Tuesday, October 22, 2013

Coventry Healthcare Guidance on Submitting Applications

As of October 15, 2013 Coventry's ready to sell brokers and agents can submit enrollment
requests for an effective enrollment date of January 1, 2014 for our Medicare Advantage and
First Health Part D plans. Coventry's Enrollment Team is pleased to provide best practices
information and requirements for submitting applications smoothly online, by fax or through
the mail.



CLICK HERE FOR THE FULL REPORT

Summary of Important Reminders:
  • Agents and brokers may not market or sell Coventry Medicare products or earn commissions if they do not successfully certify annually and receive an Agent Writing Number (AWN) from Coventry. If you have questions about your 2014 "Ready to Sell" status, please contact our Medicare Broker Services Department (BSD), or your upline marketing organization, or local Coventry plan. 
  • Review with the enrollee or authorized representative all of the fields that appear on the enrollment application, and answer all of their questions.
  • Applications for 2014 AEP elections for a January 1, 2014 effective enrollment may NOT be dated earlier than October 15, 2013 and may NOT be dated later than December 7, 2013. (One application per beneficiary.)
  • The application date is the date the broker or agent receives/accepts the enrollment request from the beneficiary. For enrollments accepted by Coventry's online enrollment system, the application date is the date the beneficiary or authorized representative completes the online enrollment. The CMS timeframes for enrollment processing begin on the application date.
  • Agents must sign, date and include their Coventry Agent Writing Number (AWN) on every application as soon as they receive it from the beneficiary, including applications mailed to the agent.
  • Every application MUST be received at Coventry within two calendar days of the agent's receipt of it. Failure to do so jeopardizes on-time receipt of the enrollment at CMS and may impact payment of the broker/agent commission.
  • The SEP Checklist is NOT required with applications submitted in the Annual Enrollment Period.