HCSC TX Appointment Fee Effective 1/1/2022

As a result of Texas House Bill 4030, Blue Cross and Blue Shield of Texas will begin charging $12 per new appointment effective 1/1/2022.

Because HCSC deducts appointment fees from GoHealth’s commission statement, GoHealth will charge the appointment fee upfront with an agent’s appointment request, as we do for NM and OK appointments on the HCSC Appointment Request Form.  Please note that GoHealth will be charging $12.41 as opposed to $12.00 to offset our payment processor’s fee.

You may review a copy of the Blue Cross and Blue Shield of Texas announcement here.  Please feel free to contact your Account Manager with any questions.

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Blue Cross Blue Shield Texas, Health Care Service Corporation

Wellcare | Now Available – 2022 Annual Certification Training

2022 Wellcare Annual Certification Training is now available!

2022 Annual Certification Training Details:

  • One Combined ACT: Successful completion of ACT certifies you to market and sell all 2021 and 2022 Wellcare Medicare product offerings, for Allwell, Fidelis Care, Health Net, WellCare and Ascension Complete Health Plans.
  • Open-Book Exam: The entire training course is available for download in PDF format located in the course Resources. The document can be searched by using the ctrl-f search function.
  • Unlimited Attempts: You can take the mastery exam as many times as you would like. Remember, there is a 24 hour lockout between attempts to allow you time to study and revisit any of the training material.
  • AHIP Integration: The Centene Learning Center provides real-time AHIP to ACT training availability. Complete AHIP through the Wellcare training site to access discounted pricing ($125 vs $175)

Accessing 2022 ACT:

You must reset your password for the Centene Learning Center before proceeding to AHIP and ACT (if you have not accessed the site after 5/10/2021).

Click here to access the Centene Learning Center

  • Returning Users: Enter your Username and Password and click Login.
  • First Time Visitors: Click on to the Create a New Account link under the First Time Visitor? section and complete registration.
  1. Complete 2022 AHIP Medicare Training
  2. Complete 2022 Wellcare ACT Journey to a Successful Season
  3. Complete 2022 Wellcare ACT Know Your Product
  4. Complete 2022 Wellcare ACT Mastery Exam

Training Resources:

  • Click here for the Centene Learning Center User Guide
  • Click here for Centene Learning Center password reset instructions
  • Click here to view the Centene Learning Center Registration Process video

Note: Once certification training requirements are completed, please allow 48 hours for the systems to update.

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Centene/WellCare, Trainings

WellCare | Declared Special Enrollment Period for Michigan

Special Enrollment Period: Michigan Emergency Declaration – Severe Flooding    

Please be advised that a state of emergency was declared, impacting individuals in certain Michigan counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the impacted counties in Michigan listed below.

 

Important Compliance Information

Who is Eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

  • Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period, and;
  • Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted County: Wayne

Incident Period: The incident period occurred on June 25, 2021. The declaration was announced on June 25, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until August 31, 2021.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

  1. Obtain a compliant Consent to Contact (C2C).
  2. Capture a compliant Scope of Appointment (SOA).
  3. Host a compliant 1:1 appointment.
  4. If the beneficiary is prepared to enroll, complete an application noting this SEP
  • Online application: page 1
  • Paper application: page 6
  • Either select option 18 indicating a natural disaster OR option 19 and write “Severe Weather” – WARNING! Only select one election type

CMS and Centene will continue to monitor the circumstances in the affected areas and will communicate any changes, if necessary.

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Centene/WellCare

Humana | Required Training

Humana has asked that all agents appointed with Humana complete their “Sales Integrity Education Series – Consent to Enroll” course.

 

The course is 15 minutes long and requires that an agent complete an attestation after completing the course.  Instructions for locating the course and completing the attestation are here.

 

Agents currently appointed with Humana should complete the course by the end of the day Wednesday, June 30th.  Agents who become appointed with Humana in the future should complete the attestation prior to selling.

 

Please contact your manager with any questions, thank you for your cooperation!

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Humana, Trainings

BCBSNM Producer News | New sessions added: Medicare Supplement sales training

Reminder: How Blue DirectionsSM Modernizes Benefits Administration for Clients; June 24 Webinar

Blue Directions includes features to assist your clients with enrollment and benefits management – and offers a better benefits experience.

