- Hey, I'm Rebecca Gordon.
- I'm Sylvia Gordon.
And this issue, we're going to talk a little bit more
about the confusing $35 insulin.
- As well as blackout periods.
We have a carrier that's no longer in the MA market.
- And some details on making that extra money for HRA.
Stay tuned.
(upbeat music)
- All right.
So the insulin is still a confusing topic.
Who's offering the $35 copay, who doesn't have it.
How do you know which plan has it?
- So the Medicare plan finder does have a filter
that will help you filter out who's participating.
- That is awesome.
- So the main thing is, is not everybody's participating.
- Right?
- That's the agents think everybody's in it,
or they think if a national carrier does have it
on their part D that they have it on all their plans.
- The carriers had to apply to be a part of this program.
So if they're not in it, they're out.
- Not all national carriers are in it.
- But the plan finder will help limit that scope,
on who to look at.
- Right. - Which is nice.
- So I know you guys have a lot of questions
and consumers have a lot of questions.
The misconception is that all insulin is $35
for AEP 2021, no.
- That'd be awesome.
- Yeah, but it's not.
And the carriers that do apply, they did apply to have it.
Don't have it on a 100% of their part D plans.
- So you use the filter.
- So go check out the medicare.gov plan filter
for the $35 insulin and see what you're talking about
before you're in front of your client and you look stupid.
- Right, we all hate that.
Some good news is that WellCare is now paying
$60 admin fee per app for all of the HRA's.
- Which they don't call it an HRA.
They call it Centene, they call it a, VBE.
- What do they call it?
- Value based enrollment.
- They call it VBE right.
- So love these acronyms.
Thank you industry.
Keep it coming.
Don't wanna get comfortable,
- But the only way you could get it
- You don't want to understand what I'm talking about.
- You gotta do it on their Ascend platform.
- Right, so you have to use the Ascend, the Centene Ascend.
It's very similar to Centene's if you did it last year,
if you didn't WellCare is paying a lot,
cause most carriers are paying 50, they're paying 60.
So when you get your commission check
for your Medicare advantage.
It's just an additional $60 on your commission.
- It's not commission, you're not gonna see it.
It's an admin fee.
It's completely separate.
Has nothing to do with K, (mumbles) commission.
- And we do get asked that.
And it's like, well, how can they pay higher commission?
Because I thought you said,
fair market value sets a ceiling that covers all carriers.
No, that is true.
This is not commission.
This is a separate admin fee.
- It's a bonus.
- The admin fee.
- I was gonna say like it's a holiday treat.
- Right, and you'd be crazy. - Do it.
- Not to go and do that.
It just not that much more time.
- For the information. - For the 60 bucks.
But again, you have to go and take a separate training
module to be able to be eligible, to do it, do that now.
Because we'll have agents during AEP last year,
and they're like, hey, I'm sitting here
and we're ready to do my first, with whatever carrier.
- Help me.
- And they can't because you have to do the module
and get approved.
And sometimes there's a lag before those two meet up,
so that you can do it.
So if you have an agency, gets your agents
to sit down and do it now.
If you're on agency admins, and you're the one
in charge of all those people out there.
Go push them to do it because they're gonna come to you
and say, this won't work and I didn't get paid.
I had an agent last year.
"I didn't get paid on 10 of these."
And I, he didn't do it right.
He didn't qualify.
Now is the time.
As soon as that, the 15th, that chaos reigns.
- Let's talk about blackout dates and releases.
Gotta love you.
We're getting a lot of people saying,
hey, wanna come to you now, blah, blah, blah.
And if my upline doesn't release me, I'm going to sue them.
Folks, AEP is here.
You put your intense in.
You can request for a January one,
a release or do the intense,
but nobody is going to release anybody right now.
- The only company that I know of the doesn't
have a blackout is I think Cigna Health Spring,
but all the carriers like,
hey, it's not gonna happen.
- We gotta write business now.
Even if you have a release, it's not gonna happen.
Like you don't play with your team.
Practice all summer long and then like on game day, be like,
you know what? I wanna switch schools.
Like, come on, think about it.
You're at, FMO trained you and supported you
and got you something to this point.
If your FMO is not gonna release you right now,
that would be almost universal.
It'd be rare.
It'd be weird if they did.
But even if they do, a lot of carriers,
like we're not gonna recontract if you have a release.
Just wait.
- Just wait.
- Okay. - It's all good.
- The main thing Rebecca is trying to talk about
is we get calls all the time and I'm like,
he won't release me, I wanna work with Gordon Mark.
And I'm gonna sue him.
Don't waste your money.
- Save your breath.
- You will not prevail in a court of law, okay.
- On that good luck.
- Talk to your marketer.
And your marketer can tell you if you wanna
move a contract, how to do that, and who you want,
who you're coming from.
And we can tell you this.
We're very good partners with most of the other FMO's.
When we can tell you, this is how we do it,
and this is how they act in.
So you don't waste your time and your emotional energy
getting frustrated and hiring a lawyer.
- Especially not at this point in the game.
- Yeah, y'all crazy.
- So I want to add something in real quickly.
So I just got off a conference call with Anthem.
So this is for my Indiana agents, also my Ohio, Kentucky,
Missouri, Wisconsin, and Georgia agents.
They are launching a new under 65 program
called.
