No, I’m not talking about the 48 hour “cooling off period” or the new 48 hour requirement regarding when Scope of Appointment Forms must be obtained for a Medicare Advantage or Part D appointment. While CMS applies this time frame to just about everything these days, this is specific to enrollment submissions.
To put it simply, the “48 hour rule” means that all enrollment applications should be submitted to the carrier within 48 hours of receipt by the agent. It should be noted that the 48 hours are calendar hours, not business hours so weekends and holidays count as well.
Furthermore, if you are working with a carrier that requires you to submit your enrollments to your upline for processing, you need to make every effort to have those submitted within 24 hours so they can submit them to the carrier within the 48 hour window.
The reason behind the “48 hour rule” is to allow the carriers ample time to process the enrollment on their end before they have to send it to CMS. Carriers have seven calendar days to do this. Since Star Ratings are tied to latency for the first time this year, you should expect that carriers will be making a push to get as many enrollments submitted as possible within that 7 day window. This could result in disciplinary action for agents who consistently fail to submit their enrollments within 48 hours.
So, as you are submitting enrollments this AEP, make sure you keep the “48 hour rule” in mind. And again, if your enrollments go to your upline first, submitting them within 24 hours is ideal.