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Home Posts tagged "Medicare Sales training"
Why insurance agents fail

Why Insurance Agents Fail

By Ed Crowe | General Articles | 0 comment | 26 March, 2024 | 0

Why Insurance Agents Fail

Anyone considering going into the field of insurance sales needs to understand why insurance agents fail.  Hopefully our tips will help you avoid some of the pitfalls of insurance sales. Although insurance sales can be a profitable business, many new agents do not make if past the first year.  There is a lot more to it than just getting your license and waiting for the checks to roll in.

Agents don’t understand the real reason some agents are successful

The most important thing agents need to keep in mind is that they are there to provide a service to their clients not just to make money. Unfortunately, too many agents are focused on how much they will make instead of how to provide a valuable service that people need. When the only objective is to make money, many agents fail.  It is obvious to the clients when a person has their best interest at heart, and they appreciate that.  When they find a good agent, they are more than happy to spread the word to their friends, co-workers or relatives.  The same is true if they are unhappy. with the service they receive. Unhappy clients make is difficult to survive in the industry for the long term.

Expecting instant success

Many first-time agents think once they have their license, they will be making lots of money.  In reality, it is not easy to get into the field of insurance sales and it can take a few years before you really start to see a large paycheck.  The business is built one sale at a time and good agents keep their current clients happy as well as work at expanding their book every year.  It is a good idea to set small goals that lead to reaching larger ones.  There are many carrier certifications for products like Medicare, a newer agent may not be aware of the time and effort it takes to get set up to offer the number of carriers they need or to complete all the CMS certifications.  They also need to know, these are things that they will need to complete annually in order to be ready to sell.  It can be a bit overwhelming when first starting out.

Neglecting to make a business plan

It is imperative to build a business plan.  Decide where you are going to work (home or in an office space).  Get the proper tools to be successful, (computer, phone copier office supplies).  Organize yourself, think about how you are going to track commissions and clients.  Prepare a filing system and how you are going to build your book of business.

Not focusing on the client

There is no way to be successful in insurance sales if you don’t build good relationships with your clients.  We cannot stress this enough!  When your client has a question about a product you offer, your name needs to come to their mind.  If they do not know you are there for any questions or concerns they have, they may ask someone else and then you lose that business.  Be available to them as much as possible.  Do not let another agent do the job you want.

The most important way to build a relationship is to understand the client’s needs and do your best to provide what they want.  It is great to focus on the sale but if the client is unhappy, you lose not only the sale but the referral.  That can cost you in the end. Great customer service promotes long-lasting relationships. If you don’t have these, you have no book of business.

Learn how to get referrals

Lack of focus on a specific product line

As an insurance agent, you may have licenses to sell several different products.  When getting started, it is best to focus on one type of product. It is important that you understand any product you are trying to sell to someone else very well.  This way you can answer any questions that come up and ensure that the client gets the product that best fits their needs.

Find out about how to start and insurance agency

It is easy to get carried away and want to offer every possible product.  It is best to set yourself up as an expert in an area and add other products once you are ready.

Not finding good leads

Finding good leads is one of the biggest issues insurance agents face.  Good leads usually do not come cheap and cheap leads don’t usually result in a large number of sales and require a lot of work and multiple attempts before a sale is made.  Agents working leads need to be able to handle rejection and even anger at times.  In other words, it costs money to make money.  Good leads result in more sales but you need the capital to purchase them in the first place. The frustration of bad leads can cause an otherwise good agent to struggle and even give up on their business.  ‍

Watch a video on our pre-set lead program

Not using the tools available

Not staying up to date with the tools that are available can keep an agent from growing.  In this industry there are always changes.  There are new tools introduced that make life easier every day.  This can save hours every day and give you the option to meet more potential clients and in turn make more sales.  remaining aware of what’s going on will help agents stay current and provide the best service to clients.

Watch a YouTube video and Learn how to quote and enroll with Sunfire.

Technology adds so many options to reach a greater audience than it did just a few years ago. Things like Facebook, zoom meetings and other social media platforms allow agents to reach a wide audience.  Employing these tools can make a huge difference in getting your name and business out in front of an audience.  the more people know about your business the better chance you have a being recognized as an authority on the products you offer and your chances of making a sale increase.

They don’t understand how to network

It is imperative to build relationships with other professionals in the business.  They provide a wealth of information and experiences, tips and ideas that can be invaluable. Other agents provide insights as to what works and does not and can save you from learning the hard way.  Other agents know how difficult it is to get started and can provide encouragement.  They can explain which tools are worth the time and which ones are not.  Networking also includes other professionals in other fields that may have leads to send your way.    ‍

Do you want to join a team that supports their agents, click here for online contracting

Agents try and go it alone

Agents need support that goes beyond their network of professionals.  A good mentor or upline is a great way to get advice who has your best interest at heart.  These are people who are willing to invest time into your career and want you to succeed.  A few things uplines can help you with are, contracting, answering any questions about carriers, products or sale. They also might help you figure out the best business plan for your personal sales style.  A mentor is a great asset to have especially if they have been in the business a long time and have had success.