Learn what it can do for your clients (with 51+ employees) at next week’s webinar.

 

New Sessions Added: Medicare Supplement Sales Training Continues

Are you prepared to help clients select and enroll in Medicare Supplement plans? According to AARP, 10,000 adults turn 65 every day.

Be prepared: These 30-minute webinars can help you learn everything you need to sell Medicare Supplement Plans. New sessions run through July 29.

Next sessions:

 

ICYMI: Retail Producer Portal Adds Medicare Supplement Member Correspondence

To help you communicate with your Blue Cross Medicare SupplementSM clients, we’re adding a series of member correspondence to the Retail Producer Portal.

The letters will include:

  • Member information updates
  • Effective date updates
  • Cancellations
  • Request for additional information
  • And more

Timing and access: The letters are being released over the next few months, starting back on June 3. New letter templates will be released weekly. Visit the Retail Producer Portal and click on Correspondence when viewing a member’s policy to access these letters

 

Your Blood Pressure: More Than a Number

While your blood pressure can rise and fall during the day, blood pressure that stays high for a long time can cause serious health problems.

Why it matters: High blood pressure – or hypertension – raises the risk of kidney disease, stroke, heart attacks and other serious health issues. Although it’s common, too often people don’t know they have high blood pressure. That’s why it’s so important to get your blood pressure checked regularly, know your numbers and work with your doctor to keep it in normal ranges.

Share with clients: Learn more about hypertension risk factors, signs and symptoms, and treatment.

 

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Blue Cross Blue Shield of New Mexico, Trainings

Blue Cross Blue Shield of Michigan | 2022 AEP/OEP Kickoff RSMU Virtual Experience

Please join the BCBSM Retail Sales and Marketing Unit on Thursday, September 23 to discuss the individual under 65 and individual Medicare markets.

Learn more about market insights and the continued improvement of BCBSM brand, open enrollment readiness and preparing for the next enrollment season.

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Blue Cross Blue Shield of Michigan, Trainings

Blue Cross and Blue Shield of Illinois | Register Today for the 2022 MAPD/PDP Certification Webinar

Join for the webinar: 2022 MAPD/PDP Producer Certification Preparation Guide

Date: Tuesday, June 15, 2021 10:30 a.m. CST

By participating in this 2022 Blue Cross Medicare Options Producer Training and Certification webinar, you’ll be prepared to access and complete the annual Blue Cross Medicare AdvantageSM (MAPD) and Blue Cross MedicareRx (PDP)SM certification requirements when training opens in July.

Space is limited to 3,000 callers. Please register and consider attending in a group. You are not required to attend the session.

 

To register for the online event:

  1. Click “Register”
  2. Enter your information and then click “Submit“

Once the host approves your registration, you will receive a confirmation email message with instructions on how to join the event.

For technical issues when registering, email ITG_Collaboration_Services@bcbstx.com or call 312-653-9299.

Please Note: This webinar will not replace the Annual 2022 Blue Cross Medicare Options Producer Training and Certification Program as required by the Centers for Medicare and Medicaid Services (CMS).

 

2021 Medicare Curriculum Announcement

The 2021 AHIP Course (Part 1 of the Medicare Curriculum) will not be available after June 17 at 11:59 p.m. CST.

On Monday June 21 at 10 a.m. CST, the 2022 AHIP Course will become available.

As of Wednesday July 7, the 2022 AHIP Course will be combined with the 2021 and 2022 BCBS tasks to provide a dual-year curriculum assignment.

Producers seeking to complete the 2021 plan year tasks will be assigned the dual-year curriculum to satisfy both 2021 and 2022.

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Blue Cross Blue Shield of Illinois, Trainings

GoHealth Medicare Marketplace June Enhancement | Humana OSB

Medicare Agents and Managers,

Check out the new Marketplace enhancement that launched recently!

