Medicare Broker Referral Program

Introduction to the Program

November 2012

2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

Medicare Broker Referral Program

What youll find in this document:
Program Overview
Rules and Conditions
Process for Referring a Client

Referral Payments

Referral Payments - Exclusions

Getting your Questions Answered
Business Reply Card

What We Need From You

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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

1. Overview: Kaiser Permanentes Medicare

Broker Referral Program
Referral Only Program:

Leads only
Broker conducts no Sales and Marketing
Kaiser Permanentes Medicare sales representative is responsible for sales and
enrollment processing

Applies only to Medicare Direct Pay Business

Medicare Employer Group Business is excluded

Brokers who are licensed and currently appointed to Kaiser Permanente are
eligible to participate
Broker will be paid a one-time $100 referral payment for each client that
enrolls in a Kaiser Permanente Medicare Direct Pay product and remains a
member for 30 days
Client must be new to Kaiser Permanente and not already engaged with another sales
channel

2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

2. Rules and Conditions: Medicare Broker

Referral Program
Participating brokers must be in good standing,
with a current, signed Kaiser Permanente broker
agreement and current license on file.
Brokers will NOT solicit, market, sell or negotiate
any Medicare Direct Pay products.
Brokers may discuss benefits of being a Kaiser
Permanente member generally.
All Medicare sales activities must be conducted by a
licensed Kaiser Permanente employed or Field
Marketing Organization sales representative.

Brokers will NOT distribute Medicare enrollment

kits.

Brokers will NOT distribute any Medicare

material related to Kaiser Permanente unless
such material is provided to Broker by Kaiser
Permanente.
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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

3. Referral Process: Medicare Broker Referral

Program
Your client asks you about Medicare options, you mention the benefits of Kaiser
Permanente

You and your client should complete and sign a Medicare Broker Referral Business
Reply Card (Kaiser Permanente Medicare Broker Referral Program BRC) which
confirms the clients interest in learning more about Kaiser Permanente Medicare
Direct Pay Products;
E-mail, or fax the completed BRC to the Kaiser Permanente Medicare Sales office
E-mail: referral@kp.org

Fax:

503-813-3944

Your referral qualifies for the referral payment only if Kaiser Permanente has a BRC signed
by the client and all other rules and conditions are met
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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

4. Referral Fee Payments

Your Medicare Referral
payment will be processed
as follows:
In accordance with your
regular compensation
payments schedule
The referral payment will
be received in the payment
cycle that occurs after your
client has been enrolled in
Kaiser Permanente for 30
consecutive days
Medicare Referral payments
will be clearly identified in
your statement.

2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

5. Referral Payment Exclusions

Referral payment(s) will only be paid for clients who receive assistance from
a Kaiser Permanente Medicare sales representative
Kaiser Permanente will not pay for enrollments received via online enrollment
or via mail-in application if there is no documented interaction with a Kaiser
Permanente Medicare sales representative

Referral payments will not be made if one of the following conditions apply:
Your client does not enroll in a Medicare Direct Pay Product or disenrolls
within 30 days after initial enrollment
Your client is already a Kaiser Permanente member in any capacity
Your client has engaged with a Kaiser Permanente Medicare sales
representative anytime in the 60 days prior to your receipt of the referral
Kaiser Permanente will regularly monitor broker behavior to ensure
compliance with the rules and conditions of the Broker Referral program,
and will rescind membership in the program for brokers found not to be in
compliance
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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

6. How to get answers to your questions

Contact the Kaiser Permanente Medicare

sales office at referral@kp.org

2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

7. The Business Reply Card for the Medicare

Broker Referral Program: How it Works
The BRC form authorizes Kaiser Permanente to contact your
client, discuss Medicare Direct Pay Products, and provides
documentation that ties you to your client so you receive the
payment
The BRC form is product-specific: the form youll fill out will be
relevant for Medicare Direct Pay Products only

Make sure that Kaiser Permanente receives a completed BRC

form for every client that you refer to Kaiser Permanente
The BRC form is required to make sure that we meet CMS
requirements

Make sure that you fill out the broker section on the BRC
form
Make sure that your client signs the BRC form* and provides the
best phone number for contact by Kaiser Permanente
You cannot send the client the BRC in a regular envelope: we
recommend you use e-mail to provide the client with a BRC, or
hand it over in person
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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

* Signature can be either entered electronically in the document, or signed on paper

7. The BRC form for the Medicare Broker

Referral Program

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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

8. What we need from you

Congratulations: you have already
expressed interest in this program!
You only need to follow these steps before being able to begin earning Medicare
referral payments:
Carefully read these materials, and make sure that you get answers on any
questions you may have from your Kaiser Permanente Medicare sales
representative before engaging clients.
Send an e-mail to referral@kp.org as follows:
Subject: Confirmation of participation in Kaiser Permanentes Medicare
Broker Referral program.
Text: I hereby confirm that I am a licensed broker in the state of Oregon
or Washington and that I am currently contracted with Kaiser Permanente.
I hereby acknowledge that I have read and understood the Kaiser
Permanente Medicare Broker Referral Rules & Conditions. I will abide by
those Rules and Conditions in referring clients to Kaiser Permanente.
Type your full name, the date, and your broker ID at the bottom.
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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU

8. What we need from you (contd)

Print out copies of the Kaiser Permanente Guide to
Medicare that we have sent you,
Or request hard copies from the Kaiser
Permanente Medicare sales office.
Fill out your information on the Business Reply
Card (BRC) * that we have sent you,

Speak to your Medicare-eligible clients about

Kaiser Permanente!
And e-mail them a BRC to fill out, sign** and
forward to Kaiser Permanente
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* You can enter your information electronically or on paper
* * Signature can be either entered electronically in the document, or signed on paper

Thank you
and welcome to Kaiser
Permanentes Medicare Broker
Referral Program
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2012 Kaiser Foundation Health Plan, Inc. | November 19, 2012 | SKU