6 Direct enrollment process for Marketplace sales. Individual major medical plans for individuals and families
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1 6 Direct enrollment process for Marketplace sales Individual major medical plans for individuals and families
2 Direct enrollment with Assurant Health You ll know what s going on every step of the way Controlled experience from start to finish Always know the status of your sale by checking underwriting status Payment-accessible site Direct enrollment path requires customers to immediately make payment to complete the submission Helps close the sale sooner You ll get paid promptly after first premium is received and policy is issued Saved information Spend less time redoing entire sales if there are technical difficulties with healthcare.gov 2
3 Steps to application success Quoting and submission software makes the process easy Start: Use Assurant Health s quoting and submission tool to begin 1. Start quote 2. Enter client information 3. Estimate premium tax credit 4. Pre- Marketplace plan preview Go to the Marketplace Quick stop: On the Marketplace Customer Authorizations: Don t forget these need to be submitted before the sale is considered complete 5. Apply for a tax credit Click Return to Issuer to return to Assurant Health s platform 6. Post- Marketplace plan selection 7. View quote summary, collect payment and submit Finish: Click submit to see underwriting status and view enrollment 3 Assurant Health has applied to offer plans in 16 states on the Federally Facilitated Marketplace for open enrollment starting November 15, Marketplace availability is subject to QHP certification by CMS.
4 4 Direct Enrollment HealthSales Home Page
5 Quick guide: Starting a quote Start your quote on our industryleading quoting and submission tool 5
6 6 Direct Enrollment Quoting Step 1: Start Quote Variation: ZIP code/county Entered - Not on Exchange
7 7 Direct Enrollment Quoting Step 2: Client Information Same as Today updated definition for spouse
8 Quick guide: Assurant Health Premium Tax Credit Estimator The customer doesn t qualify for a Premium Tax Credit. We give you an option to skip this step. We have lots of options to get you in the right area Not sure if the customer qualifies and want to get a quick estimate You know your customer qualifies and they want to apply for a Premium Tax Credit 8
9 Quick guide: Premium Tax Credit Estimator customer likely qualifies We ll tell you if the customer likely qualifies saving you the time of logging into the Marketplace to check Note: If the customer does not want to take the Premium Tax Credit, you can simply click View Off- Exchange plans 9
10 Quick guide: Premium Tax Credit Estimator may be eligible for Medicaid We ll even let you know if the customer might be eligible for Medicaid 10
11 Quick guide: Plan preview (Pre-Marketplace) We ll display plans available for purchase on the Marketplace availability is subject to QHP certification by CMS 11 Assurant Health has applied to offer plans in 16 states on the Federally Facilitated Marketplace for open enrollment starting November 15, Marketplace availability is subject to QHP certification by CMS.
12 Quick guide: Before the sale on Healthcare.gov We ll remind you to gather any paperwork before being directed to the Marketplace IMPORTANT You must have your Marketplace certification on file with Assurant Health to get credit for the sale 12
13 Quick guide: Log in to the Marketplace You ll log in to the Marketplace site using your Federally Facilitated Marketplace ID (FFM ID) Select the plan the customer wishes to purchase 13 Assurant Health has applied to offer plans in 16 states on the Federally Facilitated Marketplace for open enrollment starting November 15, Marketplace availability is subject to QHP certification by CMS.
14 Quick guide: Click Return to enrollment website If you don t, you might not get paid or payment can be delayed After obtaining the Premium Tax Credit on the Marketplace, you ll need to click Return to enrollment website to make the plan selection this triggers final plan selection, payment and the submission process to Assurant Health 14 Assurant Health has applied to offer plans in 16 states on the Federally Facilitated Marketplace for open enrollment starting November 15, Marketplace availability is subject to QHP certification by CMS.
15 Quick guide: Return to Assurant Health to finish Final plan selection You ll make the final plan selection Defaults to a Silver plan* Make sure you select the plan the customer wants *If the Marketplace determines the customer is eligible for a Cost Sharing plan, the Silver Cost Sharing plan will be displayed. 15 Assurant Health has applied to offer plans in 16 states on the Federally Facilitated Marketplace for open enrollment starting November 15, Marketplace availability is subject to QHP certification by CMS.
16 Quick guide: Quote summary We ll show you an overview of what the customer has chosen and the total price 16
17 17 Direct lment Submission Step 2: Payment
18 18 Direct Enrollment Quoting Step 9: Save and Agent Attestation
19 19 Direct Enrollment Submission Step 3: Authorizations (3)
20 Quick guide: Submit options You ll be asked how you wish to submit the sale Online Verification System Customer is not face to face and will complete the necessary authorizations online. Customer will receive an to complete the authorizations through the submission process. Customer is the only person who can complete the authorization process. Phone Customer is not face to face and will complete the necessary authorizations over the phone. You complete the quote and demographics. Customer calls Assurant Health to complete 3 authorization questions. Face to Face Customer is present in your office Customer completes the payment information and necessary authorizations in your office. 20
21 21 Direct Enrollment Submission Step 4: Delivery of Policy
22 22 Direct Enrollment Submission Step 5: Submission
23 23 Direct Enrollment Submission Step 6: Confirmation
24 Direct Enrollment Underwriting Status 24
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