 

  1. ENHANCEMENT: Humana Optional Supplementary Benefits (OSB) Enrollments in the Marketplace

Humana OSBs are live in the Marketplace, which means agents no longer have to go to carrier portals to see if a plan has an OSB. One of the easiest ways to check if a Humana plan has an OSB is to check for the OSB indicator on the quote card:

Plan details will also indicate if a plan offers OSBs:

Here’s what it looks like once an OSB has been added to the cart for enrollment:

Why are OSBs important?

Many Humana Medicare Advantage plans include routine dental, vision and fitness coverage. To help customers manage their costs, Humana offers a broad range of optional supplemental benefits (OSBs) for an additional monthly premium. Learn more about Humana OSBs here. Note that a plan can have one or more OSBs attached.

 

Having supplemental benefits attached to a Humana MA plan can be a really important benefit, so this Marketplace feature gives you the tools to help more people get enrolled in a great plan for them!

Soon, agents will be able to complete UHC OSB enrollments in the Marketplace. Stay tuned for a future communication announcing when this feature is live.

 

Thank you for your dedication to the GoHealth Marketplace!

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Humana, Trainings

Blue Cross and Blue Shield of Illinois | Register Today for the 2022 MAPD/PDP Certification Webinar

Join the webinar: 2022 MAPD/PDP Producer Certification Preparation Guide

Date:

Tuesday, June 15, 2021 10:30 a.m. CST

By participating in this 2022 Blue Cross Medicare Options Producer Training and Certification webinar, you’ll be prepared to access and complete the annual Blue Cross Medicare AdvantageSM (MAPD) and Blue Cross MedicareRx (PDP)SM certification requirements when training opens in July.

Space is limited to 3,000 callers. Please register and consider attending in a group. You are not required to attend the session.

 

To register for the online event:

  1. Click “Register”
  2. Enter your information and then click “Submit“

Once the host approves your registration, you will receive a confirmation email message with instructions on how to join the event.

For technical issues when registering, email ITG_Collaboration_Services@bcbstx.com or call 312-653-9299.

You can also register via the Resource Page by clicking one of the dates under Webinars.

 

Please Note: This webinar will not replace the Annual 2022 Blue Cross Medicare Options Producer Training and Certification Program as required by the Centers for Medicare and Medicaid Services (CMS).

Please look out for the 2022 AHIP Training on US details in the upcoming webinar.

 

2021 Medicare Curriculum Announcement

The 2021 AHIP Course (Part 1 of the Medicare Curriculum) will not be available after June 17 at 11:59 p.m. CST.

On Monday June 21 at 10 a.m. CST, the 2022 AHIP Course will become available.

As of Wednesday July 7, the 2022 AHIP Course will be combined with the 2021 and 2022 BCBS tasks to provide a dual-year curriculum assignment.

Producers seeking to complete the 2021 plan year tasks will be assigned the dual-year curriculum to satisfy both 2021 and 2022.

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Blue Cross Blue Shield of Illinois, Trainings

Humana | 2021 Compliance Communication – SEP for Individuals Affected by a Disaster or Emergency

2021 Compliance Communication

 SEP for Individuals Affected by a Disaster or Emergency 

 

Who qualifies for this SEP?

Effective January 1, 2021, an SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections.

 

Individuals are eligible for this SEP if they:

  • Reside, or resided at the start of the SEP eligibility period, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
  • Were eligible for another election period at the time of the SEP eligibility period; and
  • Did not make an election during that other valid election period due to the disaster or other emergency.

 

The SEP starts as of the date the declaration is made, the incident start date or, if different, the start date identified in the declaration, whichever is earlier. The SEP ends two (2) full calendar months following the end date identified in the declaration or, if different, the date the end of the incident is announced, whichever is later.

 

Alabama (Severe Weather) – Governor Declared a State of Emergency on March 25, 2021

Incident Period:  March 25, 2020 – No End Date Stated

SEP Start Date:  March 25, 2021

SEP End Date:  TBD

Counties:  Autauga, Bibb, Blount, Calhoun, Cherokee, Chilton, Choctaw, Clarke, Clay, Cleburne, Colbert, Coosa, Cullman, Dallas, DeKalb, Elmore, Etowah, Fayette, Franklin, Greene, Hale, Jackson, Jefferson, Lamar, Lauderdale, Lawrence, Limestone, Lowndes, Madison, Marengo, Marion, Marshall, Morgan, Perry, Pickens, Randolph, Shelby, St. Clair, Sumter, Talladega, Tallapoosa, Tuscaloosa, Walker, Washington, Wilcox, and  Winston

