Agent frequently asked questions

The application can be found here: Enrollment

1. Download and complete the PDF enrollment form. Mail or fax to the information on the form
2. Complete the form online using the Docusign Enrollment Form.

It is strongly recommended but not required.  If a PCC is not chosen, one will be chosen for the applicant by Aspirus Health Plan upon enrollment.  However, the member does not need to go to that chosen PCC for care.

The Medicare unique identifier is an 11-digit combination of both letters and numbers. If the applicant does not have their Medicare unique identifier, this field can be left blank but only after making a strong attempt to get it. This number is NOT their Social Security number. If obtained, enter the Medicare number on the application, with no hyphens.

Use your National Producer Number (NPN). Aspirus Health Plan uses your NPN to track all agent activity.

IMPORTANT: The enrollment application must be date and time stamped upon receipt by (not postmarked by) the end of the month prior to when the individual would like coverage to start. Exception: During the Annual Election Period the application must be received by 12/7 for a 1/1 effective date.

Applications are date and time stamped per:

Mail — physical receipt at the processing center
Fax — the fax confirmation
Docusign — the applicant’s “Finish” step

Medical and dental applications cannot be accepted via email.  Emailed applications do not meet technical requirements for ensuring applicant privacy.

If an application is incomplete and we can get the information (e.g., banking information) faster from the applicant, we will contact them first. If we are unable to reach the applicant, we will contact the agent.

Aspirus Health Plan will try to get the information as quickly as possible by phone first.

If an application is denied, a letter will be mailed to the applicant. A copy is not sent to the agent; agents should be in contact with their clients.

You, or the applicant, can contact the enrollment center at 715.631.7410 (you MUST be listed on the application for the enrollment center to provide you with information). This line is not staffed "live." Please leave a message; you will receive a call back in one business day.

IMPORTANT: All callers need to be authenticated before we can share information about an individual, regardless of whether the caller is an agent, applicant or member. Authentication requires three elements of Protected Health Information (e.g., address, phone number and date of birth). Once you are authenticated, you must also tell us your name and NPN, and this must match what's on file for the applicant. If another agency representative is calling, they need to have this information as well. 

You or the applicant can contact the enrollment center at 715.631.7410 for specific instructions based on the situation.

Submit the Short Enrollment Form or contact customer service at 715.631.7411 or toll-free at 1.855.931.4850.

The member must request this change in writing, and fax to 715.787.7329, or mail to:

Attn: Medicare Enrollment
Aspirus Health Plan
P.O. Box 51
Minneapolis, MN 55440-9972

Commissions are paid monthly on all renewals and any new business approved by the 13th of the month. If you are paid through your agency, be sure you are in communication with the appropriate party within your agency about the timing of checks being mailed or deposited. They will need time to reconcile the payment prior to disbursing your commission payment.

IMPORTANT: Agents cannot be paid commission for new business OR renewals if they have not recertified. You must retain an active license to receive commissions. Delays in recertification could result in delays in commissions payments.

• The application was approved too close to the commission cutoff, or not in time for the commission payment processing time for the month.
• The application was approved too close to the effective date, or not in time for the commission payment processing time for the month.

In the above cases, the commission will be paid the following month.

No. Other agents at your agency will not receive your commissions information.

Get sales kits, referral cards, agent templates, inserts and other marketing materials.

Visit the ordering website.

The dental plan can be added within 30 days from the effective date of coverage by submitting the Aspirus Choice Dental Enrollment Application (please hyperlink to the link below this one) or calling customer service at 715.631.7411. 

If not within 30 days from the effective date, the member will need to wait until the next Annual Election Period to add the dental option to their coverage using the Aspirus Choice Dental Enrollment Application.

Complete the Aspirus Choice Dental Enrollment Application.

Members can send a written request to disenroll from the dental portion of their plan. The member should clarify that the request is for the dental portion of the policy, and include:

• Name
• ID number
• Requested effective date of the change
• Signature
• Date signed

Requests can be sent 1) faxed to 715.787.7329 or 2) mailed to:

Attn: Medicare Enrollment
Aspirus Health Plan
PO Box 51
Minneapolis, MN 55440-9972

Disenrollment requests are typically processed for the first of the month after the one in which they are received.

Yes. To have your client enrolled by phone:

• Call the sales line at 715.631.7437 (or toll-free 1.855.931.4855).
• Tell the sales representative that you are an Aspirus Health Plan agent with a client on the line who would like to complete a phone enrollment.
• Provide the applicant’s name, address and phone number.
• Provide your full name and NPN.

Then you will need to exit the call, as Medicare regulation does not allow you to stay on the line while your client completes a phone enrollment.

After you exit the call, the sales representative will ask your client if they have any questions prior to starting the phone enrollment, answer their questions and prep them for the phone enrollment. Medicare requires plans to ensure enrollees understand the plan they are enrolling in prior to starting a phone enrollment.

Once the enrollment has started, if the applicant asks questions about benefits, premiums or other plan options, the sales representative is required to stop the enrollment and will refer the applicant back to you as their agent.

As part of the phone enrollment, the applicant will be asked if they are working with an agent and will document your full name and NPN to ensure you get full credit for the sale (so be sure to also provide your full name and NPN to your client).

Your client can also call the sales line directly, and will follow the same process as above.

The eyewear allowance is an annual amount regardless of when they enroll.

The OTC amount is available on the first day of the benefit period and expires on the last day of the benefit period. The member will receive the full amount for the period(s) in which they are enrolled.

You can search for the name of a specific health care provider such as a doctor, dentist or specialist on our provider search tool.

For any service types that cannot be found either on the provider search tool or Provider and Pharmacy Directory, contact customer service at 715.631.7411 or email us at memberservicesMA@aspirushealthplan.com.

Benefit information, including the Summary of Benefits and Evidence of Coverage, is found in the Member Resources section on this website. Members can also log into their online member account to find information specific to the plan they are enrolled in. They can also pay their monthly premium, view their claims and expenses and more!

We’re happy to help and appreciate your business with Aspirus Health Plan.

Aspirus Health Plan TTY: 715.631.7413 or toll-free 1.855.931.4852

Agent Service Line:

This resource should be contacted for questions related to claims, resource questions, etc.

This line should NOT be used for application status.

1.833.951.3196 or 715.787.7404 or
brokersupportMA@aspirushealthplan.com
Hours: 8 am to 5 pm, Monday – Friday

Commission questions:

brokerfinancialinquiriesMA@aspirushealthplan.com

Customer service:

This resource should be contacted for anything related to a member (already has an ID).

715.631.7411 or 1.855.931.4850 (toll-free)
Hours: 8 am to 8 pm CST, seven days a week

Attn: Customer service
Aspirus Health Plan
P.O. Box 51
Minneapolis, MN 55440-9972

Enrollment center:

Call for status updates for a submitted application up until the time the applicant receives a member ID.

715.631.7410
Fax: 715.787.7328

Note: This line is voicemail only. Callers may leave a message and will receive a callback within one business day.


Sales:

715.631.7437 or 1.855.931.4855 (toll-free)
Fax: 715.787.7328
medicaresalesMA@aspirushealthplan.com
Hours: 8 am to 5 pm, daily (Oct. 1 – Mar. 31)
8 am to 8 pm, Monday – Friday (Apr. 1 – Sept. 30)

Attn: Medicare Sales
Aspirus Health Plan
P.O. Box 51
Minneapolis, MN 55440-9972

To report a compliance issue or fraud, waste or abuse:

1.800.450.2339 (toll-free)
complianceMA@aspirushealthplan.com