It's not true, I am the best mom ever, ask my kids.
Called Anthem enhance choice.
And it is to rival the ACA's three year plans.
It covers preexisting conditions, way less.
And obviously that the ACA truly targeting those folks
who don't qualify for subsidies, so higher earners.
If you're in the States, reach out to your marketer,
we're excited.
In Indiana, they're paying in annualizing comp
and it's per person.
And it's a nice chunk of change.
So hit us up.
This is fresh off the press.
They're gonna have their site up and running
they're quoting by November 1st for 12 effective dates.
So the market is still there.
So that'll allow the young people
that need some type of health coverage.
And Anthem has stepped up to the plate
with what looks like a really awesome product.
So Joe Gilbert, if you're watching this,
job well done my friend.
- Wanna talk about United healthcare's really big news.
And that is that Lean now has voice signature.
- That's awesome.
- So it's funny because we're still getting pushback
from the agents that they're like,
Oh, I don't want to do it yet.
So I don't wanna learn.
I don't, you know, I feel you, I feel you.
But think about it.
We don't know what's happened with COVID.
We don't know what's happening the flu flu, COVID.
Intersection and then the hurricanes and the wildfires
and all the other FEMA problems where the States
that you live.
Be grateful that the carriers have these solutions.
- It constantly perseveres.
- And get off your butt and learn how to use them.
Our team will train you.
We'll walk you through it.
We'll get you comfortable.
You don't have the choice,
the luxury of putting your head in the ground and going,
Nope, I'm a do paper.
You don't have, you might not be in business right now,
- Right.
- Your state might say no face to face appointments.
- Right.
- So be prepared, take the time now to go learn
how to use these great tools and thank you for United
for coming out with this, for giving everybody,
basically to have the opportunity to be a call center.
- Right, it's perfect. - You know.
But you got to learn how to use it
and how to stay compliant.
Because the bottom line is when you're selling on the phone,
it's not a chance to just be like, do, do, do, do,
do cowboy, boom, boom, shooting, bang, bang.
You still have it to give a full compliant presentation.
It will be recorded.
So if there's ever a dispute lodged by your client,
they're gonna pull the call and they're gonna say,
oh, you blatantly misled your client.
You got a problem.
- Or, oh, you did nothing wrong.
- Right, right.
- You're good, you're cleared.
- Right.
- Those are great ones to have.
- Right.
So especially during the end of AEP,
people get tired and that's when people start to,
maybe abbreviate the presentation.
If you're doing it on the phone, just remember it.
That is recorded.
That is complete evidence that you did a
complete compliant presentation.
So if you feel like you're tired,
you're frustrated and whatever.
Maybe take a break before you go on and use this tool.
- This is a great get out of jail card.
And it also is saving you a tremendous amount of money.
Cause if you've ever looked into how to set up a voice
signature or record, it's not cheap.
So right.
Thank you, UHC.
- They're doing it for you.
- Doing it for you.
- Avail yourself to these wonderful tools.
I wanna talk about some headline news
in the insurance industry.
- It's a lot.
- The latest consolidation, Athene,
which is a independent IMO type company and MassMutual,
which is the opposite.
- Captive career company.
- Are banding together to take over American equity.
So that's a $3 billion merger if it goes through,
probably will, and so?
- what is this? What is this mean?
So you take captive and career.
You take reps over here.
Think they're gonna need everybody?
- I think there's gonna be a lot of reps
that are redundant that'll be looking for jobs.
So those of you that run life and annuity shops
might have some good talent that's available to hire.
I'd be reaching out.
If you like your reps,
because a lot of them will find themselves without a job.
- This would be a beautiful, beautiful time
to start laying out your goals for next year.
And you know, to grow, you got to have more talent.
And what a great way if this pool opens up,
- There gonna be people.
That's where LinkedIn is a great place for you
to reach out to them now,
and you might be able to snag some great talent.
So the thing that's interesting is MassMutual
has always been a captive career side
and they are probably going into independent distribution.
- So that's, that's gonna
- It will shake us.
- Open us and just. - Love them.
- It's the name of the game.
- That keeps us on our toes and opportunities
within our grades.
- Again, it just started, it has to get approval.
But it probably will get approval.
In this market, then again, who knows what happens
with the election?
You know, the elections, a big wild card, Mutual of Omaha.
- Do we have an election?
Mutual of Omaha, so they got into Medicare advantage
for 20 minutes and now they're out.
- Right? I thought that was a little, that was a little,
maybe a little a,
- Funny - Premature entry or,
- I thought you were saying you didn't like my joke,
my delivery.
- No, I think that's the truth.
You know, yeah.
- That was weird.
- It's kind of like, you put your toe in the pool.
- No, pull out.
- Too cold, nope, not mine.
- So they, yeah, they went in very,
very conservative teaching. - Strategically.
- Very little and then like, no, not for us.
So the people that did purchase it
will need to pick a new plan.
So like I said, it's not a, not a big amount.
- Not a big shakeup,
- But the thing that's confusing agents
is they think they're out of part D also.
So they still are in the part D.
- Yeah.
- Cause we all love our drugs.
- So med sucks, part D and of course they've expanded
a lot of their ancillary products too.
- So a lot of information.
- The main thing is, I know that's the thing.
It's a lot for you guys to digest and stay on top of,
thank you for watching.
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