 

Alabama (Winter Storm System) – Governor Declared a State of Emergency on February 14, 2021

Incident Period:  February 14, 2021 – No end date stated

SEP Start Date:  February 14, 2021

SEP End Date:  TBD

Counties:  Bibb, Blount, Choctaw, Colbert, Cullman, DeKalb, Fayette, Franklin, Greene, Hale, Jackson, Jefferson, Lamar, Lauderdale, Lawrence, Limestone, Madison, Marengo, Marion, Marshall, Morgan, Perry, Pickens, Shelby, Sumter, Tuscaloosa, Walker, Winston

 

Arkansas (Winter Storm) – Governor Declared a State of Emergency on February 10, 2021

Incident Period:  February 10, 2021 – No end date stated

SEP Start Date:  February 10, 2021

SEP End Date:  TBD

Counties:  Entire state

 

California (Winter Storm) – Governor Declared a State of Emergency on January 29, 2021

Incident Period:  January 26, 2021 – No end date stated

SEP Start Date:  January 26, 2021

SEP End Date:  TBD

Counties:  Monterey, San Luis Obispo

 

California (Drought with Risk of Wildfire) – Governor Declared a State of Emergency on May 10, 2021

Incident Period:  May 10, 2021 – No end date stated

SEP Start Date:  May 10, 2021

SEP End Date:  TBD

Counties:  Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Kern, Kings, Lake, Lassen, Madera, Mariposa, Mendocino, Merced, Modoc, Napa, Nevada, Placer, Plumas, Sacramento, San Benito, San Joaquin, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tulare, Tuolumne, Yolo, and Yuba

 

Florida (Hazardous Waste Risk) – Governor Declared a State of Emergency on April 3, 2021

Incident Period:  April 3, 2021 – June 2, 2021

SEP Start Date:  April 3, 2021

SEP End Date:  August 31, 2021

Counties:  Hillsborough, Manatee, Pinellas

 

Georgia (Severe Weather) – Governor Declared a State of Emergency on March 25, 2021

Incident Period:  March 25, 2021 – May 25, 2021

SEP Start Date:  March 25, 2021

SEP End Date:  July 31, 2021

Counties:  Entire state

 

Georgia (Severe Weather) – FEMA Declared a Major Disaster on May 6, 2021

Incident Period:  March 25, 2021 – March 26, 2021

SEP Start Date:  March 25, 2021

SEP End Date:  July 31, 2021

Counties:  Coweta, Fannin, Gilmer, Gordon, Heard, Lumpkin, Pickens, Rabun and White

 

Hawaii (Heavy Rains and Flooding) – Governor Declared a State of Emergency on March 9, 2021

Incident Period:  March 8, 2021 – July 5, 2021

SEP Start Date:  March 8, 2021

SEP End Date:  September 30, 2021

Counties: Entire state

 

Illinois (Winter Storm) – Governor Declared a State of Emergency on February 16, 2021

Incident Period:  February 16, 2021 – March 18, 2021

SEP Start Date:  February 16, 2021

SEP End Date:  May 31, 2021

Counties:  Entire state

 

Kansas (Extreme Weather) – Governor Declared a State of Emergency on February 14, 2021

Incident Period:  February 14, 2021 – End date not stated

SEP Start Date:  February 14, 2021

SEP End Date:  TBD

Counties:  Entire state

 

Kentucky (Severe Weather and Flooding) – Governor Declared a State of Emergency on February 28, 2021

Incident Period:  February 28, 2021 – End date not stated

SEP Start Date:  February 28, 2021

SEP End Date:  TBD

Counties:  Entire state

 

Kentucky (Dangerous Winter Storm) – Governor Declared a State of Emergency on February 11, 2021

Incident Period:  February 11, 2021 – End date not stated

SEP Start Date:  February 11, 2021

SEP End Date:  TBD

Counties:  Entire state

 

Kentucky (Severe Winter Storms, Landslides, and Mudslides) – FEMA Declared Major Disaster Declaration on April 23, 2021

