Medicare Blog

how to become a general agent medicare

by Gage Batz Published 2 years ago Updated 1 year ago
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How do you get a Medicare general agency contract? To get a GA contract you need to work with an up line agency that is willing to give you a GA level contract. You must also be able to meet the carrier qualifications. Most insurance companies will require a certain number of sub agents in order to get a GA.

Full Answer

How to become a Medicare insurance agent?

Here is a quick guide on how to become a Medicare insurance agent. You are not required to get a Bachelor’s degree in order to be an insurance agent. But many companies prefer that their employees get educated.

What are the requirements to become a general insurance agent?

The requirements vary from company to company but in general insurance carriers require anywhere from 2 to 5 licensed, certified and producing sub agents in order to get a GA. One issue is with the owner/principal of the GA. In order to receive compensation, Medicare requires GAs to complete licensing and certifications.

What is a Medicare general agency (GA)?

Medicare General Agency (GA) is a term that describes an agency with an above street level CMS Medicare contract and two or more licensed, producing sub agents. On an annual basis CMS releases the street level or max commission that an individual agent can receive for either a Medicare Advantage (MA or MAPD) or Prescription Drug Plan (PDP) sale.

What does a Medicare insurance agent do?

A Medicare insurance agent helps people consider and evaluate different Medicare plans. They guide people toward choosing the one that is best for them. A Medicare insurance agent needs to be familiar with the ins-and-outs of every Medicare plan. They have to know what plan works best for a person and their needs.

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Is being a Medicare agent worth it?

Is Selling Medicare Lucrative? In short, yes. The average Medicare Advantage policy pays around $287 a year in commission if the purchase replaces an existing plan. However, you can get approximately double that — $573— if you write up a new Medicare Advantage plan for someone who hasn't had one before.

How do you make money selling Medicare?

Generally, insurance agents often earn two types of commissions when selling Medicare plans: A dollar amount per application (Medicare Advantage and prescription drug plans) or a percentage of the premium sold (Medicare Supplements).

What is the difference between a Medicare agent and a Medicare broker?

Medicare agents and brokers work differently, but both can help you cut through the confusion to find the best Medicare coverage at the best cost for your needs. Agents work for insurance companies selling Medicare plans, while brokers connect you with the company or agent that best fits your needs.

How do I get Medicare clients?

⍟ 14 Ways to Generate Medicare Supplement LeadsBuild & Maintain a Website. ... Social Media Presence. ... Video Marketing. ... Blogging, Writing Articles. ... Email. ... Online Events: Live webinars, podcasts. ... Direct Requests / Client Referrals. ... Lead Swapping Partnerships (Asking other professionals for referrals)More items...

Is selling Medicare hard?

No, it's not hard to sell Medicare Supplements. When you're first starting, it should be easy, because everyone on Medicare needs one. It's just an insurance product. You're not a member – you're a policyholder, and that means a lot to people.

How much do Medicare leads cost?

As mentioned previously, new Medicare Advantage pay $25 for each direct mail lead.

Are Medicare brokers legit?

Legitimate firms and licensed brokers are not scammers. They sell real Medicare policies, but be aware that they may only offer a limited number of plans from certain carriers, they may charge fees and they receive commissions for the sales they make.

What is the commission on a Medicare Advantage Plan?

The maximum commission for a Medicare Advantage (MA) sale in 2022 will be $573, a 6.3 percent increase over 2021. Some states have different levels. For example in California and New Jersey, the initial MA commissions increased from to $715-per-year, a 6.4% increase over 2021.

What are Medicare insurance agents?

A Medicare insurance agent is a licensed expert that helps you review and evaluate Medicare plans and their benefits, and guides you in choosing a suitable one.

How can I get free Medicare leads?

5 Ways to generate Free Medicare LeadsAsk for Referrals. Referrals or word of mouth may be the oldest, best, and least expensive ways for insurance agents to generate Medicare leads and grow your business. ... Form Community Partnerships. ... Create a Digital Presence. ... Host and Network with Seniors at Events. ... Personal Contact.

Can you advertise for Medicare?

Medicare private plans are allowed to conduct certain activities. For instance, companies can market their plan through direct mail, radio, television, and/or print advertisements. Agents can also visit your home if you invite them for a marketing appointment. Never feel pressured to join any plan.

