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How to Organize Your Life & Health Insurance Agency

How to Organize Your Life & Health Insurance Agency

How to Organize Your Life & Health Insurance Agency
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When you think about how to organize your life and health insurance agency there are many items to consider. A new year lends itself to thinking about new ideas. New ideas on how to manage your business better, increase efficiencies, and grow sales and revenue through improved productivity. 

Using these tips, your agency can become more proactive with your efforts and ensure you’re perfectly positioned to handle any changes the industry throws your way.

4 Tips for Organizing Your Business

There are many ways to organize your business, but here are four ways that I recommend you start with:

  • Streamline your processes: Identify any bottlenecks or inefficiencies in your current processes. This might involve automating certain tasks, delegating more efficiently, reorganizing your workflow, or finding redundant tasks or processes that can be eliminated.
  • Implement an industry-specific customer relationship management (CRM) system: A CRM system can help you keep track of customer interactions and data, manage sales and marketing efforts, and improve communication within your agency. Working “smarter, not harder” is a statement to live by when running your business.
  • Use technology to your advantage: There are many tools and software solutions available that can help you streamline your processes and improve productivity. For example, you could use a digital file storage system to reduce the time spent searching for physical documents, or you could use a quote comparison tool to speed up the sales process. Implementing technology can be scary, but in the long run, it can increase sales and free up your team for other tasks.
  • Review and optimize your staffing levels: Make sure you have the right number of employees to handle the workload in a timely and efficient manner. If you have too few employees, your team may be overwhelmed, and productivity may suffer. Time studies are a great way to see if your team is spending too much time on just the urgent tasks and not enough time on the important ones that will grow your business.

Once you have made your agency more organized, you can start to create processes to tackle any changes and ensure your team is equipped to handle them.

6 Steps to Follow When Managing New Industry Changes

Making a solid plan for your insurance agency is the only way to ensure that everything goes according to plan and that you get the results you want. You can approach changes by following these steps:

  • Determine the issue: You must clearly define the issue you’re attempting to tackle before you can develop a solution. This could be looking at data, speaking with your staff/leadership members, or doing customer research.
  • Set specific objectives: After determining the issue, you can specify the outcomes you intend to attain by making the necessary adjustments. These objectives must be time-bound, meaningful, quantifiable, reachable, and explicit (SMART) goals.
  • Create a plan of action: Create a plan of action with your goals in mind. This could include alterations to your organizational structure or workforce numbers, process enhancements, and technological fixes.
  • Share the plan: It’s critical to share the strategy with all parties involved, including staff members, clients, and other partners. This will aid in educating them about the alterations and what to anticipate, as well as increase buy-in and support for the strategy.
  • Monitor progress and adjust: As you implement the changes, it’s important to monitor progress and adjust as needed. This might involve collecting data and analyzing it or talking to employees and customers to get feedback.
  • Continuously improve: Once the changes are in place, it’s important to constantly monitor and improve the process. This will help you identify new opportunities for efficiency and growth and make sure that the changes continue to deliver the desired results over time.

6 Ways to Improve Productivity in Your Agency

Now that you’ve organized your agency and put processes in place to be proactive, it’s time to look at your agency’s productivity.

A fantastic way to increase output and performance at your insurance agency is by investing in your employees. Here are some ways you may support your team:

  • Give your team members the chance to learn and grow: By giving your team members the opportunity to learn and grow, you may assist them in improving their performance in their current jobs and acquiring new skills and information. Online learning opportunities, live seminars, or guidance from more seasoned coworkers are a few examples.
  • Encourage your staff to do professional development: Reward your team members who continue their education. This might be done by paying for their college expenses/continued education classes or by giving them credit for their newfound knowledge and abilities.
  • Create an atmosphere of transparency and recognition: Fostering open communication, praising and rewarding outstanding work, and attending to any issues or concerns that may arise will help to create a happy and supportive work environment. Even a simple “thank you” note!
  • Offer incentives and rewards: Giving your employees incentives and prizes can inspire them and increase productivity. Bonuses, stock options, or other kinds of monetary incentives are some common options.
  • Provide possibilities for professional progression: Offer internal promotions or leadership development initiatives as means of career advancement inside your organization. This can aid in employee retention and enable them to perceive a clear route for professional advancement within your company.

Investing in your team can create a more engaged, motivated, and productive workforce that is better equipped to help your agency succeed.

Putting forth efforts to organize your agency, create processes that improve your efficiency, and invest in your team all help your agency become more productive and able to manage the ever-happening changes in the life and health insurance space. Follow these tips to set the groundwork, but ensure you make the process unique to your agency and your needs.