See what Crowe has to offer their agents

The support of friends and family helps ensure agents do not give up when they are frustrated and may also provide guidance when needed.  There are many moving parts when it comes to the insurance industry, if an agent can navigate them and remain focused, positive, educated and compliant, they can have a successful career.

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Medicare special enrollment period

Medicare special enrollment period

By Ed Crowe | General Articles | 0 comment | 21 March, 2024 | 0

Medicare special enrollment period

If you have a client that needs a Medicare plan outside their IEP, you need a Medicare special enrollment period to get them the coverage they need.  In this post, we go over the different special enrollment periods and how clients qualify.

Understanding Medicare Special Enrollment Periods

Medicare Special Enrollment Periods are designated times outside of the IEP (Initial Enrollment Period) or the AEP (Annual Enrollment Period) when individuals can make changes to their Medicare coverage. These periods are only allowed under specific circumstances.  The SEP provides an opportunity for individuals to enroll in a Medicare plan or change their existing coverage.

Watch a YouTube video on SEPs

Qualifying Events for SEPs

There are several life events that provide Medicare beneficiaries an opportunity for a Special Enrollment Period. We have listed some of the more common events that qualifying for an SEP below.

Moving

If a beneficiary moves to a new location that isn’t served by their current Medicare plan, they are eligible for an SEP.

Losing employer coverage

When an employee or their spouse loses their existing employer-sponsored health coverage, they qualify for a SEP to enroll in Medicare.

Qualifying for Extra Help

If a beneficiary qualifies for either their state’s  Extra Help program or Medicaid, they qualify for an SEP and have the ability to change their plan as much as 1 time per quarter for the first 3 quarters of each year.

Click here to view more SEP details

Maximizing Special Enrollment Periods

If your client qualifies for a Special Enrollment Period, it’s essential to act promptly to make sure they get the coverage they need within the time limits for the SEP. Here’s what you need to know to use the SEPs:

Know the deadlines

Each Special Enrollment Period has a specific deadline, so be sure to understand when the enrollment window opens and closes.

Review all plan options

Agents should take the time to review their client’s Medicare coverage options carefully. Consider factors such as premiums, deductibles, copays, network of providers as well as prescription drug coverage (when applicable) to find the plan that best fits their personal needs.

We provide many benefits to all our agents, including free quoting & enrollment tools.  These quote engines make it easy to look at the top plans side by side for your clients review.

Learn about Connecture & Sunfire

Explore Additional Benefits

Medicare Advantage plans offer additional benefits beyond Original Medicare, such as dental, vision, otc benefits, and much more. Show the client a side by side comparison of the top plans and see e which one fits their needs.

Stay Informed

Keep yourself informed about changes to Medicare rules and regulations, as well as any updates to coverage options. Staying informed helps agents remain compliant and provide the best advice to their clients.

Find out about SEPs for Emergencies or Disasters

Medicare Special Enrollment Periods are valuable opportunities for individuals to changes their coverage outside of typical enrollment periods. By understanding who qualifies for a Special Enrollment Period and how to use it, you ensure that clients have the coverage they need.

It is important to review all the options available to your clients and be sure they make an informed decision.  Click here to learn why you should contract with multiple Medicare carriers.

Medicare SEPs

Medicare SEPs

By Ed Crowe | General Articles | 0 comment | 14 March, 2024 | 0

Medicare SEPs

If you are in Medicare sales, you know there are several opportunities to enroll a client in a Medicare plan, that is why Medicare SEPs are so important to understand. There are times when a beneficiary qualifies for an SEP such as; if they move or lose their current coverage through no fault of their own.  If they lose coverage for non-payment, they do not qualify for an SEP.

As of January 1, 2024, beneficiaries who sign up for Part A and/or Part B due to an exceptional situation, have a 2 month period to enroll in either a Medicare Advantage Plan (MA or MAPD) or a Medicare Part D (PDP). Plan coverage begins on the first day of the month after the plan receives your application for enrollment.

Click here to view more  SEP details

Below we list some common reasons for an SEP

Your client moves to a new location:

If the beneficiary’s new address is outside the PDP or MA/MAPD plan’s service area, they qualify for a special election period.  When this happens, the beneficiary must notify the plan’s carrier. If the beneficiary notifies the plan before they move, they can change plans anytime the month before they move and up to 2 months after the move.  When the beneficiary does not tell the plan before they move, they can change plans starting the month they notify the plan and continues for 2 full months after the move.

If the beneficiary does not choose another Medicare Advantage plan, they will be enrolled in Original Medicare once they are disenrolled from their previous plan.  The enrollee can decide to use this election period to return to Original Medicare and add a Medicare Supplement and PDP plan.

The client moves back to the U.S. after living outside the country

There is also an SEP available for qualified U.S. citizens who lived outside the country and recently moved back.  This SEP last for 2 full months after the month they move back.

Clients recently moved out of a nursing home or rehabilitation facility

When this is the case, the client is eligible to enroll in a MA/MAPD, PDP or Original Medicare and  a Med Supp.  This SEP is available to individuals any time during their stay in the facility and last for up to 2 full months after they leave the facility.

Individuals who are released from incarceration

Those who were incarcerated and released qualify for an SEP as long as they kept paying for their Part A & Part B coverage while incarcerated.  They have 2 full months to enroll in a Medicare plan form the date they are released.  Please note: Part A & Part B  must be in place before they can enroll in coverage.

