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Carrier Updates

***This just in from UnitedHealthcare*** A Special Election Period may be availble to members affected by a weather related emergency or major disaster.

Hurricane Florence caused disruption in the Southeast. Federal Emergency Management Agency (FEMA) has declared a weather related emergency or major disaster in South Carolina and in the following North Carolina counties - Beaufort, Bladen, Brunswick, Carteret, Columbus, Craven, Cumberland, Duplin, Greene, Harnett, Hoke, Hyde, Johnston, Jones, Lee, Lenoir, Moore, New Hanover, Onslow, Pamlico, Pender, Pitt, Richmond, Robeson, Sampson, Scotland, Wayne and Wilson.  

Medicare beneficiaries affected by the hurricane and flooding that followed may be eligible for a Special Election Period (SEP). The SEP will run from the start of the incident through January 31, 2019.

Who is eligible?

  • Any beneficiary who resides in, or resided in (at the start of the incident), an area that Federal Emergency Management Agency (FEMA) declared an emergency or major disaster (see www.fema.gov/disasters). 
  • Beneficiaries who do not live in the impacted areas but receive assistance making healthcare decisions from someone who lives in one of the affected areas. 
  • The beneficiary had another valid election period at the time of incident, but did not make an election during that other valid election period. 

What does this mean for beneficiaries?

  • Eligible beneficiaries who were eligible for a different SEP, or aged into Medicare, but were unable to enroll in a plan during the allotted time period, have until January 31, 2019 to enroll. Enrollments received are effective the first day of the following month. For example, if a beneficiary aged into Medicare and had until September 15, 2018, to enroll but was unable to complete the enrollment process, the beneficiary can enroll now. If the beneficiary enrolls Oct. 10, 2018, the beneficiary’s plan will be effective Nov. 1, 2018.

Note: You must submit a paper application. Use the SEP enrollment code on the application, and write in Weather Related Emergency. Remember to use a2018 paper enrollment application when enrolling a consumer for an Oct. 1, Nov. 1 or Dec. 1, 2018, effective date.

Agent action
If a consumer contacts you as a result of this SEP, you may help them enroll in one of our plans and earn a commission. You must:

  1. Ask the beneficiary for proof that the beneficiary resided in an affected area (e.g., driver’s license or utility bill reflecting the beneficiary’s address).  
  2. If the beneficiary is unable to provide proof, ask the beneficiary if they attest that they lived/live in an area impacted by the hurricanes.
  3. Once you verify eligibility, you can proceed with the application.
  4. You must use a paper application. Use the SEP election type code on the application, and write in Weather Related Emergency.

Annual Enrollment Period (AEP)

Please note that this Special Election Period is in addition to the AEP. If beneficiaries in the impacted areas want to enroll in a plan, or change plans during AEP, with a Jan. 1, 2019, effective date, use the AEP election code, NOT the SEP enrollment code.     

Agent Support via Producer Help Desk (PHD)

  • Phone: 888-381-8581
  • [email protected]
  • Secure email request via Jarvis. Go to the Contact Us page and click ‘Get Started’, and then click ‘Create SR’.

Compliance questions? Email [email protected].