How Pinnacle Financial Services Can Help

Contact a Pinnacle team member today for assistance with all your business marketing, sales, technology, and compliance needs.  Pinnacle gives you the infrastructure and business know-how to grow your company.  We can be reached at 800-772-6881 or sales@pfsinsurance.com

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Vice President | Marketing

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1 (800) 772-6881
support@pfsinsurance.com

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Medicare OEP

Medicare OEP

Medicare OEP
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Medicare’s Open Enrollment Period (OEP) is a time for individuals to review and adjust their Medicare coverage. Understanding the intricacies of Medicare OEP is essential for making informed decisions about healthcare plans. Below, we discuss the rules and opportunities with the Medicare OEP, which has replaced the previous Medicare Disenrollment Period.

Introduction to Medicare Open Enrollment Period (OEP)

The Medicare Open Enrollment Period, occurring annually from January 1st to March 31st, is pivotal for beneficiaries. It’s designed to offer flexibility and a chance to reassess one’s current Medicare coverage. This period is particularly significant as it replaces the former Medicare Disenrollment Period, which was limited to January 1st to February 14th each year.

Key Changes in OEP

One of the most notable changes in the OEP is its extended duration. Now, running for three months provides ample time for clients to consider their options without feeling rushed. During this period, beneficiaries have a one-time opportunity to change their existing plans. This flexibility is crucial for adapting to new healthcare needs or financial considerations that may have arisen since the initial enrollment.

Understanding “Like Plan” Changes

The OEP allows for changes to a “like plan.” Understanding what this means is crucial for making the right decision. The term “like plan” refers to a specific set of allowable changes. These include:

  • MAPD to MAPD: Beneficiaries can switch from one Medicare Advantage Prescription Drug plan (MAPD) to another. This option is ideal for those who wish to find a plan with different coverage details, network providers, or drug formularies.
  • MAPD to Original Medicare (and a Part D plan): For those who wish to return to Original Medicare, this option allows beneficiaries to switch from their MAPD plan. Additionally, they can enroll in a Part D plan for prescription drug coverage, ensuring they don’t lose prescription benefits.
  • MA Only plan to an MA Only plan: This change enables beneficiaries to switch from one Medicare Advantage (MA) plan to another. It’s an essential option for those satisfied with having their health and medical services under Medicare Advantage but seeking different coverage specifics.
  • MA Only plan to Original Medicare: This choice is for beneficiaries who prefer the flexibility and broad network of providers that Original Medicare offers, allowing them to move away from a Medicare Advantage plan.

Importance of Personalized Advice

While the OEP provides an opportunity to make changes, switching should be based on individual healthcare needs. It is advisable to consult with a healthcare advisor or use Medicare’s resources to understand the implications of each option. Personalized advice can help beneficiaries navigate the complexities of Medicare and make choices that align with their healthcare needs.

During the OEP, you may not: During the OEP, you may:
Send unsolicited materials advertising the ability/opportunity to make an additional enrollment change or referencing the OEP Market to age-ins (who have not yet made an enrollment decision)
Specifically, target beneficiaries who are in the OEP because they chose AEP by purchasing mailing lists or other means of identification Market to dual-eligible and low-income subsidy (LIS) beneficiaries who, in general, may make changes once per calendar quarter during the first nine months of the year
Engage in or promote agent/broker activities that intend to target the OEP as an opportunity to make further sales At a beneficiary’s proactive request, send marketing materials have one-on-one meetings, and provide information on the OEP
Call or otherwise contact former enrollees who have selected a new plan during the AEP Include general information on your website about enrollment periods, including OEP.

Medicare’s Open Enrollment Period allows beneficiaries to reassess and adjust their healthcare plans. By understanding the rules and options available, such as the ability to switch to a “like plan,” beneficiaries can make decisions that better suit their evolving healthcare needs. It’s a time for careful consideration and consultation with Medicare experts to ensure the choices are in the best interest of one’s health and well-being. However, navigating the complexities of Medicare can be challenging.