Loss of current coverage

There are a few times this may be the case including; they are no longer eligible for Medicaid or lose their employer or union coverage. When this happens, the beneficiary can then switch to Medicare Advantage, drop the Medicare Advantage plan and return to Original Medicare and a PDP plan. If this happens, it is important to enroll in a new plan to avoid a lapse in creditable coverage which can result in a penalty.

Chance to enroll in other coverage

Beneficiaries can drop their MA/MAPD or Part D plan if  they have a chance to enroll in another plan offered by a union or employer. This SEP is available anytime during the year, although it is important to be sure there is no lapse in coverage. This can also be the case if a beneficiary qualifies for Tricare or VA coverage.

Plan changes its contract with Medicare

There are circumstances when Medicare takes an official action called a sanction to protect beneficiaries. If this happens, the contract the insurance carrier has with Medicare is changed and the differences can affect the plans that beneficiaries enrolled in. When this is the case, the beneficiary can enroll in another MA/MAPD or PDP plan offered by either the same or a different carrier.

Watch a YouTube video on OEP, SEPs & late Part B enrollment

Some special circumstances

There are several other circumstances that allow beneficiaries a special enrollment period. Here are a few examples:

If the beneficiary is eligible for both Medicare and Medicaid.

When the beneficiary qualifies for the Extra Help, they may qualify for a Special Needs Plans that provides additional benefits.  In the event they lose Extra Help, this also provides a SEP.

If the beneficiary dropped a Medicare supplement to join a Medicare Advantage plan, they have a “trial right” period they can use to drop the MA/MAPD plan and go back to Original Medicare if they change their mind.  This period last for 12 months.

More special circumstances

When there is a 5 Star plan available, beneficiaries can drop their current coverage and enroll in the 5 Star plan anytime from December 8th through November 30th of the following year. In the event, a beneficiary is enrolled in a plan that is rated less than 3 Stars for the last 3 years, the beneficiary is qualified to switch to a higher rated plan.

If the beneficiary has a specific disabling condition, there are CSNP plans available to provide extra care to those individuals.  Individuals can enroll in this plan anytime, although you cannot use this election to make any further changes.

There are also opportunities to change plans if a beneficiary misses their chance to change plans due to a Weather related or other FEMA disaster that occurs during a valid election period.

If you are an agent who is looking for an FMO, find out what Crowe has to offer.

If you are ready to join the team at Crowe, click here for online contracting

As you can see, there are many qualifying life events that results in a special enrollment period.  If you have questions or need to look at plan options, you contact your Medicare agent or if you are a Medicare agent with questions on SEPs, contact your upline for help.  For more assistance; call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

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Starting an insurance agenc

Starting an insurance agency

By Ed Crowe | General Articles | 0 comment | 13 March, 2024 | 0

Starting an insurance agency

If you enjoy helping people get the medical coverage they need, have the ability to make a sale and want to build your own business, starting an insurance agency might be the perfect venture for you.  In this post, we’ll walk you through some of the steps you need to take to start your own insurance agency and set yourself up for success.

Before you start an insurance agency, it’s crucial to research the type of insurance products you plan to offer and develop a solid business plan. There are many types of insurance products you can market; this includes; auto, home, life, health or Medicare.  Once you are licensed to sell the products you decided to offer, you need to identify your target market, understand their needs, and assesses the competitive landscape.

Licensing and Education

To become an insurance agent, you’ll need to obtain the necessary licenses and certifications. These requirements vary depending on the types of insurance you plan to sell and your location. Most states require pre-licensing education courses and passing a licensing exam. Additionally, ongoing education may be required to maintain your license.

Click here to learn how to get an insurance license in CT.

Choose the products you want to focus on

While it’s essential to offer a variety of insurance products, choosing to sell a particular product line helps you focus your efforts and lets you gain extensive knowledge in a specific area rather than learning a little about several things.  Focusing on a specific demographic, industry, or type of coverage can bring you to the forefront of an industry and differentiate your agency from competitors.

Learn how to build a successful Medicare agency

Legal Structure and Insurance

Before you start, you should decide on the legal structure for your agency.  Do you want it to be a sole proprietorship, partnership, LLC, or corporation. Consulting with a lawyer can help you make the best choice and ensure compliance with local regulations.  This will protect your agency from liabilities.

You also need to purchase insurance for your agency, such as errors and omissions (E&O) insurance, to protect your assets from potential lawsuits.

Build Your Team

As your agency grows, you may need to hire additional staff to handle sales, customer service, and administrative tasks. Depending on the job you are filling, you should look for individuals who are knowledgeable about insurance products, customer-oriented, and who enjoy helping others. If you are hiring back office staff, you need individuals who represent your business in a professional manner and have office skills.  These individuals need to earn about the insurance business over time.  Once they do, this will be a huge value add. It can take some of the pressure off you to answer every question that comes up and it frees up your time to concentrate on other things such as recruiting.

Watch a YouTube video on how to recruit insurance agents

Joining a good, supportive FMO can also be a great way to get guidance on how to grow your business into a successful agency.  A good FMO provides you with advice , training an many other tools that will help you grow your business into a well-oiled machine!

