Forms/Resources
Please find information below in PDF* format:
- Business Associate Addendum - Document Agents Must Review
- 2010 Coventry Producer Manual
- 2010 Coventry Contracting Requirements - Effective 9/21/09
- 2010 Plan Benefit Information
- 2010 CCP Mailing Addresses and Fax Numbers - For Enrollment questions be sure to contact your local health plan
- 2009-2010 CCP Training Contact Information
- 2010 Extra Financial Help for Beneficiaries
Low Income Subsidy (LIS)
- Click here for additional help for those that need it most
National Council of Aging (NCOA)
- BenefitsCheckUp Promotional Toolkit
- Click here for a brief summary on how to promote BenefitsCheckUp
- Click here to access the web-based tool, BenefitsCheckUp - 2010 Part D Cost-Sharing Chart - Click here to review the cost-sharing amounts by product by region
- 2010 PDP Brand Name Drugs and their Generic Alternatives
- Sales Presentation Resources
***IMPORTANT PLEASE READ***
ALL Agents MUST USE the mandated CMS-approved sales presentations from BEGINNING to END, SLIDE-BY-SLIDE and according to the SPEAKER NOTES. Use in conjunction with the CMS Marketing Guidelines, the Sales Presentation Checklist Tool and the on-demand Brainshark presentations. Questions? Contact Broker Services, your upline or local Coventry Health Plan.
- CMS Model Scope of Sales Appointment Confirmation Form - AdvantraRx Cost-Share Flyer
- AdvantraRx Drug Coverage & Pricing Tool - Access this tool by clicking here to help your clients search for specific drugs (online formulary tool) and their related cost)
- AdvantraRx Enrollment Fax Cover Sheet
- Application Tracker User Manual
- Brainshark On Demand Presentations
*Your National Producer Number (NPN) is required during some training registration processes. If you do not know your NPN, click here.
Scope of Appointment Agent Training Presentation
Please use the link below to view the presentation. http://www.brainshark.com/cvty/vu?pi=534852823
Coordinated Care Plans Sales Presentation Guidelines for Sales Meetings and Seminars
Please use the link below to view the presentation. http://www.brainshark.com/cvty/vu?pi=697079217
Overview of Broker Training, Certification and Contracting
Please use the link below to view the presentation. http://www.brainshark.com/cvty/vu?pi=821793976
How to Access Coventry-AHIP Training and Registration
Please use the link below to view the presentation. http://www.brainshark.com/cvty/vu?pi=856989987
Application Tracking System
Please use the link below to view the presentation.
http://www.brainshark.com/cvty/vu?pi=253790154
Requirements and Best Practices for Coventry Sales Presentations - Use of Checklist Tool
Please use the link below to view the presentation OR click here to download a PDF of the presentation.
http://www.brainshark.com/cvty/vu?pi=663509005
Online Enrollment Training Power Point Presentation
Please use the link below to view the presentation OR click here to download a PDF of the presentation.
http://www.brainshark.com/cvty/vu?pi=449947969
Telephonic Enrollment Training Power Point Presentation
Please use the link below to view the presentation OR click here to download a PDF of the presentation. http://www.brainshark.com/cvty/vu?pi=358632329 - Broker Services Department Quick Reference Guide
- BSD Fax Cover Sheet (for correspondence you send to BSD) - NOT for use with enrollment applications
- CMS Medicare Marketing Guidelines - Summary
- Compliance Overview for MIPPA Implementation
- Coventry Medicare Marketing Code of Conduct
- Coventry Partnership with National Council on Aging (NCOA)
- Email Enrollment Status Notification Messages to Agents - Samples
- Enrollment Periods/Eligibility
- Enrollment Verification Call Process - What Happens Next (for both CCP and PDP)
- Enrollment Verification Call Process - What Happens Next (for both CCP and PDP) - Spanish Version
- Fraud Waste & Abuse Training (2009)
- Broker/Agent Fraud Waste & Abuse Training Slides
- Printable FWA Training Attestation Form - How to Order Sales Kits - click on the link below for easy to follow instructions.
- CCP - Steps on how to order kits
- PDP - Steps on how to order kits
- PDP - Kit Allocation Q&A
- PDP - Check Kit Order Status - Online Application System Request for Administrative Staff
- CCP Benefit Grids & Service Area Maps (agent-use only)
- PDP benefits information (agent-use only)
- CMS Approved Coventry Scope of Sales Appointment Confirmation Form
- CMS Approved Coventry Scope of Sales Appointment Confirmation Form - Spanish Version
- Scope of Appointment Requirements
- Coventry Medicare Sales Presentation Checklist Tool
- Sales Seminar Reporting Template Instructions
- Sales Seminar Reporting Template
- Sales Event Cancellation Instructions
- Attestation for Sales Event Cancellations
- AdvantraRx Prescription Drug Plan Sales Presentation
- Advantra CCP - HMO/PPO Sales Presentations
- Enrollment Period Grid
- SEP Eligibility Table
*Requires Adobe Acrobat Reader which is free and can be downloaded from http://www.adobe.com/products/acrobat/readstep2.html.