Dear California Brokers,

 

We want to inform you about a recent issue with our crosswalk transition involving some Brand New Day members who were set to move to Central Health Plan. Due to an error in the way our crosswalk was processed, a small subset of members were unexpectedly disenrolled back to Original Medicare. For members with Low-Income Subsidy (LIS), CMS auto-enrolled them into a Stand-Alone Drug Plan.


Here’s what you need to know, along with the steps we are taking to address this issue:

 

  • Action Required: Members must re-enroll to maintain coverage by 12/31/2024. A new application is required.
  • Re-enrollment Assistance: The Molina team is going to take the first pass at re-enrolling affected members on your behalf, helping to alleviate the administrative workload.
  • If Molina is unable to re-enroll any members by the end of AEP, we will send you the list of your outstanding clients for you to re-enroll by 12/31.
  • Agent of Record: You will remain the agent of record for these members.
  • Commissions: Your renewal commissions will continue if there is no break in coverage.
  • Additional SEP: We have another SEP for these members after AEP, December 8th – January 31st, that you can use for individuals whose plan or contract was non-renewed, including service area reduction.

 

Our intention is to keep you selling new business and not spend time re-enrolling current clients that were affected by an administrative error. We also want to reduce the number of duplicate applications our Enrollment Department processes. We’re committed to keeping you informed and supporting you and your clients through this transition.

 

We want to ensure that your members are reconnected to the plan of their choice with as little disruption as possible. We apologize for the inconvenience and appreciate your understanding as we work to resolve this matter. Please don’t hesitate to reach out if you have questions or need further assistance.


Thank you,


You CA Sales Leadership

 

Questions?


Contact your Broker Channel Manager or

Broker Services Unit at (866) 440-9788 or

Broker@MolinaHealthcare.com

Any dissemination or distribution of this material is strictly prohibited and may result in corrective action up through termination of your contract with Molina Healthcare, Inc. This message contains confidential information and is intended only for the named recipient. This confidential information cannot be disseminated, distributed, copied or shared with any other person or individual and is strictly prohibited. Agents must be ready to sell, which means certified, contracted, licensed in the applicable states and appointed by Molina Healthcare, Inc. in accordance with state law prior to engaging in the sale of Molina Healthcare products.

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