For personalized guidance and more detailed information on how OEP works, it’s advisable to contact a knowledgeable Medicare team member. Pinnacle Financial Services provides expert assistance and can be a valuable resource in this process. You can contact us at 800-772-6881 x-7731 or email support@pfsinsurance.com for support. For more comprehensive insights and updates, visit our OEP page. The team can help you understand the nuances of Medicare plans and ensure that your choices are in the best interest of your client’s health.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Vice President, Marketing

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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CMS’ 2025 Proposed Final Rule

CMS’ 2025 Proposed Final Rule

CMS’ 2025 Proposed Final Rule
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The Centers for Medicare & Medicaid Services (CMS) has introduced a proposed rule, CMS-4205-P, aimed at amending current regulations for Medicare Advantage and Part D programs. This proposal, set to take effect for the 2025 contracting year beginning September 30, 2024, includes significant changes in Medicare marketing and communications policies, particularly concerning agent and broker compensation as outlined in Section 1851(j) of the Act. These changes are expected to have a substantial impact on the Medicare sales distribution landscape.

We recognize that this approach could have some drawbacks, particularly as this policy would, in effect, leave agents and brokers unable to directly recoup administrative costs.

– The Centers for Medicare & Medicaid Services

These changes impacting FMO/Agency support, training, technology, and other items will impact beneficiary choice by reducing the agents that are not only offering Medicare Advantage but offering a wide variety of plans. In essence, this rule will have the opposite effect of what is being put forth.

In addition, the notion that small regional plans are getting anti-selected just does not stand up to what we see in the market. The free market year over year has varying top carriers including what regional carriers increase market share. The best plans for individual Medicare beneficiaries are what will continue to drive what plans are sold, period.

Key Aspects of the Proposed Rule Involve…

Eliminating Administrative Fees/ Overrides

The proposed rule intends to abolish compensation above the CMS maximum for individual agents/brokers, including overrides/admin fees paid at agency levels and higher. This could significantly affect agencies, especially those at the FMO/NMO level impacting the support, technology, and services being provided to agents. Find additional details on the Pinnacle 2025 Proposed Rule page.

Restrictions on Services Provided to Medicare Agents

Agencies and uplines may no longer be able to offer services such as quoting, enrollment platforms, such as Connecture and Sunfire, CRM software, support services such as website creation, logo designs, compliance guidance, discounted E&O and CE’s, marketing plan guidance, and agent/agency contracting.

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Impacts on Different Agency Types

While all agencies would be impacted, LOA agencies and those focusing on ancillary product sales or who offer Medicare as a secondary service might find it easier to adapt to these changes. Agencies that are heavily focused on Medicare Advantage will be greatly impacted.

Changes in Marketing Reimbursements & Health Risk Assessments (HRA) Fees

The proposed rule plans to prohibit reimbursement payments/marketing allowances to agents/brokers for expenses and eliminate payments for completing HRAs.

Modifications in Commission Structures

Commission rates would continue to be standardized. This would include a small administrative increase that would in no way compensate for all of what would now be needed by agents.

Operational Adjustments for Agents & Agencies

The absence of uplines could necessitate direct contracting with carriers by agents and agencies, potentially leading to delays. Additionally, questions usually addressed by uplines must be directed to the carriers. If, and how quickly would carriers staff up to meet the huge demand of contracting, certifications, product training and more.

Our Industry’s Voices Need to be Heard

The CMS-4205-P proposal is a comprehensive document addressing these and other areas, detailed over hundreds of pages. The proposal is open for public comment until January 5th. CMS encourages professional and constructive feedback, particularly focusing on the value provided to clients and the potential impact of these changes on service capabilities. Comments can also be submitted through Regulations.gov.

What about Pinnacle?

Our team at Pinnacle will continue to be there to support your business and have made available resources for you to navigate and understand the 2025 Proposed rule and how it will impact not only your business but your Medicare clients. For more information, go to our 2025 Proposed Final Rule page for more detailed information on the rule and how to comment.

Reach out to a Pinnacle team member today with any questions.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Vice President, Marketing

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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2024 Scope of Appointment

2024 Scope of Appointment

2024 Scope of Appointment
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The 2024 Scope of Appointment rules have changed, yet again, for this year. Due to the 2024 Medicare Final Rule, there have been added regulations put into place regarding the collection of SOAs.

2024 Final Rule SOA Updates

The Centers for Medicare and Medicaid Services (CMS) implements sweeping changes to the Medicare system every year. Changes can impact the agents, carriers and clients alike. Over the past few years, rules and regulations have been aimed at stopping unfair marketing practices with large-scale call centers. Unfortunately, these updates have had a negative impact on individual sales agents as well. Here are the changes to this year’s scope of appointment rules:

  1. 48-Hour waiting period reimplemented. SOAs are required before meeting with a beneficiary to have any discussions that may lead to a sale. Agents must now wait a full 48 hours to conduct a personal marketing appointment. Exceptions to this include the last 4 days of a valid election period and if a beneficiary initiates an unscheduled in-person meeting (walk-in into an office).
  2. SOAs are limited to 12 months from the beneficiary’s signature date or the beneficiary’s request for information.
  3. SOAs are no longer allowed to be collected at educational events. This prohibits agents from setting up future sales appointments while at educational events. However, BRCs (Business Reply Cards) can be made available to collect beneficiary information.