Are you ready to join the team at Crowe, click here for online contracting

Create a Marketing Plan

Develop a comprehensive marketing strategy to attract clients and generate leads for your agency. Utilize a mix of online and offline marketing tactics, such as social media, email marketing, networking events, and advertising. Consider partnering with other businesses or organizations to expand your reach.

Take a look at the CMS marketing guidelines

Set Up Your Office

Whether you choose to operate your agency from a physical location or work remotely, it’s essential to create a professional and inviting workspace for you and your team. Invest in essential office equipment, such as computers, phones, and furniture, and establish efficient workflows to streamline operations.

Focus on Customer Service

Providing exceptional customer service is key to building long-lasting relationships with your clients and earning their trust. Be responsive to their needs, communicate clearly and effectively, and go above and beyond to exceed their expectations.  If you follow this advice, you will maintain your book of business as well as get free leads from the recommendations of other happy clients.

Learn how to maintain your book of business

Stay Compliant

Stay up to date with industry regulations and compliance to ensure that your agency operates legally and ethically. This includes adhering to privacy laws, maintaining accurate records, and following industry best practices.

Watch a YouTube video on Medicare marketing rules for 2024

Continuous Learning and Growth

The insurance industry is constantly evolving, so it’s essential to stay informed about new trends, technologies, and regulations. Invest in ongoing training and professional development opportunities to enhance your skills and keep your agency competitive.

Starting an insurance agency requires hard work, dedication, and perseverance, but with the right approach and mindset, it can be a rewarding and lucrative endeavor. By following these steps and staying committed to providing value to your clients, you can build a successful insurance agency that makes a positive impact in your community.

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Maintaining your Medicare book

Maintaining your Medicare book

By Ed Crowe | General Articles | 0 comment | 5 March, 2024 | 0

Maintaining your Medicare book

After you make the sale, maintaining your Medicare book is extremely important. The happiness of your existing clients is as important as brining in new business.  Both new and existing clients add to your bottom line and keep your business going.  In fact, if you maintain good relationships with all our clients, they will refer their friends and family to you, and this provides a continuous stream of business. Staying in contact with your clients on a regular basis, reminds them that you are there for them and keeps them from looking for help from another agent.

Stay in contact with your clients

There many opportunities to stay in contact with your clients. It is important to be consistent with this so they remember you are there for them if they have any questions or concerns.  This prevents them from seeking guidance from another available agent.

Are you looking for an FMO; click here to learn why we could be a good fit!

Examples of when to reach out:

  1. After their application is submitted, you should let them know when it is approved and approximately when to expect their new card.
  2. Once they enroll in a new plan, it is a good idea to check in and see if they are happy with their choice.
  3. At the beginning of AEP or a little before, you can contact them to get any health , medication or provider updates needed to check plan options for the following year. Remember, you cannot discuss new plan details until October 1.
  4. If a potential client is coming up on their IEP.
  5. When a client has an SEP opportunity.
  6. It is a good idea to send each client a birthday or condolence card when appropriate.
  7. If you have any pertinent information that the client may want to know about.  If you are hosting an event, or there is something else you think they need to know.

Keeping up to date of client information will make it easier to stay in contact. If you have an automated system to remind you of important dates, that is helpful especially once your book grows.

Ways to initiate contact

These days, there are several ways to contact your clients. If you are sending an important message with a deadline, it may be best to pickup the phone and give them a call or test message.  Here are some ways to communicate with your clients or prospects:

  1. Make a phone call or send a text.
  2. Schedule a video call or zoom meeting.
  3. Mail them cards or other general information that is not urgent.
  4. If they are ok with it, you can send them an email.  For bulk emails, be sure to include an opt out.
  5. For general information, you can post announcements on your social media platforms such as Facebook, or LinkedIn.

If you are ready to join the team at Crowe;  fill out our online contract

Compliant communications

No matter how you choose to communicate with your clients, it must be compliant with CMS regulations.

  1. Get a permission to contact from your potential client
  2. If you plan to make phone calls or send texts, be sure to abide by the (TCPA)Telephone Consumer Protection Act guidelines.
  3. Be sure to record any marketing, sales or enrollment calls you make to remain compliant with CMS’s regulations.  If it is a phone call to an existing client say hello or check in , you do not need to record it.
  4. Always comply with the CAN-SPAM Act for emailing

Click here to view a YouTube video of the key elements to a compliant phone recording

It is important to follow compliance guidelines when you send out a bulk email.   Be sure you do not use misleading information in your email.  If you are sending an advertisement, make that clear when possible.  Always include an opt-out for future communications.  It is important to include your contact information and address in your signature.  Agents must include a TPMO disclaimer on all email communications.

In the event you are sending an email to a specific client, you may not need to follow all the rules exactly as stated.  Always use your best judgement and if you are in doubt best to err on the side of caution.

Sending out mail

If you are sending out a card, application or something else to just an individual, it is a good idea to include instructions, contact information and postage paid return envelopes when necessary.  When you are sending out bulk advertisements or informational mailings, don’t forget to follow all CMS guidelines.

