Agent Conduct. Contractor shall implement policies and procedures to assure only agents who have been duly certified by the Exchange and maintain that certification shall receive compensation for enrolling individuals in the Exchange.
Agent Conduct. Contractor shall implement policies and procedures to assure only Agents who have been duly certified by Covered California and maintain that certification shall receive compensation for enrolling individuals in Covered California.
Agent Conduct. Covered California shall implement policies, procedures, training, monitoring, and other processes to ensure that Agents who sell Contractor’s QDPs through Covered California for Small Business will fairly and objectively represent all dental plan issuers and all products offered on Covered California that market through Agents in order to present dental plan options in an unbiased manner and that minimizes steerage.
Agent Conduct. The Exchange shall implement policies, procedures, training, monitoring, and other processes to ensure that Agents who sell Contractor’s QDPs through Covered California for Small Business will fairly and objectively represent all dental plan issuers and all products offered on the Exchange that market through Agents in order to present dental plan options in an unbiased manner and that minimizes steerage.
Agent Conduct. The Exchange shall implement policies, procedures, training and monitoring and other processes to assure that agents who sell Contractor’s QHPs through SHOP will fairly and objectively represent all Health Insurance Issuers and all products offered on the Exchange that market through agents in order to present health plan options in a manner that is minimizes steerage by presenting plan options in an unbiased manner. Such processes shall include, without limitation, practices that implement the following standards:
Agent Conduct. Agent shall be free to exercise Agent’s personal judgment as to the time and manner of performing services authorized under this Contract, but shall be guided by such rules as may be adopted by FEG concerning general business conduct as well as the provisions of this Agreement. In all cases, the business of the Agent shall be conducted in accordance with the laws and regulations of the jurisdictions in which the Agent is authorized to represent FEG and conduct business.
Agent Conduct. The Exchange shall implement policies, procedures, training and monitoring and other processes to assure that agents who sell Contractor’s SADPs through SHOP will fairly and objectively represent all dental plan issuers and all products offered on the Exchange that market through agents in order to present dental plan options in a manner that minimizes steerage by presenting plan options in an unbiased manner. Such processes shall include, without limitation, practices that implement the following standards:
Agent Conduct. Agent agrees to disclose to any prospective Eligible Medicare Beneficiary prior to or at time of enrollment that the Agent is compensated based on the prospective Eligible Medicare Beneficiary’s enrollment in a plan. Agent further agrees to not engage in the following prohibited sales practices:
(a) Making unsolicited home visits;
(b) Soliciting Beneficiaries door-to-door prior to receiving an invitation from the Eligible Medicare Beneficiary;
(c) Placing outbound calls to prospective or former members, unless the Eligible Medicare Beneficiary requested the call and their solicitation for information is documented;
(d) Sending unsolicited emails to a Eligible Medicare Beneficiary unless the Eligible Medicare Beneficiary agrees to receive emails and has provided his/her address to the Agent;
(e) Misrepresenting, intimidating, or using high-pressure sales tactics. If Eligible Medicare Beneficiary says he or she is not interested, the conversation must end;
(f) Offering Eligible Medicare Beneficiaries a cash payment as an inducement to enroll in a Medicare Advantage Part C or Medicare Advantage Prescription Drug (Part D) plan;
(g) Stating that the Agent works for or is contracted with the Social Security Administration (SSA) or the Centers for Medicare & Medicaid Services (CMS);
(h) Misrepresenting a product being marketed as an approved Medicare Advantage Prescription (Part D) plan when it is actually a Medigap policy or non-Medicare drug plan;
(i) Using an unapproved presentation or material. Agent shall use only those subscription forms, insurance applications, printed materials, and any other sales or marketing materials as are provided by Insurance Company, except as Insurance Company may otherwise approve in writing;
(j) Marketing or enrolling other health care lines of business. Additional products that were not identified, agreed upon, and documented in the Scope of Appointment cannot be discussed unless the Eligible Medicare Beneficiary requests this information. A separate Scope of Appointment is required to discuss additional products;
(k) Requesting Eligible Medicare Beneficiary identification information such as bank account number, credit card number;
(l) Conducting outbound telephone enrollment, which also includes transferring outbound calls to inbound lines for telephone enrollment;
(m) Engaging in forgery, including manually assisting Eligible Medicare Beneficiary with the signing of the enrollment application;
(n) Engaging in unauthorized l...
Agent Conduct. Agent acknowledges the importance of Gryphone’s reputation and goodwill with the public and agrees all of Agent’s dealings with members of the public shall be governed by the highest standards of honestly, integrity, and fair dealing and shall be in accordance with all laws, statutes and ordinances, all orders of the courts of competent jurisdiction, and all rules, regulations, policies and orders of the FCC or any governing state commissions.
Agent Conduct. Misconduct may not only cost Agents their business, but the collective business of all of AHCP, valuable partners and Agents. Agents should review all of their current practices and be certain that they are always operating in total compliance. • AHCP requires that all its hierarchies and Agents follow Carrier partners' solicitation, quoting and submission rules and practices. • Comply with all state regulations and ethical practices in the areas where Agents and Sub-Agents market AHCP's insurance and ancillary products. • Proper disclosure to clients protects Agents from liability and protects income by minimizing charge backs. It also protects Agents and Carriers from litigation. • Proper recording of medical conditions on applications protects Agents from liability and protects your income by minimizing policy rescissions. It also protects the Agents and Carrier from damages. • Proper submission of applications, as per Carrier requirements, is also imperative to protect Agents from exposure to Carrier or even state regulatory actions that can result in suspension or even loss of license. AHCP provides periodic webinar training, on-demand training materials and live support to assist any hierarchy or Agent in proper practices for the marketing and submission of business. If AHCP receives knowledge that Agent is not in compliance with its responsibilities of this Agreement, AHCP will make its best efforts to notify Agent in order to take the necessary steps to correct the error prior to a termination.
