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Products and Programs for Brokers, Winter 2019

Oct 29, 2019
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Important updates to commissions, InterMed, and broker training requirements.

Broker Commission Enhancements

The following commission structure changes are now in effect:

For Group Business

  • a new business group bonus program from October 1, 2019 through December 31, 2020 that will run every month you place new business with us; and
  • a new group year-end retention bonus program for retention of 85% of group business between January 1, 2020 and December 1, 2020.

For Individual Business

  • an increased commission rate for individual business effective January 1, 2020, from $20 PMPM to a minimum of $20 PMPM to a maximum of $40 PMPM (for up to two members); and
  • an additional payout of two times the standard commission for individual business if 90% or more of your individual book of business renews from December 2019 to January 1, 2020 and remains active and paid to date through April 1, 2020.

Refer to the email sent to agency principals on October 14th for more information or contact our Business Development team at (207) 402-3353.

InterMed Now Accepting Health Options Members

InterMed is accepting Health Options Members as new patients. This will be welcome news to our Members who want to be seen at one of the largest and most respected practices in York and Cumberland counties. Be sure to share this information with your clients as you create 2020 proposals.

2020 Broker Training & Selling Requirements

Brokers appointed by Health Options must complete the annual training listed below as a condition of appointment.  To be eligible to receive commissions for on-exchange business, the annual CMS Training is required before commissions will be released.

Health Options’ Fall Broker Partnership Training: If you did not attend an in-person training session, please review the recorded training webinar at https://youtu.be/kt1SAheZmNE.  When finished, contact Ariel Thomas, Business Development Coordinator, at athomas@healthoptions.org or 207-402-3317.

CMS Training: Brokers enrolling Individuals on the Marketplace or SHOP groups must complete this training prior to first sale of Marketplace business for Open Enrollment.  CMS Plan Year 2019 FFM Agreements/Training expired on October 31, 2019.  Please email a copy of your 2020 completion certificate to businessdevelopmentinfo@healthoptions.org.

Update Profile: We ask that brokers annually update their profile in the broker portal and that agencies report and update changes to their rosters. This will help to ensure that commissions are delivered to the correct location.

For additional training and information on our Individual products, access the Navigator/Assister training webinar at https://www.healthoptions.org/individuals-families/resources/.

SEE ALSO

We are pleased to announce that, effective immediately, InterMed has expanded its network to include Community Health Options.

This means that new and current Health Options Members may receive healthcare services from InterMed providers at the in-network rate and/or designate an InterMed provider as their primary care provider.