Watch a YouTube video on New Medicare marketing rules for 2024

More about using social media

Social media communications are a fantastic way to reach thousands of beneficiaries. You can use these platforms to build your credibility as a source for Medicare information.  Be sure to invite your clients to like your page and let them know you will put interesting or helpful information on there so they should make it a point to check it.  You can  post important deadlines and update for clients and anyone who may view your information. If you are going to be at a local event or hosting an sales or educational event, this gets the word out to everyone quickly. These types of platforms are a good way to get important information out as well as a tool for marketing.

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Resources for new Medicare agents

By Ed Crowe | General Articles | 0 comment | 13 February, 2024 | 0

Resources for new Medicare agents

 Consider joining an experienced upline/FMO

Agents who contract with an experienced upline/FMO have a much easier time getting up and running.  A good FMO provides invaluable resources for new Medicare agents such as contracting, training, tools and guidance they need to be successful in the Medicare field.

Click here to watch a YouTube video on what Crowe has to offer.

Training

One of the most important tools a good FMO provides is training.  Agents not only need to learn the ins and outs of Medicare and how each plan works but they also need to understand the rules and guidelines put in place by CMS and the insurance carriers.  On top of that, they need to know where to get leads and how to make a sale once they have the leads.  As you can see there is a lot of things an agent needs to know before they have a successful Medicare sales business.

Crowe provides our agents multiple ways to get the knowledge they need to succeed including webinars, zoom meetings, in-person training events, one-on-one phone calls with our sales directors, back-office staff or Ed Crowe.  If this is something you would like, we can partner new agents with an experienced agent who can provide guidance.

Learn more about Medicare agent training opportunities.

Visit our events and information page and stay up to date on our upcoming webinars and zoom meetings.

E&O Insurance

Before you contract with the carriers or make a sale, you need to have E& O insurance in place.  E&O protects you in the event you make a mistake in the sale of an insurance product that costs your client a lot of money.  Click here to learn about our discounted E& O Coverage options.

Build an Online Presence

These days everyone is online, that is why it is important to create an online presence.  Once you do, clients can find you easily and see what you have to offer.  An online presence also helps build brand recognition which lends itself to credibility.  There are several ways to do online marketing including, building a website.  Because Crowe and Associates is part of Pinnacle Financial services, our agents have access to their design team who provide free website design help, logo creation, digital marketing or help creating mailers.

there are other ways to create a solid online presence including through a Facebook page, LinkedIn or YouTube just to name a few.

Click here to learn how to create a Facebook business page.

As we mentioned above, the best way to build an online presence is through a website.  Adding a blog to your website is a great way to present helpful tips and information.

Click here to learn how to create a blog.

Quoting and Enrollment

Once you have a good idea of all the rules, regulations and plan details, you will need a quoting and enrollment site you can use to enter each client’s information and show them comparisons of the top plans that fit their needs and budget.  Crowe and Associates provides our agents with free quoting and enrollment tools.

Make sure you fill the application out correctly

We provide the technology that makes quick and accurate comparisons easy. Our quote engines, Sunfire & Connecture provide agents with a built in CRM to store the client’s information including name, address, birthdate, Medicare ID, Medications. pharmacies and doctors.  The CRM makes running a quote quick and easy once you ensure the client’s information is up to date.  Our quote engines also provide agents a PURL (quoting and enrollment link) you can add to your website so clients can run their own quotes and even enroll if they want.

Watch a YouTube video – how to use Sunfire

See how to use Connecture to quote and enroll

Call Recording Rules

All agents need to be aware when CMS’ implements a rule.  You need to be aware of the CMS call recording rule. This rule requires agents to record all sales, marketing, and phone enrollment calls.

Learn the rules for collecting a scope of appointment

Find out about the Medicare sales event guidelines

Both Connecture and Sunfire have call recording capabilities that keep our agents compliant.

Take a look at the 2024 Medicare advantage commissions.

If you are already contracted with Crowe and want to add a carrier, click here

How to find leads

Watch a quick video on ways to generate Medicare leads

Now that you are contracted and ready to sell, you might need some leads so you can start selling.  You can use some of the online lead sources we mentioned in previous paragraphs, but there are many more ways to get Medicare leads.

Click here to learn how to get Medicare referrals

There are numerous companies that offer all different types of leads such as live transfers or mailers.  Whatever lead sources you choose make sure the leads are CMS compliant.

More information for Medicare agents

Visit our events and information page and stay up to date on our upcoming webinars and zoom meetings

48 hour scope of appointment

48 hour scope of appointment

By Ed Crowe | General Articles | 0 comment | 11 February, 2024 | 0

48 hour scope of appointment

Agents who plan to offer Medicare Advantage or Medicare Part D coverage to beneficiaries, need to understand the CMS 48 hour scope of appointment rule.

Watch a quick YouTube video on the 48 hour rule

A SOA (Scope of Appointment) is an agreement that both the agent and client must sign before a scheduled in-person, phone or online appointment.  The SOA shows exactly which products the client and agent plan to discuss at their meeting.  This gives the agent as well as the client time to prepare for the discussion and helps to avoid high pressure sales tactics. This document is mandatory if there is a discussion about either Medicare Advantage and/or Part D prescription drug plans.