Incident Period:  February 27, 2021 – March 14, 2021

SEP Start Date:  February 27, 2021

SEP End Date:  June 30, 2021

Counties:  Bell, Boyd, Breathitt, Calloway, Carter, Casey, Cumberland, Edmonson, Elliott, Estill, Floyd, Franklin, Graves, Greenup, Harlan, Jackson, Johnson, Knott, Knox, Lawrence, Lee, Leslie, Letcher, Lincoln, Magoffin, Marion, Martin, Mason, Menifee, Morgan, Ohio, Owsley, Perry, Pike, Powell, Pulaski, Rockcastle, Union, Whitley, and Wolfe

 

Louisiana (Severe Winter Storm) – FEMA Declared an Emergency on February 18, 2021

Incident Period:  February 11, 2021 and continuing

SEP Start Date:  February 11, 2021

SEP End Date:  TBD

Counties:  Entire state

 

Louisiana (Heavy Rainfall and Potential Wintry Weather) – Governor Declared a State of Emergency on February 11, 2021

Incident Period:  February 11, 2021 – June 10, 2021

SEP Start Date:  February 11, 2021

SEP End Date:  August 31, 2021

Counties:  Entire state

 

Louisiana (Severe Weather) – Governor Declared a State of Emergency on April 13, 2021

Incident Period:  April 13, 2021 – May 12, 2021

SEP Start Date:  April 13, 2021

SEP End Date:  July 31, 2021

Counties:  Entire state

 

Louisiana (Heavy Rain, Severe Storms and Flash Flooding) – Governor Declared a State of Emergency on May 17, 2021

Incident Period:  May 17, 2021 – June 16, 2021

SEP Start Date:  May 17, 2021

SEP End Date:  August 31, 2021

Counties:  Entire state

 

Maryland (Inauguration and Election Unrest) – Governor Declared a State of Emergency on January 14, 2021

Incident Period:  January 14, 2021 – April 25, 2021

SEP Start Date:  January 14, 2021

SEP End Date:  June 30, 2021

Counties:  Entire State

 

Minnesota (Civil Unrest) – Governor Declared a State of Emergency on April 19, 2021

Incident Period:  April 19, 2021 – May 19, 2021

SEP Start Date:  April 19, 2021

SEP End Date:  July 31, 2021

Counties:  Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington

 

Mississippi (Freezing Temperatures and Severe Winter Weather) – Governor Declared a State of Emergency on February 14, 2021

Incident Period:  February 13, 2021 – No end date stated

SEP Start Date:  February 13, 2021

SEP End Date:  TBD

Counties:  Entire state

 

Mississippi (Freezing Temperatures and Severe Winter Weather) – FEMA Declared a Major Disaster May 4, 2021

Incident Period:  February 11, 2021 – February 19, 2021

SEP Start Date:  February 11, 2021

SEP End Date:  July 31, 2021

Counties:  Adams, Attala, Choctaw, Claiborne, Copiah, Covington, Franklin, Grenada, Hinds, Jasper, Jefferson, Jefferson Davis, Kemper, Lafayette, Lauderdale, Lawrence, Leake, Lincoln, Mississippi Choctaw Indian Reservation, Neshoba, Newton, Noxubee, Pike, Rankin, Scott, Simpson, Smith, Tallahatchie, Walthall, Warren, Winston, Yazoo

 

New Jersey (Winter Storm) – Governor Declared a State of Emergency on January 31, 2021

Incident Period:  January 31, 2021 – February 23, 2021

SEP Start Date:  January 31, 2021

SEP End Date:  TBD

Counties:  Entire state

 

New Mexico (Inauguration and Election Unrest) – Governor Declared a State of Emergency on January 13, 2021

Incident Period:  January 13, 2021 – No end date stated

SEP Start Date:  January 13, 2021

SEP End Date:  TBD

Counties:  Entire state

 

North Carolina (Tornado) – Governor Declared a State of Emergency on February 24, 2021

Incident Period:  February 24, 2021 – No End Date Stated

SEP Start Date:  February 24, 2021

SEP End Date:  TBD

Counties:  Brunswick

 

