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Silver State Health Insurance Exchange April 23, 2019 Presentation to Broker/Agents and EEFs

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Page 1: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Silver State Health Insurance Exchange

April 23, 2019

Presentation toBroker/Agents and EEFs

Page 2: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Agenda• SSHIX Introductions• Progress-to-Date on SBE Transition Project• Training Certification for Brokers/EEFs• Broker Portal on GetInsured System• Consumer Messaging Plan• Q&A• Contact Information

Page 3: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

SSHIX IntroductionsHeather KorbulicExecutive Director

Ryan HighChief Operations Officer

Rosa AlejandreNavigator (EEF) Program Manager

Rebecca LomazzoBroker Liaison

Janel DavisCommunications Manager

Russell CookInformation Systems Manager

Eric WattSBM Transition Project Manager

Athena CoxInformation Technology Analyst

Page 4: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Progress-to-Date on Transition• Application File Transfer Update

• Information Security Plan Update

• Federal Data Services Hub Testing

• EDI Testing

• User Acceptance Testing

Page 5: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Training Certification• The Exchange will assume that Nevada Brokers/EEFs who are

currently partnered with Nevada Health Link and/or HealthCare.gov, will plan to participate in enrollment for plan year 2020.

• The Exchange will send an email to brokers who are not currently partnered with Nevada Health Link or Healthcare.gov, in May asking for confirmation of interest of Intent to Sell on the Exchange for Plan Year 2020.

• Exchange Brokers/EEFs, and newly interested Brokers who express interest will be sent an invite to take the required training on a platform called MindFlash.

• When training has been successfully completed, the Exchange will grant Brokers who complete training, sign the Broker Code of Conduct and Acceptable Use Agreement, access to the GI Broker Portal to establish their profile and claim their migrated list of Exchange consumers.

Page 6: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Consumer Messaging Plan• Your role as certified enrollment professionals is critical in assisting and

communicating to your consumers to make sure they: Claim/verify their accounts on the GI system (ie: Log-In) Shop for plans and enroll Educate and retain consumers

• Brokers/EEFs process for onboarding w/ Nevada Health Link Email communications Training & certification, broker code of conduct, user acceptance agreement

• Consumer Messaging Plan Direct Mail Campaign Week of 8/18/19 – assist to communicate “Watch your Email” “Coming

Soon” messaging focus Week of 9/3/19 – “Now’s the time” “Claim & Verify your account at NHL.com”

messaging focus Mid – October – “Complete this by xxxx date” “Time to enroll” “Work with a

licensed enrollment professional” messaging focus.

Page 7: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Broker Portal on GetInsured System• Broker/Agent Portal - the Broker/Agent Portal is a complete solution for

accepting consumer delegations, accessing the Broker/Agent’s Book of Business, and creating and managing the agent’s account and public profile.

Page 8: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Broker Portal on GetInsured System• Pending Consumers - This screen shows a list of individuals that have requested

delegation to the Broker/Agent. The Broker/Agent has the option to accept or reject the delegation. Broker/Agents can also filter the list by consumer’s first name, last name, and date range during which the designation request was sent.

Page 9: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Broker Portal on GetInsured System• Active Consumers - This is the screen with the Broker/Agent’s detailed list of

Exchange consumers. A complete list of individuals that are designated to the Broker/Agent is viewable with their name, contact information, application status, and next steps. It also includes coverage details if the consumer is enrolled.

Page 10: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Broker Portal on GetInsured System• Search and Filter Features – Broker/Agents have the ability to search and filter

consumers based on the first name, last name, application type, issuer name, current application status, Next Steps, due date, or application year. There is also an option to sort the list by first name, last name or due date.

Page 11: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Q & AQ: Will Brokers/EEFs need to take all training modules, or will an abbreviated “re-certification” option be provided?A: Enrollment professionals who were partnered with Nevada Health Link for Plan

Year 2019 and those who were certified to enroll on HealthCare.gov will be offered an abbreviated certification training that will include new information and detailed training on how to use the Get Insured platform. New enrollment professionals will be required to take a more comprehensive training which will contain abbreviated CMS training content along with the details of how to use the Get Insured platform.

Q: How will consumers be contacted and/or claim their accounts if their initial application was established using a one-time, non-primary email address?A: Outreach to consumers to claim their accounts will be accomplished through

a multi-pronged approach. While consumers will receive electronic notices as how to claim their accounts through email to the email address they have on record with their current CMS application, they will also receive instructions through direct mail. Additionally, messaging to claim accounts will be promoted through traditional advertising channels, as well as messaging to Brokers/EEFs as to how to help their clients claim their accounts.

Page 12: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Q & AQ: Will Brokers be copied on communications to consumers?A: Yes, designated brokers will receive a copy of communications to their clients. Brokers will receive a daily email with a summary of individuals who have received notifications. Brokers will not receive an email for each individual notifications that go to their clients.

Page 13: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Q & AQ: What is the process for Medicaid/CHIP transfers for consumers that start their application through the GetInsured portal?A:

Page 14: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Q & A

New Questions?

Page 15: Silver State Health Insurance Exchange€¦ · Silver State Health Insurance Exchange. April 23, 2019. Presentation to. Broker/Agents and EEFs. Agenda ... Direct Mail Campaign Week

Contacting the ExchangeNavigator (EEF) Program Manager

Rosa [email protected]

Broker LiaisonRebecca [email protected]

Executive DirectorHeather [email protected]