A scope of appointment may list several types of products the client wants to discuss, or it can be a basic form that lists only Medicare Advantage plans, Part D (PDP) plans, Ancillary products and Medicare supplements.  The products the beneficiary checks off are the products the agent has permission to discuss.

Agents who want to join our team; click here for online contract

How far ahead of time can you get the SOA

A signed SOA is good for up to 12 months before you meet with the client.  Some agents collect a new SOA at the end of an appointment to be prepared for the next meeting ahead of time.  It is important to remember the scope is only good for 12 months, once that time has passed, the client will need to sign a new scope.

Exceptions to the rule

  1. One exception to the rule is the last four days of a valid election period. during the last four days of a valid election period.  At this time, agents can collect a same day Scope.
  2. Another exception applies when the beneficiary walks into the agent’s office without an appointment. This is a beneficiary-initiated meeting, also referred to as a “walk in”.
  3. The final exception is when the beneficiary calls the agent without a scheduled appointment.  This is a beneficiary-initiated call, therefore the 48 rule does not apply.

The CMS call recording requirements; learn more.

Ways to collect a SOA

Although the 48m hour rule was put in place as a way to protect beneficiaries, some may not like the inconvenience of having to meet twice to discuss their plan options. It is important to discuss the reason this rule is in place and let clients know you believe it is important to abide by the rules to maintain your integrity.

Please note; there is more than one way to comply with the 48 hour SOA rule.  Many carriers provide tools that allow agent to collect a voice scope.  Some Medicare FMOs also provide tools that not only provide voice scope tools but also call recording tools for voice enrollments.

Learn more about call recording requirements.

Of course, you can collect a paper scope if your client is willing to meet and sign at least 48 hours before your discussion.  You can also email the scope ahead and have the client send it back to you.  There are also tools such as Sunfire and Connecture that allow agents to send a link for clients to complete an online Scope before the meeting.

Learn more about the CMS final rule 2024

Because of this rule, agents need to rethink the way they do business.

Need a Scope generic of appointment, click here

How long do you need to keep the SOA (scope of appointment)

You must keep SOA forms on file for 10 years, even if the appointment didn’t end in a sale. If you do a telephonic SOA, you must keep that audio file for 10 years as well.

Watch our free Medicare training videos

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Medicare Part D 2024

Medicare Part D 2024

By Ed Crowe | General Articles | 0 comment | 8 February, 2024 | 0

Medicare Part D 2024

In this post, we will discuss some important information about Medicare Part D 2024.

Medicare Part D plans cover the cost of prescription drugs for Medicare enrollees.  Private insurance companies offer these plans to beneficiaries.   In order to remain complaint, all plan providers must follow CMS’ rules.

Prescription plan costs

There are a few costs associated with Medicare prescription plan coverage.  One of those costs include the monthly plan premium, this amount can range greatly depending on the plan and carrier.  Beneficiaries can opt to have the premium deducted from their monthly Social Security payment.  If the beneficiary has a greater than average income, they may be subject to an IRMAA, an adjusted premium amount based on income.  The premium may also be adjusted for those who have a lower-than-average income and qualify for Extra Help.

Other costs associated with Part D prescription are co-pays and coinsurance amounts paid at the pharmacy.  Many plans also include an annual deductible.  In 2024, the maximum annual deductible has increased from $505 in 2023 to $545 for 2024.

For those who neglect to sign up for a Medicare Part D plan on time, a late enrollment penalty is added to the monthly cost.  The penalty applies to anyone who goes without creditable Part D coverage for a period of 63 or more days.  CMS applies the penalty for as long as the beneficiary has Part D coverage.

Changes for Medicare Part D for 2024 

Because of the Inflation Reduction Act that was signed into law in 2022, there will be changes to the Medicare Part D program.   One important change has to do with the cost Medicare beneficiaries pay for prescription drugs.

 Click here to learn about prescription drug caps

Here are some of the changes in place for 2024:

In 2024, Medicare PDP members who reach the catastrophic phase ($8,000 in 2024) will not pay any additional out-of-pocket costs for the remainder of the year.  This means they are no longer subject to a 5% copay.

PDP plans are no longer able to raise their premiums over 6% per year starting in 2024.

Beneficiaries who use insulin will pay no more than $35 for a 1-month supply for covered insulin brands.  It is important to check your plan’s formulary to confirm which brands they include.  This pricing is in effect until the end of 2025.

Medicare covers many adult vaccines at no cost to Medicare beneficiaries.  this includes the Shingles vaccine as well as TDAP (tetanus vaccine), Covid, flu vaccine, Hepatitis A and many others.

More Medicare beneficiaries will qualify for Extra Help to pay for their health care needs in 2024. This is because beneficiaries with an income of up to 150% of the federal poverty level (up from 135% in 2023) may be qualified for the Part D Extra Help.  This program pays the Part D annual deductible, monthly premium and ensures beneficiaries pay a lower cost for generic and brand name drugs.

A few changes to prescription drug plans in 2025 and 2026

In 2025, one of the changes to the Part D program is a $2,000 out-of-pocket maximum in place for PDP beneficiaries.  CMS is also starting a prescription payment plan program.  The program is referred to as “smoothing” and begins Jan 1, 2025.  This program gives beneficiaries an opportunity the spread out the cost of prescription medications out over the year by using a payment plan.