Where does Pinnacle Financial Services come in?

Pinnacle Financial Services is a full service “FMO” that offers the best technology in the business, top-notch back-office support, and on-demand training to ensure you stay 100% compliant. It’s never too late to start. Call us today and ask about our exclusive IE-SNP product!

AEP is here! Check out our AEP Toolkit

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

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Best Medicare FMO

Best Medicare FMO

Best Medicare FMO
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The Medicare market has grown by leaps and bounds over the past several years. Independent insurance agents have plenty of options when searching for the Best Medicare FMO for Medicare agents to help them grow their Medicare business.

FMO PROMISES:

In the sea of Medicare agencies, agents will have plenty of options with claims such as “The Best Medicare FMO” or “Best IMO” you can find when doing their due diligence.

But what does it take to be considered “The Best FMO”?

Here at Pinnacle Financial Services, we strive every day to be just that, the best for our agent partners. And for us, service is job one.

In our company’s long history of working in the Medicare market, we know that as an independent agent, having a support structure in place is crucial to growing their business.

And we are not done there.

MEDICARE FMO VALUE PROPOSITION:

Pinnacle provides at no charge all the tools and technology you will ever need.

  • Medicare Quoting
  • Quoting App for Phone or Tablet
  • Access to Connect4Medicare(the top Medicare quoting, comparison, and enrollment tool)
  • Online Contracting
  • Free Lead Program Option
  • Top Medicare Commissions
  • Ongoing Training (both in-person and remote)
  • Free CE Credit Option
  • CRM System

Next Steps for Medicare Agents:

So, whether you are new to selling Medicare plans or have a long history, we want to help you grow your business. Our experienced support staff is ready to answer all your questions.

Call us today to find out more about how Pinnacle Financial Services can be the best Medicare FMO for you.

For more information, contact a Pinnacle Financial Services representative today

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

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Medicare HRA’S

Medicare HRA’S

Medicare HRA’S
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Medicare, a federal health insurance program largely for people 65 and older, works hard to raise the standard of care it offers its participants. The Health Risk Assessment (HRA) is one important instrument that has been incorporated into its framework. Beneficiaries who comprehend the HRA and its implications will be better able to make decisions concerning their health.

What is a Health Risk Assessment (HRA)?

Medicare beneficiaries fill out an HRA, a questionnaire that asks them detailed questions about their lifestyle, medical history, and health-related habits. The assessment’s goal is to locate any potential health problems, such as ailments that could worsen if not treated right away. This proactive strategy guarantees that people get the proper care at the appropriate time, potentially preventing serious health difficulties in the future.

Why is it Important?

  • Individualized Care Plans: Using the findings from the HRA, healthcare professionals can design a personalized care strategy that takes into account the beneficiary’s particular requirements and risks. Better health outcomes and more individualized care are the result.
  • Prevention: Prompt intervention can delay the onset of some diseases or ailments by identifying risk factors early. For instance, nutritional recommendations or guidance on blood sugar monitoring may be given to someone with a family history of diabetes and particular lifestyle choices.
  • Cost savings: Over time, taking preventative action and getting help right away can save a lot of money. Hospitalizations and expensive treatments are reduced when prospective health problems are addressed before they become serious.

Medicare HRA’s Agent Compensation

As an agent of Pinnacle, you are easily able to quote and enroll your clients on our Connecture and/or Sunfire platform. In both of these platforms, you are given the opportunity to complete the HRA’s right after the enrollment. Agents will also get paid to complete, so it is a win/win situation. The amount of payment can vary, so make sure you speak to a Pinnacle Medicare representative to get all the details.

Where does Pinnacle Financial Services come in?

Pinnacle Financial Services is a full-service “FMO” that offers you some of the best technology in the business, like our proprietary Connect4Medicare platform, top-notch support service, and personal sales and marketing from the very start. There is no sales quotas or commitments that you need to make to us, as we just want to help you grow your business. This is a win-win opportunity for all of us, so what are you waiting for? Join us at the top!

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

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1 (800) 772-6881
support@pfsinsurance.com

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