What are the three main ways in which Medicare sales occur?

There are three different types of Medicare products sold by agents and brokers: Medicare Supplement plans (Also called Medigap plans), Medicare Advantage plans and Medicare Part D Rx plans.

What does a Medicare agent do?

They need to respect the brands of insurance companies, building off of them to sell products to clients. As an insurance agent, you can be independent. You can work with different insurance companies, enrolling people in plans with any of them.

What is Medicare insurance agent?

You have a few options. A Medicare insurance agent helps people consider and evaluate different Medicare plans. They guide people toward choosing the one that is best for them. A Medicare insurance agent needs to be familiar with the ins-and-outs of every Medicare plan.

How does Medicare work?

The Medicare insurance agent works with people on the services they need in Medicare. You can become an insurance agent and promote the health of thousands of people. You just need to know how to get started. Here is a quick guide on how to become a Medicare insurance agent.

How many hours does a Medicare agent work?

You can hold presentations, offering your services and experience. A Medicare insurance agent works a forty-hour workweek. You will spend many of your days with clients. You will keep them updated on their current policies and sell them new ones.

How much does an FMO agent make?

If you sign with an FMO, your income will likely be commission-based, could be per product, per hour, or salaried. The average pay is around $50,000 a year for Medicare insurance agents during their first year.

Why is Medicare the most popular government program?

Medicare is one of the most popular government programs in the country because it provides for basic medical needs. More than 60 million Americans receive health insurance through Medicare. But not all Medicare programs are alike. Some offer different services than others. The Medicare insurance agent works with people on ...

What is pre licensing?

Pre-licensing courses help transition you into the insurance marketplace. They also train and prepare you for the exam. Depending on your state, you may be required to complete classroom training. You may have to self-study for a minimum number of hours.

Is Selling Medicare Lucrative?

In short, yes. The average Medicare Advantage policy pays around $262 a year in commission if the purchase replaces an existing plan. However, you can get approximately double that — $525 — if you write up a new Medicare Advantage plan for someone who hasn't had one before.

Medicare Licenses and Training

Medicare Advantage is a great line to sell, whether you're a newcomer to selling insurance or an experienced insurance professional looking to diversify your portfolio. But no matter how much experience you have, you need proper Medicare insurance sales agent training to complete the certification process.

How to Choose Medicare Carriers and Plans to Sell

Most new agents want to rush in and offer every Medicare Advantage plan from day one. It's an understandable ambition, but it can quickly become overwhelming.

Ordering Medicare Enrollment Kits from Carriers

Each carrier has its own Medicare enrollment kit, which includes handouts that policyholders need when they're considering signing up. Different carriers include various materials in their kits, but most contain:

Help Protect Yourself with E&O Insurance

As a Medicare insurance sales agent, your role is to help your clients prepare for the unexpected and help protect themselves from financial risks. You might have the best intentions, but sometimes things don't work out as planned.

Start Working Toward a Rewarding Career Selling Medicare

All of these certifications, training requirements, and legal protections can make selling Medicare insurance feel overwhelming at first. But don't let them deter you from reaching your end goal — a rewarding and lucrative career.

What is the average age of an insurance agent?

What’s more, it’s not just the general public who are aging. So are insurance agents. The average age of insurance agents is currently 59.

Which carriers require agents to complete certification exams?

Depending on which carriers you contract with, you may also need to complete carrier-specific training and certifications to sell their products. Cigna, Anthem, and Aetna are some examples of carriers that require agents to complete certification exams.

How often do you need to maintain your health insurance license?

If you want to sell Medicare insurance plans, you’ll also need to be prepared to maintain your health insurance license each year.

How many insurance companies are there in the US?

Estimates state that there are currently more than 422,000 insurance agencies and brokers in the US. To rise above the competition and rake in those sales, you should do everything in your power to hone your skills and give yourself an edge.

When do you get AHIP certification?

Take note that AHIP certification usually starts in the middle of the year (late June or early July) for the following Medicare plan year. Therefore, if you get certified for the first time this year, you’ll not only be able to sell next year’s plans once the annual enrollment period opens up, but you can start selling the remainder of the year and the current year’s plans immediately.