Click here to learn more about the prescription payment program

In 2026 price negotiations will begin for expensive drugs that have no generic alternatives.

Learn the details of the price negotiation program

To view a comprehensive guide to all the ins and outs of Medicare for 2024, click this link and  download a copy of CMS Medicare and You handbook for 2024.    Information on Medicare Part D starts around page 79.

Watch a quick YouTube video on the drug cap proposed for 2025

Take a look at some of the other compliance updates CMS has in place or has proposed for agents :

Watch a quick YouTube video on the CMS proposed rule CMS 4205-P an how this could effect our business

Find out more about the 2024 CMS call recording requirements

Make sure you are up-to-date with the SOA rules – click here and learn more

Take a look at our video on TPMO rules for 2024

If you are unsure of the differences between an educational event and a sales event, click here.  You may also want to read our blog on “Things you can’t say when selling Medicare“.

If you already have a contract with Crowe and want to add a carrier, click here

Agents who want to join the team at Crowe, click here for online contracting

Please note: agents who offer Medicare Part D plans need to complete annual carrier certifications as well as AHIP before they can offer the plans.  AHIP is an annual certification that CMS requires.  It includes marketing and compliance guidelines as well as FWA laws.

If you don’t follow the Medicare marketing rules, you risk losing commissions, termination of your contracts, losing your license and receiving fines.

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Medicare FMO companies

Medicare FMO companies

By Ed Crowe | General Articles | 0 comment | 1 February, 2024 | 0

Medicare FMO companies

Because there are so many Medicare FMO companies to choose from agents need to carefully consider what each one has to offer before they choose one to contract with.

We will start by explaining what an FMO is.  FMO stands for Field Marketing Organization.  These organizations specialize in the support of independent insurance agents as well as agencies.  They form partnerships with insurance carriers to provide marketing, sales and service resources to their downline agents/agencies.

The difference between an FMO, IMO & NMO

IMO or independent marketing organization operates similarly to an FMO, the difference is the compensation level.  These terms are both top-tier levels of carrier hierarchies. Some marketing organizations use these terms interchangeably.

Just to make things more confusing, we will throw in the term NMO, this stand s for National Marketing Organization and is another top of hierarchy level. For many carriers this is the top level of contracting.  Reaching the NMO level as with the FMO & IMO levels is no small achievement.  Because each carrier has its own hierarchy levels, it can be tricky to define these terms.  In the world of Medicare, some FMOs are not actually the top of hierarchy.

Find out why you should consider Crowe for your FMO

Other contracting levels

Some of the other contracting levels are Street, GA, MGA & SGA the name of the level depends on the carrier and each one signifies a level in contracting that provides higher overrides. If you have an agency, you need to decide how you pay your downline agents.  They can receive full street commissions directly from the carriers or you can decide to contract agents as LOA and you can make any type of payment arrangement that both parties can agree on.

CMS currently has a proposal in the works that may change the way the entire industry is structured.  The proposed rule we are talking about is CMS-4205-P. This rule could stop agents from using FMOs for product distribution and leave them without a support system.

Watch a video to see what this proposal could mean for the Medicare business

What does an FMO do

FMOs play a crucial role in providing support to their agents.  Here are some of the ways an FMO provides this support:

  1. FMOs should provide training to their downline agents.  Agents at every level need some type of training whether it is for the basics, product updates and additions compliance, or sales. Agents need to stay up to date on several areas, so they can provide clients with the best plan options.  Crowe offers agents many types of training that include webinars, zooms, our website and YouTube channel as well as one on one phone consults and in-person meetings.
  2. They need to have partnerships with several local carriers that ensures their downline have a large variety of products to offer.
  3. FMOs provide help with contracting that make the entire process easier than trying to get it done on your own.
  4. Agents must be complaint with all CMS’ rules and regulations; therefore, it is important that FMOs make sure their downline agents are updated and equipped to conduct themselves in an ethical way. Click here for tips to pass the 2024 AHIP..
  5. The top FMOs invest in up-to-date technology and tools that make sales a smooth process for their agents.  We offer online quoting and enrollment tools that include both Sunfire and Connecture.
  6. One important element in Medicare sales is marketing.  An FMO offers tools that include marketing dollars, lead generation programs and provide help to agents in any way they can so they reach their full potential.

Join the team at Crowe – click here for online contracting

How to choose an FMO

Because there are so many FMOs who want to contract agents, it can be difficult to choose one.  It is important that agents ask questions, so they are comfortable with their choice and do not need a release.  Be sure the FMO offers the programs you feel will provide the best guidance for you.  It is also important to discuss how you are paid.  If you receive full street direct from the carrier or if you will be LOA.

Do you want to ensure you own your book of business or are you comfortable writing and building someone else’s book?  Do they offer the most competitive carriers in your area, so you can provide clients the best options possible?

Does the FMO offer marketing money, lead money and guidance on how to make sales and maintain your book of business?  Do they provide free tools to help you conduct your business in an efficient manner.

As you can see, there are many things to consider when choosing an FMO.  This is a decision that needs to be considered carefully before you sing on the dotted line.

