Are you ready for the Open Enrollment Period (OEP)?
When is OEP?
January 1 through March 31 each year.
Who is Eligible?
Individuals enrolled in an MA-Only or MAPD plan CAN:
use the OEP to switch to or get a different MAPD plan, an MA-only plan, or Original Medicare (with or without a PDP).
Individuals enrolled in Original Medicare CANNOT:
use the OEP to join an MA or MAPD plan, add a PDP, or change their PDP.
In addition, the OEP is not available to those enrolled in Medicare Savings Accounts or other Medicare health plan types (such as cost plans or PACE).
Broker Do’s and Don’ts
Producers May NOT:
Send unsolicited materials advertising the ability/opportunity to make an additional enrollment change or referencing the OEP
Specifically target beneficiaries who are in the OEP because they made a choice during AEP, by purchase of mailing lists or other means of identification
Engage in or promote agent/broker activities that intend to target the OEP as an opportunity to make further sales
Call or otherwise contact former enrollees who have selected a new plan during the AEP
Use marketing pieces that highlight the OEP or the opportunity to change plans during the OEP
Make assumptions on which election period to use.
Producers May:
Educate consumers about the OEP if you are enrolling them into a plan, or they have reached out to you about their dissatisfaction with their current plan
At a beneficiary’s proactive request, send marketing materials, have one-on-one meetings, and provide information on the OEP
Market to age-ins (who have not yet made an enrollment decision)
Market to five-star continuous enrollment Special Enrollment Period when 5 Star Plan are available in your area
Market to dual-eligible and low-income subsidy (LIS) beneficiaries who, in general, may make changes once per calendar quarter during the first nine months of the year
PRODUCERS MUST:
Determine if the consumer has a valid election period and which election period is best for the consumer’s circumstances.
We hope you take advantage of this additional enrollment period happening in Q1 2022. Below are links to carrier information sheets to further clarify the do’s and don’ts you need to follow to ensure you remain compliant.
In observance of Independence Day,
GarityAdvantage Agencies will be closing early at 1PM EDT on Friday, July 1st and will be closed Monday, July 4th.
NOTE: Carrier deadlines for enrollments still apply.
Important Notes: All Carrier deadlines for enrollments still apply. Please plan accordingly as any enrollments sent to the enrollment department after 1:00 PM EDT Friday, July 1st, will not be processed until Tuesday, July 5th.
Please use the links below for directions on how to submit your applications to the carriers directly after 1:00 PM EDT Friday, July 1st.
To ensure compliance with CMS enrollment time-frames, you should always submit your enrollments the day they are received. This is especially important now because CMS requirements do not allow additional days for weekends and holidays.
The Enrollment Department will continue to monitor & process all incoming enrollments, to ensure they are submitted to the carriers within their allotted time-frames.
For enrollments that are NOT time-sensitive, our Agent Dashboard and Enrollment Fax lines are open 24 hours to accept your enrollments. We will resume processing again on Tuesday, July 5th.
In observance of Memorial Day,
GarityAdvantage Agencies will be
closing early at 3:00 pm Friday, May 27th
and closed all day Monday, May 30th.
NOTE: Carrier deadlines for enrollments still apply.
Important Notes: All Carrier deadlines for enrollments still apply. Please plan accordingly as any enrollments sent to the enrollment department after 2:00 PM Friday, May 27th, will not be processed until Tuesday, May 31st.
Please use the links below for directions on how to submit your applications to the carriers directly after 2:00 PM Friday, May 27th.
To ensure compliance with CMS enrollment time-frames, you should always submit your enrollments the day they are received. This is especially important now because CMS requirements do not allow additional days for weekends and holidays.
For enrollments that are NOT time-sensitive, our Agent Dashboard and Enrollment Fax lines are open 24 hours to accept your enrollments. We will resume processing again on Tuesday, May 31st.
Announcing an extraordinary opportunity for you: Kaiser Permanente Colorado’s 5‑Star Medicare Advantage plans. Kaiser Permanente has been in Colorado since 1969 and has had the highest-rated health plan in Colorado for the last 10 years. For 2022, Kaiser Permanente Medicare Advantage plans received Medicare’s highest possible rating, five out of five Stars in nine states, including Colorado1.
GarityAdvantage is pleased to offer contracting to licensed insurance agents across Colorado. Request your contract today!
To learn more about contracting with Kaiser Permanente through GarityAdvantage, contact our Colorado Territory Manager, Tricia Koteras at 720-617-7956 PST or tkoteras@garityadvantage.com.
With coverage in the most populated areas in Colorado, members have access to:
30 medical offices throughout the Front Range
4 in northern Colorado, 21 in Denver/Boulder and 5 in southern Colorado
1,200+ Kaiser Permanente physicians and 6,000+ nurses, care team members and staff
Medical offices that offer Primary Care, radiology and pharmacy in one location in most cases
Emergency and urgent care anywhere in the world
Embedded dental, vision and hearing aid benefits
Your sales will benefit from Kaiser Permanente’s outstanding reputation in the market, with high demand from consumers for the comprehensive services and state-of-the-art facilities Kaiser Permanente can offer. Plus, their Connected Care model streamlines the health care experience for clients.
Your sales will benefit from Kaiser Permanente’s outstanding reputation in the market, with high demand from consumers for the comprehensive services and state-of-the-art facilities Kaiser Permanente can offer. Plus, their Connected Care model streamlines the health care experience for clients.
For the details on getting contracted, see the attached Agent Process One Sheet for the steps required by Kaiser Permanente. With this trusted name in health care, you can serve more Coloradans. Now’s the time to get contracted and ready to sell in early June.
1Every year, Medicare evaluates plans based on a 5-star rating system.
