Archive for the ‘Maine’ Category

Craig Ritter will be hosting a special webex presentation for agents who are impacted by CMS’ announcement on Friday that Health Net, Arcadian and Universal American will be placed on Marketing Sanctions.

The call will take place at 3pm EASTERN TIME (Noon PACIFIC TIME) on Tuesday, November 23rd.  We apologize for the short notice, however, this announcement just came out Friday afternoon and we wanted to talk about it prior to the Thanksgiving Holiday to give agents time to take some action.

All agents are welcome to attend, but the call will focus on the states of California, Virginia, Texas, New York, North Carolina, South Carolina, Maine, Arizona and Oregon, which are the states we believe are most highly affected.

To register for the meeting, please click here!

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Click to see the effected plans that are Non-Renewing.

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The Boston Globe reported on Harvard Pilgrim Health Care’s decision to non-renew coverage for approximately 22,000 Private Fee for Service Members in Massachusetts, Maine and New Hampshire.

Agents in Massachusetts looking for options for clients can download contracting here.  You must be logged in to view paperwork!

You can find the 2010 available plans in Middlesex, MA by clicking here.

Following is a list of enrollment by county sorted by highest to lowest for counties with at least 100 members (data as of 9/1/2010):

County State Enrolled
Middlesex MA 9658
Essex MA 5998
Norfolk MA 3038
Hillsborough NH 2646
Suffolk MA 2285
Plymouth MA 1184
Bristol MA 1150
Barnstable MA 914
Rockingham NH 881
Worcester MA 820
Merrimack NH 367
Grafton NH 206
Cheshire NH 198
York ME 169
Strafford NH 165
Belknap NH 122
Coos NH 111
Hampden MA 100

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The states impacted are as follows:  AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, KS, MD, ME, MI, MN, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SD, TX, WI, WV and WY.

To find the rate adjustments, go to our Resource Center (Log in Required):

  • Company = AARP
  • State = (Pick your State)
  • Product = Medicare Supplement
  • Resource = Rates

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I saw 2 stories which covered Aetna’s announcement today.  One from the Pennsylvania Business Journal and one from Trading Markets.

The coverage will take effect on 1/1/10.  Previously, the state retirees were covered by Coventry Healthcare on a PFFS product.  The Aetna plan is a combination HMO/PPO Medicare Advantage model.

If you are an agent in Pennsylvania or any of the 19 states where Aetna offers Individual Medicare Advantage (Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Maine, Maryland, Nevada, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia or Washington DC) and you have Small Group Retiree Clients/Relationships (active employees under 51 lives) or Middle Market Medicare Retiree Group Clients/Relationships (active employees from 51 to 3000 lives), contact Don Mazza in our office to get a quote for your 1/1/2010 Medicare Retiree Groups.

Many Small and Middle Market Retiree groups are facing large rate increases due to changes in MA funding.  As a result, they may be very receptive to getting a competitive quote on their Medicare Retiree Group coverage.  This is especially true for Medicare Retiree Groups which were written in 2009 on a Private Fee for Service Platform (800 Series Medicare Advantage or True Group MA PFFS Plans).  Converting now to a PPO/HMO Platform has significant advantages!

Having recently secured the PA State Retiree account, Aetna may look more attractive to Governmental Entities (like City or County retiree groups).  In some states outside of Pennsylvania, School Districts may be shopping as well for their retired teachers (in PA Teachers are covered under State Retiree benefits and would not be prospects).

The window is closing on quoting these groups for a 1/1/2010 effective, so don’t delay!  Contact Don to find out what you need to get started!

Finally, keep in mind that the CMS marketing regulations on Group Medicare are very different than Individual Medicare Advantage, so you DO NOT NEED to be pass AHIP to sell Small or Middle Market Group Medicare to Retiree Groups!  You will need to review study materials and, of course, be appointed to sell with Aetna.

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If you are an insurance agent and you would like to learn about Universal American (including Pyramid, American Progressive, Today’s Options and TexanPlus) plans for the upcoming plan year (2010), please join one of the three Online Webinars we will be hosting with Elizabeth Benz, Assistant Vice President of Universal American as our guest speaker.

Universal American has filed Network Based products (PPO/HMO) in 43 Markets in the states of Arkansas, Georgia, Indiana, Iowa, Maine, Mississippi, Missouri, Montana, North Carolina, Nebraska, New York, Oklahoma, Pennsylvania, South Carolina, Texas, Virginia and Wisconsin.  Additionally, Universal American will have Private Fee for Service options in ALL counties in 46 States for 2010 (including 625 “zero premium” counties).

The webinars will be held at 10 AM Eastern Time on Thursday July 16th, at 2 PM Eastern Time on Thursday July 16th and at 10AM Eastern Time on Friday, July 17th.

Registration is limited to only 100 agents/session, so register early to save your spot!  To register, simply visit our “Events Calendar” and page down to July 16th/17th and click on the Registration Link.

For more information on getting appointed with Universal American Companies, please e-mail Dave.

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Editor’s Note:  Click here for an update on agent use plan data.

Filed Premium and Benefit information for Cigna Medicare Services are available to Licensed Insurance Agents.

If you are a registered user of our website and, therefore, have been verified as a Licensed Insurance Agent, please e-mail Dave in our office to receive benefit, premium and contracting information.

If you are not a registered user, you can register to use our website here.  We will verify your status as a licensed agent in 1 to 2 business days and once verified, we are able to send you this information.

Please note that it is a CMS Marketing Violation to share this information prior to October 1st, 2009.  In addition, keep in mind that this information is filed and not necessarily the final benefit and premium information.  Generally, benefits and premiums are finalized in late August.

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