See what Crowe has to offer

Medicare FMOs play a pivotal role in the success of insurance professionals by helping them navigate the complexities of Medicare sales. By providing comprehensive support, training, and access to a variety of insurance products, FMOs help agents to better serve their clients and thrive in the ever-evolving Medicare market.

Choosing the right FMO is an important decision that can significantly impact an agent’s career.  This means, it is essential to evaluate all the options and choose a partner that aligns with individual and business goals.

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Insurance sales training

Insurance sales training

By Ed Crowe | General Articles | 0 comment | 1 February, 2024 | 0

Insurance sales training

Anyone who wants to enter the field of Medicare sales, will need to have insurance agent training before they meet with any potential clients. Crowe and Associates offers Medicare agents access to several types of training tools.  We provide free information on our website, YouTube channel as well as weekly informational webinars and zoom meetings geared for either beginners or experienced agents.

Think about joining an FMO

Getting started in insurance sales can be confusing, especially if you are trying to get it done on your own.  An good FMO provides guidance and support not only to new agents but to experienced agents as well.  Agents receive back office support as well as resources and tools that can make your business run effectively.  it is important to choose an FMO that provides the support you need.  Be sure to ask as many questions as you need to and contact as many as you need.  Agents need to feel comfortable with their upline and secure knowing they will be there to answer your questions when they arise.

See what we offer Medicare agents

Decide what products to offer

We will focus on Medicare products, because that is the largest part of what we offer.  If you are unsure which products you are going to offer clients, your FMO should assist you in choosing a reasonable number of Medicare and ancillary products to get started.  It is best not to overwhelm yourself and get discouraged.   A good FMO will run a quote in the area you plan to sell in and provide you with a few of the top carriers in each product type to et you started.  This is easy to do with a good quote engine and takes only a few minutes.

Join the team at Crowe – click here for online contracting

Contracting and Certifications

After you choose the products and carriers you are going to offer, you must complete contracting.  Your FMO should be able to help get this done.  Once you receive your contracting links, you can complete them along with your carrier certifications(carrier specific training you do to gain knowledge about the products you are offering).   When this is done, you will receive your RTS (ready to sell) and you can now offer that product.

websites and blogs focused on Medicare sales.  Here you will be able to access information regarding all aspects of Medicare sales.  Our recorded webinars will hit on just about every area of Medicare sales.   For those, very new to Medicare sales, be sure to access our Medicare sales quick guide to lean the basics about contracting, certifying and selling.

Because Medicare is a federal program, there are a lot of rules and regulations agents must adhere to. These rules protect the clients as well as the agents and ensure everyone conducts business in a compliant and fair way.  CMS mandates that agents take annual training courses to stay up to ate with all the regulations.  That is why agents need to take and pas the AHIP annually with a score of 90% or higher.

Watch a quick YouTube video for 2024 AHIP test tips

Sales training

New agents often need more guidance to get an idea of how to get started. Comprehensive training programs provide an understanding of things like; eligibility, enrollment and coverage options.  We provide newer agents weekly zoom training to help them feel confident and build their knowledge base.  We are also available for a one on one meeting or phone call.  In some cases agents may have an opportunity to pair up with a local agent and go on sales calls.

Product training

In the Medicare field, clients have soo many types of coverage offered by many carriers to consider. This means agents must be aware of new products and changes in plan products as well  what their client is looking for.  That is why agents complete specific product training, so they can ensure their client receives the coverage they need and can afford.  We provide the opportunity for agents to join one of our weekly zoom meetings or webinars to get updated information and ask questions if they are unsure about anything.

Anyone can find information on our website or YouTube channel.  We update our Events and information page so agents can easily find a webinar or event information on our website, just click on the link below.

Click here to view our updated Events and information post

Access the recorded webinars on various topics on our YouTube channel, just click on the link below:

Subscribe to our YouTube channel and view all our recorded training and informational videos

Learn to use our free quoting and enrollment tools

We provide our agents with a few ways to quote and enroll clients in a CMS complain way. Sunfire and Connecture are two of the tools we offer at no cost to our agents. Both of these tools provide  a CRM as well as the ability to record sales calls and remain compliant.

Take a look at a Sunfire enrollment demonstration

Networking and Business Development Training

Agents require more training once they have a handle on the ins and outs of Medicare and the carrier plans.  Some people require advice to help the design a business plan. They may need a strategy for networking opportunities, leads, and business development.  These tools will establish their place in the community and build a book of business.

Generate Medicare referrals

Medicare lead program

Our agents have an opportunity to participate in our Medicare lead program to.  We provide agents up $500 a month to offset lead and marketing costs.  There are no minimums to start and absolutely no reduction in compensation.

More info on our Free Medicare Lead Program

What does a Medicare agent earn

Each year CMS sets the maximum amount for Medicare commissions.  Click here to see the commission rates for 2024 

Watch a YouTube video to see the CMS proposed changes to agent compensation

 

 

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Online Enrollment- Enroll prospects online without the need for a face to face appointment. Access to all major carriers with the ability to compare plan benefits and prescription drug costs. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033

All agents receive a personalized enrollment website. Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. Agents are credited for all enrollments. Click Here

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