an account, or filling out the official application. Starting November 1, consumers can log in to HealthCare.gov and CuidadodeSalud.gov or call 1-800-318-2596 to fill out an application and enroll in a 2019 Exchange health plan.

For additional plan data resources released today, see below:

2019 Health Insurance Exchange Premium Landscape Issue Brief

The view the U.S. Department of Health and Human Services 2019 Health Insurance Exchange Premium Landscape Issue Brief, visit: https://aspe.hhs.gov/pdf-report/health-plan-choice-and-premiums-2019-federal-health-insurance-exchange

2019 Plan Landscape Data

For more information on 2019 individual and family health plans available in the Federal Health Insurance Exchange, visit: https://www.healthcare.gov/health-and-dental-plan-datasets-for-researchers-and-issuers/

2019 Health Insurance Exchange Public Use Files

To see the 2019 Health Insurance Exchange Public Use Files, visit: https://www.cms.gov/CCIIO/Resources/Data-Resources/marketplace-puf.html

2019 Rate Review Public Use File

To see the 2019 Rate Review Public Use File, visit: https://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/2019-URR-PUF.zip

2019 Issuer Participation County Map

To see the 2019 Issuer Participation County Map, visit: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Downloads/Final-2019-County-Coverage-Map.pdf

Open Enrollment Fact Sheet: https://www.cms.gov/newsroom/fact-sheets/federal-health-insurance-exchange-2019-open-enrollment

TIG Links: Please send your request to the correct person to avoid delay's in a response. If you send it to any of us, we will forward it to the appropriate person, but this could delay your response for several days.

Contracting and Agent Support
Alison Jockell (770) 807-9627 call or text
contracting@tomtaylorinsurancegroup.com
alison@tomtaylorinsurancegroup.com

Tech Support & Web Manager
Rick Cannone (386) 232-8503 call or text
tech@taylorinsurancegroupsouth.com

TIG-Marketing - Newsletter and Urgent News from TIG
Sharron Croy (Hancock) (678) 227-0621 call or TEXT
tomtaylorinsurancemarketing@gmail.com