Enrollment applications cannot be solicited or accepted outside of a valid election period. Marketing and/or selling outside of eligible periods is prohibited and subject to corrective and/or disciplinary action up to and including termination. You must be contracted, licensed, appointed (if applicable) and certified in the product in which the consumer is enrolling at the time the enrollment application is completed.
An enrollment application should only be completed after you have thoroughly explained all plan
benefits, rules, confirmed eligibility, disclosed agent and product specific information (e.g., Star Rating), disclaimers, and the consumer has agreed to proceed with the enrollment.
All paper enrollment applications must be submitted via fax or overnight delivery to UnitedHealthcare within 24 hours of receipt. The enrollment application is considered in receipt the date you take receipt and sign the enrollment application. Agents utilizing offline iEnroll must upload the enrollment
application within 24 hours of receipt. External Distribution Channel (EDC) offices using eModel Office should process a paper enrollment application the same day it is received from the agent
whenever possible, but no later than 24 hours after receipt. Medicare Advantage (MA) and Prescription Drug Plan (PDP) enrollment application received by the enrollment center more than three calendar days after the agent’s signature are considered a late application and you may be subject to disciplinary action.
Enrollment applications received by Enrollment more than three days (sixteen days for AARP Medicare Supplement) after your signature will be considered a late enrollment application and you may be subject to disciplinary action
Electronic Enrollment
UnitedHealthcare offers several options for you to submit enrollment applications electronically.
Submitting enrollment applications electronically allows for quicker processing time, reduction in errors and paperwork, and faster commission payments. There are two types of electronic enrollment tools available based on the product lines:
UnitedHealthcare–iEnroll™ - Medicare Advantage (MA) Plans, Medicare
Advantage with Prescription Drug (MA-PD) Plans and Prescription Drug Plans (PDP)
Online Enrollment for AARP® Medicare Supplement Plans - AARP® Medicare Supplement Insurance Plans, insured by UnitedHealthcare
UnitedHealthcare iEnroll Toolkit
The UnitedHealthcare iEnroll toolkit is comprised of powerful electronic enrollment systems
designed to reduce paperwork and speed the processing of a consumer’s new enrollment application. Refer to “Online Enrollment” section on www.UnitedHealthProducers.com for
information on the different electronic enrollment methods. UnitedHealthcare iEnroll cannot be used to enroll consumers into AARP Medicare
Supplement Insurance plans. However, consumers can be enrolled using the Online Enrollment tool or the paper enrollment application for AARP Medicare Supplement Insurance Plans.
Utilizing an electronic enrollment method provides these benefits:
Simplifies and accelerates new business enrollment.
Available for select UnitedHealthcare Medicare Advantage plans and PDP Plans.
System will accept an enrollment application only when all necessary information is provided, therefore fewer problems due to missing information. (You cannot refuse to take an enrollment application. If the enrollment application is missing
information, the best practice is to submit a traditional paper enrollment application and only accept the enrollment application once the consumer has provided all the necessary information.)
Expedited continuity of service for new members.
Fewer new member enrollment issues.
Ability to trace information and resolve problems more quickly.
There are three electronic enrollment methods available in the UnitedHealthcare iEnroll Toolkit:
Offline Self Service, Online Self Service, and eModel Office.
To utilize Offline or Online Self Service methods, you must have a PC Notebook or a signature pad device connected to a laptop.
Either of which enables you to collect a consumer’s signature in addition to all other information necessary to process an
enrollment application. If you need a
signature pad, contact your EDC or the PHD at 1-888-381-8581. (A signature pad is not needed if you are using a PC Notebook.) Method 1 – Offline Self Service: Prior to your appointment with the consumer, download to your computer the applicable enrollment application template(s) from UnitedHealthcare iEnroll. At the appointment, complete the appropriate enrollment application and secure the consumer’s signature electronically. When you return to your office, connect to UnitedHealthcare iEnroll and synchronize with the online system. (For best
results when using this enrollment method, perform a nightly synchronization.) When the synchronization has completed, all enrollment applications and signatures are submitted
electronically. A confirmation will be sent to your computer upon successful completion and you will be able to track the consumer’s enrollment
application progress through the enrollment system on www.UnitedHealthProducers.com.
The consumer will receive a system
produced copy of their electronic enrollment application in the mail.
Method 2 – Online Self Service: This method requires you to be connected to the internet at the time the enrollment application information and signature is received from the consumer. You can access the Online Self Service method through the Online Enrollment tab
on www.UnitedHealthProducers.com. A
confirmation will be sent to your computer upon successful submission of the consumer’s
enrollment application.
The consumer will receive a system
produced copy of their electronic enrollment application in the mail.
Method 3 – eModel Office: Some External Distribution Channels (EDC) are set up to enter enrollment application data directly into the UnitedHealthcare online system. Contact your EDC to see if they are set up as an eModel Office.
To use the eModel Office method, give the
designated person within your EDC the completed paper enrollment application. All data must be entered into the online enrollment application before it can be submitted. Once the enrollment application has been successfully submitted, you will be able to track the consumer’s enrollment application progress through the enrollment system on www.UnitedHealthProducers.com.
