Compliance Bulletins
Compliance Committee Charter
Compliance Committee Charter Compliance Committee Charter As always, we thank you for your support and cooperation. For questions or comments, please email us at Compliance@NSGACommunications.com or you may call the...
Attention: UnitedHealthcare Agents!
Attention: UnitedHealthcare Agents! Due Date: May 13, 2016 None May 5, 2016 As part of our delegated oversight process, we have been tasked with reviewing all independent agent/agency websites for compliance with CMS' Medicare...
Client Customer Service
Client Customer Service CB0001-16 January 13, 2016 Customers form their first and most lasting impression of you, and the carrier you represent, starting with the very first sales conversation. The more you act as their advocate...
Medicare Number Code Breakdown
Medicare Number Code Breakdown CB0002-16 January 18, 2016 Did you ever wonder what the letters before and after a Medicare Number meant? Here are some. As always, we thank you for your support and cooperation. For questions or...
Privacy Rules
Privacy Rules CB0003-16 January 21, 2016 As a sales agent, you are entrusted with many levels of consumers’ personal information. This Compliance Bulletin reviews your requirements for safeguarding all consumer information and...
Choosing a Primary Care Physician (PCP) for UnitedHealthcare HMO and PPO Plans
Choosing a Primary Care Physician (PCP) for UnitedHealthcare HMO and PPO Plans CB0005-16 February 19, 2016 Member-selected PCP assignments are a critical component of every member enrollment completed for both the HMO and PPO plans....
Medicare Savings Programs (MSPs): Eligibility and Coverage (2016)
Medicare Savings Programs (MSPs): Eligibility and Coverage (2016) CB0006-16 February 22, 2016 References: For income levels, see the 2016 federal poverty level guidelines at: https://aspe.hhs.gov/poverty-guidelines See the...
Important Notice for UnitedHealthcare Agents
Important Notice for UnitedHealthcare Agent CB0007-16 March 1, 2016 Changes to the UnitedHealthcare Event Observation Program UnitedHealthcare® has recently made a significant change to its Event Observation Program (formerly known...
Important FDR Compliance Program Guidance
Important FDR Compliance Program Guidance CB0008-16 March 4, 2016 FDR Compliance Program Requirements We would like to remind you that the FDR (First Tier, Downstream and Related Entities) Compliance Program requirements have been...
UnitedHealthcare Website Guidance for Agents
UnitedHealthcare Website Guidance for Agent CB0009-16 March 8, 2016 As a reminder, UnitedHealthcare (UHC) is continuously monitoring that agent's and agency's websites, whether they be consumer and/or agent facing, are following...
Security and Privacy Reminders for Sales Agents
Security and Privacy Reminders for Sales Agents CB0007-16 March 14, 2016 As a sales agent, you are entrusted with many levels of consumers’ personal information. This Compliance Bulletin reviews your requirements for safeguarding...
Important Notice Regarding UnitedHealthcare Website Enrollments
Important Notice Regarding UnitedHealthcare Website Enrollments CB0011-16 April 14, 2016 You may assist consumers who would like to enroll themselves using a consumer website. However, you must never complete the website enrollment...
Choosing a Primary Care Physician (PCP) for UnitedHealthcare HMO and PPO Plans
Choosing a Primary Care Physician (PCP) for UnitedHealthcare HMO and PPO Planss CB0012-16 May 20, 2016 Member-selected PCP assignments are a critical component of every member enrollment completed for both the HMO and PPO plans. It...
The Sales Presentation for Medicare Advantage Plans
The Sales Presentation for Medicare Advantage Plans CB0014-16 June 24, 2016 Are you providing a compliant sales presentation? Before you begin your presentation: Have you met all of the carrier's certification requirements? Do you...
Guidance for Formal/Informal Event Participation
Guidance for Formal/Informal Event Participation CB0015-16 July 6, 2016 Many carriers are in the process of setting up events for the upcoming AEP. Remember, during marketing/sales events, plan representatives may discuss...
Certification and Appointment Reminders
Certification and Appointment Reminders CB0016-16 August 26, 2016 Certification and Appointment Reminders It's that time of year again! As the Annual Enrollment Period (AEP) approaches, it is extremely important to be sure you are...
Annual Enrollment Period (AEP) Reminders AEP Dates: October 15th through December 7th
Annual Enrollment Period (AEP) Reminders AEP Dates: October 15th through December 7th CB0017-16 October 3, 2016 You may begin discussing 2017 benefits beginning on October 1. Do not submit 2017 enrollment applications until October...
Marketing Through Unsolicited Contacts and Scope of Appointment
Marketing Through Unsolicited Contacts and Scope of Appointment CB0018-16 October 17, 2016 70.5 - Marketing through Unsolicited Contacts - 42 CFR 422.2268(d), 423.2268(d) In general, Plans/Part D Sponsors may not market through...