Is it easier to contract through an IMO or FMO?

Besides this, contracting through an IMO or FMO is often easier than working directly with carriers.

Can insurance agents contract directly with carriers?

In some cases, insurance agents can contract directly with carriers. However, this rarely happens with new agents, as most carriers who are open to contracting directly require agents to prove certain minimum sales numbers.

What is a GA contract?

A Medicare General Agent contract (GA) refers to a contract that pays the full CMS allowed “street commission” for an individual producer as well as an override per policy. Medicare producers can only receive the amount of pay specified by CMS. On the other hand, with a GA contract agents can receive additional commission both on ...

How much does a GA override cost?

GA contract overrides vary by company but usually pay around $50 on the initial payment and $25 on renewals. GAs receive override payments directly. The street compensation is paid directly to the sub producer or the GA (for their own production) Insurance carriers have initial and ongoing requirements that they must meet to obtain and keep a GA contract. While they change from company to company most carriers will require a minimum of 2 sub agents with some type of minimum production required.

Enroll in Medicare Insurance Agent Training

The first step to becoming a Medicare insurance agent is enrolling in Medicare training. One of the top Medicare agent career benefits is that you don’t need a degree to qualify.

Get Licensed

To get licensed, you will need to begin by finding out your state’s requirements. Different states have varying requirements for health insurance licenses.

Take and Pass AHIP Medicare Training

Besides gaining your insurance license, you will also need to take and pass America’s Health Insurance Plans (AHIP) Medicare training. Every year, this has to be done to ensure that Medicare insurance agents keep up with the latest developments, products, and regulations.

Decide Whether to Work Independently or for an Insurance Carrier

Another important step in becoming a Medicare insurance agent is to decide whether you want to work independently or for an insurance carrier or brokerage.

Starting Picking Plans

If you will be working as an independent Medicare agent, the next step is to start picking out plans to sell.

Begin Securing Carrier Contracts

Once you have completed your Medicare training courses, are fully licensed, and know what plans you want to sell, you will need to begin securing contracts with carriers. One of the easiest and most common ways to do this is by signing up with a Field Management Organization (FMO) or Insurance Marketing Organization (IMO).

Learn About Your Products

Another area of Medicare agent training you might need to complete is product-specific courses. Certain carriers require agents to take courses on individual products alongside their AHIP training. In some cases, carriers will also cover the cost of your AHIP training.

What is the first step in becoming a Medicare agent?

Getting your health insurance license is step one in the process of becoming a Medicare agent.

What Does a Medicare Agent Do?

Here’s the first question you need to ask yourself before signing up for Medicare agent training online: What exactly does a Medicare agent do?

Why is being a Medicare agent so rewarding?

The ability to help people find affordable healthcare is one reason becoming a Medicare agent is so rewarding.

What to consider before signing up for Medicare training?

Here are a few things to consider before signing up for Medicare training. 1. Know Your Audience. Not everyone is eligible for Medicare. Your target customer base will consist of three groups: Individuals who are above the age of 67+ and could save money looking at newer plans.

What to look for when considering an FMO?

When considering an FMO, find out what carriers they’re associated with, how you’ll receive your commissions, and how involved they are in the marketing process. As a Medicare agent just starting, you may need help generating leads and marketing to prospects.

What are the basics of health insurance?

You’ll undergo fundamental training that teaches you the basics of health insurance plans and how they work. Some of the most important topics covered include: 1 Deductibles 2 Claims 3 Networks (HMO, PPO, etc.) 4 Co-insurance 5 Compliance and ethics 6 Healthcare laws

Can anyone sell Medicare products?

Not just anyone can sell Medicare-related products. The Center for Medicare and Medicare Services (CMS) requires agents to obtain special certifications. CMS oversees all insurance companies, agents, and agencies that sell their products.

How do I become a Medicare agent?

How Do I Become a Certified Medicare Agent? Agent training for Medicare is an ongoing process, with having to go through training each year. No degree is necessary, but you’ll need a certification and license.

What does a Medicare sales agent do?

As a Medicare sales agent, you’ll be representing top insurance companies, and helping people find the right plan for their needs. You’ll take into account the lifestyle and budget of each client you work with. You’ll also have them understand their options by doing a comparison of quotes from multiple carriers.

