Red Flag Questions and Answers
A customer calls to activate his funding; to qualify for the HRA the customer must be enrolled in a Medical plan through One Exchange. The customer tells the BA that he wants the same Medicare Advantage plan he currently has with his employer, so the BA enrolled him in the exact same plan. Which Red Flag would you use?
The customer called on December 8th to make a change to his drug plan. The BA submitted an application for the customer thinking that the carrier would accept it being only 1 day after the annual enrollment period. Which Red Flag would you use?
The BA did not look up the customer's PCP number for the HMO plan they were enrolling in. Rather than getting an LBS on the line, the ADP placed the customer on hold and looked up the number online. What is the appropriate action to take?