North Carolina (Severe Weather) – Governor Declared a State of Emergency on May 14, 2021

Incident Period:  May 14, 2021 – July 31, 2021

SEP Start Date: May 14, 2021

SEP End Date:  September 30, 2021

Counties:  City of Marion (McDowell county) and the Town of Lillington (Harnett county)

 

North Dakota (Wildfires) – Governor Declared a State of Emergency on April 1, 2021

Incident Period:  April 1, 2021 – No End Date Stated

SEP Start Date:  April 1, 2021

SEP End Date:  TBD

Counties:  Entire state

 

Oklahoma (Extreme Freezing Temperatures and Severe Winter Weather) – Governor Declared a Disaster Emergency on February 12, 2021

Incident Period:  February 7, 2021 – No end date stated

SEP Start Date:  February 7, 2021

SEP End Date:  TBD

Counties:  Entire state

 

Oregon (Drought with Risk of Wildfire) – Governor Declared a State of Emergency on April 13, 2021

Incident Period:  April 13, 2021 – December 31, 2021

SEP Start Date:  April 13, 2021

SEP End Date:  February 28, 2022

Counties:  Jackson

 

Oregon (Drought with Risk of Wildfire) – Governor Declared a State of Emergency on April 26, 2021

Incident Period:  April 26, 2021 – December 31, 2021

SEP Start Date:  April 26, 2021

SEP End Date:  February 28, 2022

Counties:  Lake

 

Oregon (Drought with Risk of Wildfire) – Governor Declared a State of Emergency on May 10, 2021

Incident Period:  May 10, 2021 – December 31, 2021

SEP Start Date:  May 10, 2021

SEP End Date:  February 28, 2022

Counties:  Baker, Douglas, Gilliam, Morrow, Wheeler

 

Oregon (Severe Winter Weather) – FEMA Declared a Major Disaster on May 6, 2021

Incident Period:  February 11, 2021 – February 15, 2021

SEP Start Date:  February 11, 2021

SEP End Date:  July 31, 2021

Counties:  Benton, Clackamas, Linn, Marion, Polk and Yamhill and the Confederated Tribes of Grand Ronde

 

South Dakota (Drought with Fire Risk) – Governor Declared a State of Emergency on March 30, 2021

Incident Period:  March 30, 2021 – June 1, 2021

SEP Start Date:  March 30, 2021

SEP End Date:  August 31, 2021

Counties:  Entire State

 

Tennessee (Severe Storms) – FEMA Declared a Major Disaster on May 8, 2021

Incident Period:  March 25, 2021 – April 3, 2021

SEP Start Date:  March 25, 2021

SEP End Date:  July 31, 2021

Counties:  Campbell, Cannon, Cheatham, Claiborne, Clay, Davidson, Decatur, Fentress, Grainger, Hardeman, Henderson, Hickman, Jackson, Madison, Maury, McNairy, Moore, Overton, Scott, Smith, Wayne, Williamson, and Wilson

 

Texas (Freezing Temperatures, Heavy Snow and Freezing Rain) – Governor Declared a Disaster on February 11, 2021

Incident Period:  February 11, 2021 – May 13, 2021

SEP Start Date:  February 11, 2021

SEP End Date:  July 31, 2021

Counties:  Entire State

 

Texas (Drought Conditions) – Governor Declared a Disaster on February 2, 2021

Incident Period:  February 2, 2021 – May 15, 2021

SEP Start Date:  February 2, 2021

SEP End Date:  July 31, 2021

Counties:  Andrews, Bailey, Bandera, Bexar, Brewster, Briscoe, Brooks, Brown, Cameron, Castro, Cochran, Comal, Crane, Crosby, Culberson, Dawson, Deaf Smith, Dimmit, Duval, Ector, El Paso, Floyd, Frio, Gaines, Hale, Hidalgo, Hockley, Hudspeth, Jeff Davis, Jim Hogg, Kendall, Kenedy, Kinney, Lamb, La Salle, Loving, Lubbock, Lynn, Martin, Maverick, Medina, Midland, Parmer, Pecos, Presidio, Randall, Reeves, Starr, Swisher, Terrell, Terry, Upton, Uvalde, Ward, Webb, Wheeler, Winkler, Yoakum, Zapata, Zavala