Online Enrollment for AARP Medicare Supplement Insurance Plans
UnitedHealthcare is pleased to introduce an online enrollment application for AARP Medicare
Supplement Insurance Plans. This online enrollment application will help improve processing time, avoid errors, and enroll
consumers more quickly – allowing you to avoid delays of commission payments.
The AARP Medicare Supplement online enrollment application is available via the UnitedHealthcare Distribution Portal. When you access the online tool, an enrollment application is created based on the consumer’s zip code, date of birth and Medicare Part B effective date. Based on this information, you are given a plan selection list with estimated rates for each plan. As you click from screen-to-screen, the online enrollment application will display or skip over questions based on previously provided information.
Enroll, renew or verify AARP membership for the consumer
Fill out ancillary forms, such as the Replacement Notice, if required
Sign up the consumer for Electronic Funds Transfer (EFT) for (must choose one):
∼ Recurring premium payments, or
∼ One-time premium payment and coupon booklet.
Upload documents such as guaranteed issue and legal documents
Save/resume an AARP Medicare
Supplement enrollment application (up to 90 days)
Review submitted AARP Medicare
Supplement enrollment applications (up to 90 days)
The AARP Medicare Supplement online enrollment application is currently available in most states except MN and WI. The tool requires that the consumer sign up for EFT for a minimum of one monthly premium payment. If the online enrollment application is not available for your state or if a consumer does not want to complete the EFT form, please submit a paper enrollment application. Paper enrollment kits can be ordered from the Sales Materials on the Distribution Portal.
Capturing Signatures
The AARP Medicare Supplement enrollment application requires signatures to be captured from you and the consumer. If you choose to complete an online enrollment application, signatures must be captured via a signature pad. UnitedHealthcare offers a variety of Topaz signature pad devices for you to purchase. Details can be found on the Distribution Portal.
Note: Planned 2015 enhancements will allow signatures to be captured from a touch-screen device. Look for future announcements.
Traditional Paper Method
An electronic method of enrollment application submission should be utilized whenever possible to maximize efficiency and reduce error rates and processing time. Paper enrollment applications should only be submitted when absolutely necessary.
You may be paid a lower new-business commission if a new business enrollment application is submitted through the paper enrollment process when an electronic method is available.
If the paper method is absolutely necessary, there are three ways to submit a paper enrollment application once the hard copy is received. Choose only one of the following submission options:
Regular Mail – to address on enrollment application
Overnight – to address on enrollment application
Fax – to the number provided to you in your sales materials
Paper enrollment applications for AARP Medicare Supplement Insurance Plans can be submitted via regular mail or overnight delivery using the pre-addressed enrollment application envelope contained within the Enrollment Guide
(UnitedHealthcare Insurance Co., PO Box 105331, Atlanta, GA 30348-9534).
All enrollment applications must be submitted promptly to UnitedHealthcare. Enrollment applications received by Enrollment more than three days (sixteen days for AARP Medicare Supplement) after your signature will be considered a late enrollment application and you may be subject to disciplinary action UnitedHealthcare Public Website
A web-based enrollment is a consumer initiated and effectuated electronic enrollment method utilizing the internet. A web-based enrollment can only be conducted via the plan’s
website www.UHCMedicareSolutions.com.
Consumers must enter the information and complete the enrollment when using a web-based enrollment. When a consumer uses the site to complete an enrollment they must attest that they are the consumer.
You may not use UnitedHealthcare public website to facilitate a consumer enrollment.
You may not be physically present with the consumer.
Web-based enrollment is not an electronic enrollment method for your use.
Web-based enrollment is not available for all plans.
You may compliantly assist a consumer in utilizing a web-based enrollment by:
Completing all pre-enrollment activities including, but not limited to:
∼ Needs assessment, Medicare eligibility verification, and election period validation.
∼ Plan determination and providing an Enrollment Guide.
∼ Completed presentation an covering all benefits, cost-sharing, prescription drug cover, etc.,
∼ Provider/pharmacy network verification, prescription verification.
∼ Appeals and Grievance policy, Outbound Enrollment and Verification (OEV) calls, Statement of Understanding,
Multi-language insert, and star rating information.
∼ Providing agent contact information.
Provide the consumer with the enrollment website landing
page www.MyMedicareEnroll.com.
Provide the consumer with your Agent ID.
You may be on the telephone with the consumer, but must not be physically present with the consumer (Note: All Telesales agents are prohibited from assisting consumers with a web-based enrollment).
Appropriate times that you may encourage a Web-based enrollment may include:
Consumer Readiness – when you have conducted an in-person presentation, but the consumer was not ready to enroll at that time.
Time Constraints – when it is not feasible for the consumer to meet face-to-face with you or for the consumer to mail in a paper enrollment application.
Other Factors – other instances where time, distance, or consumer preference prevents the consumer meeting with you to complete an enrollment.
You are accountable for a Web-based enrollment and any consequences associated with the
enrollment.
You are accountable for OEV infractions, complaints, and/or rapid disenrollments.
If you enter a Web-based enrollment, you are committing fraud.
Consequences resulting from inappropriate agent use of the Web-based enrollment method include, but are not limited to, corrective and/or disciplinary action up to and including termination.