New CMS Marketing Guidelines Regarding Non-Licensed Agents

  • Originally published June 22, 2011 , last updated January 12, 2016
  • Coventry, UnitedHealthcare
New CMS Marketing Guidelines Regarding Non-Licensed Agents

The Centers for Medicare & Medicaid Services (CMS) published new guidelines in May regarding termination and reporting of agents who are not appropriately licensed to sell Medicare Advantage and Part D plans.

According to the new guidelines…
“Plan sponsors must terminate upon discovery and report incidences of submission of applications by unlicensed agents and brokers to the authority in the state where the application was submitted.”

Before you sell any MA or PDP plan, it is your responsibility to make sure you are properly licensed, appointed and certified with the carrier, the state and CMS.

Carriers are starting to announce when their certification portals will be available for 2012 plans. UnitedHealthcare® will launch its 2012 certification on August 1 and Coventry's certification materials will be available July 15.

You will find certification instructions for all of our carriers as they become available here.

Senior Market Sales represents four of the top five Medicare Advantage carriers in terms of enrollment. We have the tools and expertise to help you leverage time, make more money and put your business in a position of distinction this selling season. Call our Medicare Advantage department at 1-877-645-0147.