The Medicare Annual Enrollment Period is a busy time of year for agents/brokers. But it cannot be a time where you cut corners for any reason! It is important that you always do a full and thorough sales presentation and enrollment with your clients. Compliance is everyone’s responsibility.
Through secret shopping CMS has identified areas of concern related to the marketing and sales activities that occur with Medicare beneficiaries. A primary concern is that information being provided is confusing, misleading and/or inaccurate. And this concern is not just around marketing materials but also around beneficiary experience in making enrollment decisions for a plan that best fits their needs.
CMS has advised of the following immediate actions they will take during the 2023 AEP to address these concerns:
Additionally, CMS advised of some best practices and agents should expect additional oversight around the following:
Clover offers tools and resources in addition to CMS’ best practices that can help ensure agent/brokers’ engagement with beneficiaries is compliant, clear and a positive experience. Please be sure to download Clover's market-specific sales presentation from the Marketing Portal. As well, download and utilize Clover’s Medicare Beneficiary Needs Assessment form to help document the process by which you determine the plan that best fits a beneficiary’s needs.
Questions about Compliance, sales best practices or Clover’s tools and resources for agents/brokers, please contact your Sales Manager or Broker Support. Also, as a reminder, please respond promptly if contacted by Clover Compliance.
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