UAI2032 0713 Top Reasons For Medicare Supplement Business Pending For Training Only © 2013 United...
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Transcript of UAI2032 0713 Top Reasons For Medicare Supplement Business Pending For Training Only © 2013 United...
UAI2032 0713
Top Reasons
For Medicare Supplement Business Pending
For Training Only© 2013 United American Insurance Company. All rights reserved.
UAI2032 0713
The Good News is …80% of Medicare Supplement Applications issue in 5 days or less
5 days or less
Avg 30 days
Based on Company records as of 0411
UAI2032 0713
Unfortunately …The average Issue time for the remaining 20% of applications is 30 days
5 days or less
Avg 30 days
Based on Company records as of 0411
UAI2032 0713
Top Causes of Pended Applications
Missing Termination Letter
Missing Forms
Invalid Medicare ID
Other
39%
29%
11% 21%
Based on Company records as of 0411
UAI2032 07135
Pending for Missing Termination Letter
Problem:
Prior coverage info not complete or no letter of termination of coverage
Chargeback at 60 days
Solution:
Have customer request termination letter from provider. Provide the NAME of the prior coverage carrier as well as policy start and end dates. If possible, provide a copy of prior carrier ID card.
If MA letter needed, the Customer may call Medicare at: 1-800-Medicare (633-4227)
UAI2032 07136
Pending for Missing Information
Problem:
Reason for voluntary orinvoluntary terminationnot answered
Solution:
Ask applicant and record answer on the application
Using the eApp (FL) will help with these issues. The eApp will not allow a question to be skipped.
UAI2032 07137
Pending for Missing Forms
Problem:
Missing, incomplete, or incorrect forms submitted
Chargeback at 21 days• Replacement Form
• New Business Transmittal Form
• Standard / Disability Application (64 ½+ must be standard app)
Solution:
Review Compliance sheet for state where application signed and verify CORRECT forms are fully completed and submitted
Use eApp when approved/released
UAI2032 07138
Pending for Invalid Medicare ID / Inaccuracies
Problem:
Application not fully or not correctly completed
Solution:
Triple check that the Medicare ID number is correct
Make sure correct plan code is used as well as all questions answered and signed where appropriate
Use eApp when approved/released
UAI2032 07139
Pending for Medicare Part B Effective Date
Problem:
Copy of Medicare ID Card showing only Medicare Part A is active
Solution:
Make sure both Parts of Medicare are effective. If one Part recently applied for, indicate on application
UAI2032 0713
How Long to Issue?How long does it take for Medicare Supplement business to issue?
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UAI2032 0713
How Long to Issue?
• On average, 2 to 4 business days from the time it is received at the Home Office. From the time the app is mailed to the Home Office until the time the policy is received by the Agent – 2 to 4 weeks on average, depending on mail time
• Use FedEx Overnight Shipping with a tracking number; USPS Priority Mail is not overnight
Guaranteed Issue with all documentation provided
UAI2032 071312
How Long to Issue?
Underwritten applications
On average, 7-10 days provided applicant answers QAC call
Applications with missing information or underwriting requirements
On average, 29 days
UAI2032 071313
Agent Notification of Underwriting Requirements
Agent is notified via e-mail from Underwriting or Agency Service
• Underwriting looks up the e-mail address using the Agent number
• U1257’s (sample at right) are sent directly to the Agent’s e-mail
• If no e-mail address shown, or the correspondence is returned, the correspondence is sent to Agency Service
UAI2032 071314
Agent Notification of Underwriting Requirements
E-mail Contains
Agent’s name and e-mail address
Applicant’s Name and Policy Number
Outstanding requirement(s)
Follow-ups are sent on day 7, day 14, day 21, then closed with “INSUFFICIENT OR INCOMPLETE UNDERWRITING INFORMATION”
Requested items are returned to
Fax: 469-525-4210
E-mail: [email protected]
UAI2032 0713
View Pending BusinessWhere do I check my Medicare Supplement pending business?
15
UAI2032 0713
To View Pending Business
UAI2032 071318
To View Pending Business
UAI2032 071319
To View Pending Business
UAI2032 0713
View Med-Supp Commissions
Where do I check my Medicare Supplement commissions?
20
UAI2032 0713
To View Medicare Supplement Commissions
UAI2032 071322
To View Medicare Supplement Commissions
UAI2032 071323
To View Medicare Supplement Commissions
UAI2032 0713
Thank You!
www.UnitedAmerican.com
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