Why Should You Do Medicare Training Every Year?

This is because some Medicare products are adjusted every year so it’s good to see what’s available and what’s not. T here might be new rules and regulations that you’ll want to abide by as well.

How Do You Get Paid?

Medicare agents don’t take money from their clients and don’t raise the rate for them. As an agent, you’re paid by the insurance carrier for selling their items. You can tell clients that if they buy from the carrier directly then they won’t receive the customer service and support that you’ll provide them.

Is Medicare certification required every year?

Even though Medicare certification is required annually, it’s still a good idea to obtain additional sales training every year. This is because some Medicare products are adjusted every year so it’s good to see what’s available and what’s not.

Do Medicare agents take money?

Medicare agents don’t take money from their clients and don’t raise the rate for them. As an agent, you’re paid by the insurance carrier for selling their items. You can tell clients that if they buy from the carrier directly then they won’t receive the customer service and support that you’ll provide them.

Can I Sell Medicare Supplements Within My State?

States allow the selling of Medicare supplements, it’s more about picking the right state to sell the supplements in. Keep in mind that depending on whether it’s rural or a city, the demographics, or market factors will determine how successful you can be.

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Issues with The Agency Principal

  • One issue is with the owner/principal of the GA. In order to receive compensation, Medicare requires GAs to complete licensing and certifications. This applies to their own production as well as production from sub agents. This can be an issue when you have an owner that no longer wri…
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Compensation Paying to An Entity vs. An Individual

  • A GA contract can given to an individual which would have compensation pay to the individuals bank account (They still need the require number of sub agents) or it could be an entity (LLC, S-Corp, Corporation, etc..) with the compensation paying to the entity. Again, for an entity to receive payment, they must have a licensed, certified affiliated person.
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Medicare General Agency Commission Payouts

  • Medicare GAs can receive commission pay in a few ways… Street level direct payments-Under this set up, the street compensation would pay to the producer directly form the insurance company. This includes initial commission and renewal comp. The override would be paid directly to the agency. LOA or Assigned Commission- All compensation (street commission and override) woul…
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GA Contracting For Principal and Sub Agents

  • We can set up GA levels for just about any company and product type. We use one contracting kit to appoint with all the various carriers. The GA and sub agents need to fill out the contracting, check off the companies they want and then fax the completed contract to us at 203-567-6253 or email to Lisa@croweandassociates.com. Please include a void check for direct deposit, E and …
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Recruiting Agents and Releases

  • If the new agents do not currently offer Medicare plans, they can easily fill out a contracting kit and get started. When you bring in agents that currently have an up-line, you will need a release in order to set them up under your agency. If the current up line will not provide a release, the agent must submit a notice to each carrier to start the waiting period to be re-contracted and moved o…
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Steps After Contracting and Certifications Are Done

  1. The next steps is to get the training you need for the products you plan to offer. We provide full sales training, as needed, to the GA and or sub agents.  Once initial training is done, it is the...
  2. Order supplies (sales kits, brochures, applications) for the products you plan to sell.  Either call our office or Pinnacle Financial Services at 800-772-6881 to order supplies.  There is no cost f...
  3. Access our online quote engine.  There is no cost to access to our quote engine for  Medicare…
  1. The next steps is to get the training you need for the products you plan to offer. We provide full sales training, as needed, to the GA and or sub agents.  Once initial training is done, it is the...
  2. Order supplies (sales kits, brochures, applications) for the products you plan to sell.  Either call our office or Pinnacle Financial Services at 800-772-6881 to order supplies.  There is no cost f...
  3. Access our online quote engine.  There is no cost to access to our quote engine for  Medicare, Life, Final Expense, Annuity or LTC.   Go to pfsinsurance.comto access the quote site.  You will need...
  4. If you plan to add additional sub agents, you may want to come up with a strategy to recruit them.  We offer a Free Medicare lead program which can be a very strong incentive to new agents.  CLICK...

Existing Agencies That Have Added Medicare

  • Agencies that already have a successful business but are adding Medicare as an additional revenue stream have a huge advantage. If they have clients age 65 and over, they have an easy opportunity to provide Medicare planning for those clients. In General, people age 65 and over have either an Advantage plan or Supplement and drug plan with someone. The existing agency …
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