 

Texas (Drought with Risk of Wildfire) – Governor Declared a Disaster on May 7, 2021

Incident Period:  April 15, 2021 – June 6, 2021

SEP Start Date:  April 15, 2021

SEP End Date:  August 31, 2021

Counties:  Andrews, Bailey, Bee, Brewster, Briscoe, Brooks, Cameron, Castro, Cochran, Culberson, Dawson, Deaf Smith, Dickens, Dimmit, Duval, Ector, El Paso, Floyd, Frio, Gaines, Goliad, Hale, Hidalgo, Hockley, Hudspeth, Jeff Davis, Jim Hogg, Jim Wells, Karnes, Kennedy, King, Lamb, La Salle, Live Oak, Loving, Lubbock, Lynn, Martin, McMullen, Midland, Parmer, Presidio, Randall, Reeves, Starr, Swisher, Terry, Ward, Webb, Willacy, Winkler, Yoakum, Zapata, Zavala

 

Texas (Significant Flooding and Severe Weather) – Governor Declared a Disaster on May 19, 2021

Incident Period:  May 19, 2021 – No End Date Stated

SEP Start Date:  May 19, 2021

SEP End Date:  TBD

Counties:  Calhoun, Jasper, Jefferson, Kleberg, Newton, and Tyler

 

Utah (Drought Conditions) – Governor Declared a State of Emergency on March 17, 2021

Incident Period:  March 17, 2021 – April 16, 2021

SEP Start Date:  March 17, 2021

SEP End Date:  June 30, 2021

Counties:  Entire state

 

Virginia (Winter Weather) – FEMA Declared a Major Disaster on May 10, 2021

Incident Period:  February 11, 2021 – February 13, 2021

SEP Start Date:  February 11, 2021

SEP End Date:  July 31, 2021

Counties:  Amelia, Appomattox, Bedford, Brunswick, Campbell, Caroline, Charlotte, Cumberland, Dinwiddie, Essex, Floyd, Franklin, Goochland, Greensville, Halifax, King and Queen, King William, Lancaster, Louisa, Lunenburg, Mecklenburg, Middlesex, New Kent, Northumberland, Nottoway, Patrick, Pittsylvania, Powhatan, Prince Edward, Prince George and Richmond

 

Washington (Winter Weather) – Governor Declared a Major Disaster on March 1, 2021

Incident Period:  March 1, 2021 – No end date stated

SEP Start Date:  March 1, 2021

SEP End Date:  TBD

Counties:  Entire state

 

West Virginia (Severe Storms and Flooding) – FEMA Declared a Major Disaster on May 21, 2021

Incident Period:  February 27, 2021 – March 4, 2021

SEP Start Date:  February 27, 2021

SEP End Date:  July 31, 2021

Counties:  Cabell, Kanawha, Mingo, and Wayne

 

What Does This Mean to Agents

If an individual wants to enroll and believes they may qualify for this SEP, agents should:

  • Ask the beneficiary if they can show proof that they lived/live in an impacted area at the start of the SEP eligibility period.
  • If they do not have proof, ask them to verbally attest.
  • Confirm that they had another election period available during the time of the incident period.
  • Confirm that the beneficiary lived in a county that has been declared an emergency or major disaster or relies on help making healthcare decisions from friends or family members who lived/live in the affected areas.
  • Once eligibility has been verified, proceed with the application.
  • On applications, use election code SEP DST.

 

Enrollments made pursuant to this SEP are effective the first of the month following the receipt of the enrollment request. For enrollment requests where more than one enrollment effective date is possible, agents will need to determine the applicant’s desired effective date.

 

This SEP should never be used as a marketing tool to promote MA or PDP sales.  Agents should not be actively marketing this SEP, but rather, be aware that it is available in case they are approached by someone who believes they have missed an election period due to the weather related incident.

 

For any updates to eligible counties for FEMA declarations please refer to the FEMA website at: https://www.fema.gov/disasters

 

 

This is neither legal nor accounting advice. If you have questions, please consult a lawyer or accountant. The information included in this post was provided by the entity referenced herein.

Filed under: Humana