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Ienroll Blog

The Journey to Selling Health Insurance: Contracting & Appointments

Understanding the Basics of Carrier Contracts & Appointments After acing your health insurance licensing exam, your next step is contracting with health and life insurance carriers. This step is essential for building your repertoire of health insurance plans. 

Contracts & Appointments Demystified: Being contracted and appointed with a carrier gives insurance agents the authority to represent and sell the carrier’s products. This involves signing a formal agreement that outlines the responsibilities and adhering to the carrier’s stipulated requirements. Be prepared to share your background, banking information, credit history, and criminal record. Additionally, ensure you have documents such as proof of Errors and Omissions insurance, your license, and a W-9 ready.

Knight School’s Path 2, titled “Laying a Solid Foundation,” is an excellent resource for more in-depth guidance.

Distinguishing Between Contracting and Appointments While the terms “carrier contract” and “carrier appointment” are often used interchangeably, there’s a subtle distinction:

  • Contracting involves specifying the regions and products you’ll focus on, then finalizing your paperwork with your Field Marketing Organization (FMO) or the carrier.

  • On the other hand, getting an appointment means that a carrier has approved your contract, providing you with a written number to commence sales. Completing your contract doesn’t guarantee you’re ready to sell; the writing number does.

The Significance of Carrier Appointments Becoming a licensed agent is just the tip of the iceberg. Carrier appointments are essential to sell health insurance legally. This responsibility goes beyond selling; you’ll represent the carrier’s brand. With this role comes legal accountability. Contracts spell out your duties and detail the commissions for adhering to terms.

Budgeting for Contracting Costs Be prepared for some expenses during contracting. Typical costs include state appointment fees, which can range dramatically. Some carriers may cover these fees, while others might deduct them from your initial commission.

Medicare Carriers: A Brief Guide For those aiming to offer Medicare products, be proactive. Aim to have your contracts processed by August, especially with the Annual Enrollment Period (AEP) on the horizon. 

Moreover, stay updated with Medicare certifications annually, focusing on aspects like Medicare and Fraud, Waste and Abuse (FWA) certification and carrier-specific courses.

Getting Started with Under-65 Carriers If you’re venturing into Affordable Care Act (ACA) products, ensure you’re set to sell before the Open Enrollment Period (OEP) kicks off on November 1. Call Plans for Life at 915-591-1957 now. Also, it’s paramount to obtain the Federally Facilitated Marketplace (FFM) certification annually.

Navigating Just-In-Time Appointments, Some insurance carriers introduce Just-In-Time (JIT) appointments, which streamline the appointment process until after an agent has initiated business in the appointment state. While beneficial, not all carriers offer JIT appointments, so stay informed.

What Carriers Seek in Agents (And Vice Versa) To boost your chances of a successful partnership, carriers usually look for:

  • Geographic positioning of your agency.
  • Your intended business model with the carrier.
  • Your current partnerships.
  • Your overall business goals.

Research thoroughly to understand popular plans and carriers in your vicinity. This proactive approach will increase your chances of successful appointments. Always answer carrier questions honestly, as discrepancies during background checks can jeopardize your appointments.

Concluding Notes Once your contracts and appointments are sorted, you’re set to delve into the world of health insurance sales. Always remember assistance is often a call away to make your journey smoother.

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