Individual Sales BROKER FLASH

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1 Individual Sales BROKER FLASH August 2009 For Distribution to Brokers/Wholesalers/Administrators Only In this edition: Applications Submitted via Zip File Applications Submitted via Zip File We will be extending the cut-off date for zip filed ( ) applications until September 1, 2009, however, we continue to encourage submission through the broker portal. The portal will transmit a complete application and it will immediately flow through the underwriting process. CareFirst Broker Portal Change New CareFirst Connect Individual istore Enhancement Correspondence Contact List Update CareFirst Broker Portal Change In order to protect certain CareFirst proprietary information, we have placed a login requirement when entering the Broker & Agents section of CareFirst.com. If you are a contracted broker and do not have access, please contact your dedicated IMD Broker Rep to have your set up requested. Sub-agents may still access Individual Applications & Forms and the CareFirst istore from the Brokers & Agents page see the attached screenshot. New CareFirst Connect Individual istore Enhancement On August 3, 2009 a new enhancement was implemented on the CareFirst Connect Individual istore. You will now find more detailed status descriptions for your submitted Broker Portal cases. This will affect ONLY applications submitted after August 3. Additionally, please note that paper applications will not be in the broker portal and will not have electronic status updates. Please see the attached list of updated status descriptions. Correspondence Contact List Update As of August 2009 we have updated the Correspondence Contact List. Please replace your Contact List previously sent in the July 2, 2009 Broker Flash. Section one of the form has been revised. For additional information or supplies, please contact: THE BROKER HOTLINE (800) or (410) is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Registered trademark of the Blue Cross and Blue Shield Association. Registered trademark of CareFirst of Maryland, Inc.

2 Broker Status (istore) - Descriptions Proposal Saved - Proposals that have been saved for a client, but not yet sent. Proposal Sent - Proposals that have been sent to a client. Proposal Viewed by client Proposal has been opened and viewed by prospective member. Incomplete: Applications that have been started (either from a proposal or otherwise), but not yet complete. Signature Required - esign only: The application must be esigned. Paper applications are not accepted. Signature Required - Printed: The unsigned application has been printed by wither the broker of record or carrier to obtain a signature from the client. Pending Medical Records Application is in Medical Underwriting awaiting Medical Records to be returned. Pending Carrier Missing Information HIPAA Application missing HIPAA Certificate Pending Alternative Coverage - Application has been approved but can not be enrolled until the exclusion; rate-up and/or pre-ex waiver is returned Pending Partial Approval Acceptance Application is approved. The primary applicant/or dependant (s) was excluded from the policy. Withdrawn - The application has expired, either voluntarily by the client, or by the carrier for a client's failure to provide necessary information. (Applicant declined rate-up exclusions, etc) Withdrawn Signature/Date Expired Application signature date has expired Declined - An application is declined only if all members on the application are declined. Approved - If a submitted application requires no modifications from underwriting, the application is approved or if the applicant accepted t Carrier Partially Approved - If an application is tentatively accepted by underwriting pending a rate-up or pending acceptance from approved members of a declined member, the application typically remains in a pending state until the applicant accepts the modified offer. 1

3 Broker Status (istore) - Descriptions Agent Portal Broker Status Pending Secondary Broker Message Pending Partial Approval Acceptance Description Primary Applicant Exclusion or Dependent Exclusion Pending Pending Alternative Coverage Exclusion, Rate Up and/or Pre-x Pending Pending Medical Records Additional Info Pending Approved Approved Pending - Carrier Missing Information Carrier Approved Carrier Partially Approved HIPAA Cert Requested Approved or Applicant accepted rateup/pre-x Applicant Accepted - Dependent Exclusion Declined Carrier Declined Declined Withdrawn Withdrawn Withdrawn - Voluntary Withdrawn - Signature/Date Expired Application has expired, either voluntarily by the client, or by the carrier for a client's failure to provide necessary information Application Expired 2

4 Broker Correspondence Contact List 1. Applications and Forms a. Completed and Signed Applications (except MHIP), Counteroffers/Rate-ups, Pre-X Waivers, Exclusions, Change forms, Cancellation requests, Letters of Creditable Coverage, or any Enrollment Correspondence only for a Member or Prospective Member on an Individual/Direct Bill policy: Mailroom Administrator PO Box and Lexington, KY Fax: b. Maryland Health Insurance Plan (MHIP) MHIP Broker Apps ONLY: App NOT accepted via fax original app must be submitted to: Mill Run Circle Owings Mills, MD Attn: Broker Sales Mail Stop MHIP Subsequent changes ONLY Fax: c. EZ Pay Forms FAX: CareFirst RR 291 ATTN: EZ Pay Individual Enrollment and Billing Red Run Blvd. Owings Mills, MD NOTE: Please contact your Broker Representative to handle special requests or you may call the broker line at Application Status Line: MD Personal Comp/Medigap DC/VA BluePreferred/BlueChoice MHIP only Automatic Debit Plan forms FOR BlueChoice and BluePreferred: Blue Choice and Blue Preferred Products: CareFirst Mailstop DC First Street, NE Washington, DC Attention: Individual Credit and Collections OR, fax to Premium Payments ***Include SID # on the check*** New Applicants: (No Payment Stub available) CFMI and GHMSI Products: Mill Run Circle Owings Mills, Maryland Mail Stop Code - OM1-700 Attn: Cashiers Existing Members: (Checks sent in with Payment Stub) CFMI Products: GHMSI Products: PO Box PO Box Baltimore, Maryland Baltimore, Maryland Attending Physician Statement (APS) forms can be sent to: a. BlueChoice MD, DC & VA: b. Personal Comp & Blue Preferred MD, DC & VA: CareFirst-Central Medical Review CareFirst Medical Underwriting Mailstop Code DC09-15 Mailstop CT First St. NE 1501 S Clinton Street Washington, DC Baltimore, MD OR, fax to OR, fax to or 7092 Rev 0809

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