Annual Enrollment Period (AEP) Reminders
AEP Dates: October 15th through December 7th

October 3, 2016

• You may begin discussing 2017 benefits beginning on October 1.
• Do not submit 2017 enrollment applications until October 15th.
• Do not encourage a beneficiary to send an enrollment application to a carrier prior to October 15th.
• Do not backdate a Scope of Appointment form; wait the 48 hours and then return to the beneficiary’s home.
• Have the consumer initial ALL types of products on the SOA form that may be discussed.
• Take your time with each client and complete a thorough needs analysis.
• Remember to ask if anyone else should be present during the appointment (i.e. Legal Representative or Durable POA).
• Follow all carrier guidelines for a complete and compliant sales presentation, using all CMS-approved marketing material. Do not deviate from the approved presentation.
• Review all of the plan’s benefits.
• Carefully check the carrier’s website for participating providers.
• With the beneficiary’s permission, review all prescription medications against the proposed plan’s formulary. Explain drug tiers, quantity limits, step therapy, the exceptions process and prior authorization.
• Explain Part D’s initial coverage limit, the coverage gap and catastrophic coverage.
• Be sure the consumer has a clear understanding of how the plan works and answer any questions or concerns that may arise.
• If the new enrollment is for a Medicare Advantage Plan, the beneficiary should thoroughly understand that an MA plan is not Medicare Supplement Insurance.
• Complete the application in its entirety and review with the client prior to submission. Be sure to leave the consumer with a copy of all presentation materials along with your business card. You are your client’s first point of contact.
• Be sure to submit the application to the carrier within the carrier’s guidelines, including weekends!

“Sales are contingent upon the attitude of the salesman, not the attitude of the prospect.”

William Clement Stone

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 toll-free number listed below.

FOR AGENT USE ONLY. NOT FOR USE WITH CONSUMERS.

Compliance Updates | 2650 McCormick Drive | Clearwater, FL 33759 | 844.206.2927