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Highmark BlueCross BlueShield Medicare Advantage and PDP Plans
:: Contracting & Appointment Information
:: Highmark Website
:: Commission Regulations
:: 2012 Medicare Advantage Product Training & Certification
:: 2012 Medicare Advantage Applications & Plan Materials
:: 2012 Medicare Part D Application & Plan Materials
:: Highmark Senior Markets Producer Oversight Manual (8-2011)
Senior Products contracts and appointment documentation may be submitted via mail or fax.
Mail:
Highmark BCBS Senior Products
National Insurance Markets, Inc
915 Saxonburg Blvd, Suite 217
Pittsburgh, PA 15223
Fax:
412-782-2868
ATTN: HIGHMARK BCBS SENIOR PRODUCTS
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Commission Regulations
Highmark will NOT pay commissions on:
• Medicare supplement products - MedigapBlue (individual) and Signature 65
(group)
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Commissions will be paid on:
• Existing Highmark members moving from an Under-65 Commercial Individual or Group product to BlueRx or one of Highmark’s Medicare Advantage plans
• Existing Highmark Medicare supplement (MedigapBlue or Signature 65) and/or BlueRx members moving to one of Highmark’s Medicare Advantage plans
• Existing Highmark members moving from one Highmark Medicare Advantage product/plan to another Highmark Medicare Advantage product/plan
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2012 Medicare Advantage Product Training & Certification
This year Highmark will be providing you with two links to the Gorman training site.
1. All producers who took the Gorman training for 2011 will receive an email from Highmark Senior Markets notifying them that the 2012 training is available. This email will be sent by no later than Monday August 22, 2011. Below, please find the link for all existing Highmark Senior Market producers:
http://www.medicaresalessentinel.com/Agents/AgentRegistration.aspx?programguid=e9c27bf8-0a85-4162-a475-7ff7e3d82756
NOTE:
- 2011 username & passwords will not work for 2012. Click on "Don’t have an account? Click Here to Register". Enter your social security number and follow the prompts. Your new password must be at least 8 characters using upper- and lowercase letters, one number and one symbol.
- Once you have logged in, you should click on the program name: "2012 Highmark Existing Agents" (on the My Programs tab) to begin the training process.
Then follow the steps for the "2012 Highmark Existing Agents".
Important: In the second step "Highmark 2012 Agent Information" you will be asked a number of questions. Be sure to select the appropriate service area(s) and complete the remaining questions as shown in the image below.

Then follow the remaining steps to completion and the training modules will be uploaded.
2. There will be a separate link for new Highmark Senior Market producers (producers who did not complete the training last year). This link will allow new producers to create an account on the training site and complete the training.
http://www.medicaresalessentinel.com/Agents/AgentRegistration.aspx?programguid=95ba9117-3875-466c-a33f-3432f5f2dcfb
As in previous years, there will be no charge for Highmark’s annual certification and we will accept AHIP certification for the core Medicare training.
However, all agents will still be required to take the Highmark plan specific training. The training site will also walk you through the upload process for the AHIP certification.
Please note... to be certified to sell during the Annual Election Period (AEP) from Oct 15th- Dec 7th, 2012 all producers must complete the
certification process by September 30, 2011 - no exceptions permitted.
If you have any questions about using the Medicare Sales Sentinel site, please call the Broker Sales Certification Support Line (888)439-3337.
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2012 Medicare Advantage Applications & Plan Materials
FreedomBlue PPO Application:
:: FreedomBlue PPO South-West PA Application (includes Allegheny, Armstrong, Beaver, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Washington and Westmoreland counties)
:: FreedomBlue PPO West-Central PA Application (includes Bedford, Blair, Crawford, Erie, Mercer, Somerset, Cameron, Clarion, Clearfield, Elk, Forest, Huntingdon, Jefferson, McKean, Potter, Venango and Warren counties)
SecurityBlue HMO Application:
:: SecurityBlue South-West PA Application - with CARE plan Option (includes Allegheny, Armstrong, Beaver, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Washington and Westmoreland counties)
:: SecurityBlue North-Central PA Application - with CARE plan Option (includes Bedford, Blair, Crawford, Erie, Mercer and Somerset)
:: SecurityBlue West-Central PA Application - NO CARE plan Option (includes Cameron, Clarion, Clearfield, Elk, Forest, Huntingdon, Jefferson, McKean, Potter, Venango and Warren counties)
Misc Required Forms:
:: Highmark FreedomBlue SEP Form
:: Highmark SecurityBlue SEP Form
:: Highmark Other Ins Enrollment Addendum
:: 2012 Scope of Appointment Form (r.10-27-2011)
Product Materials:
:: 2012 MA & PDP Benefits Grids & Rates
:: 2012 Highmark LIS Premiums (xls)
:: 2012 PA FreedomBlue Evidence of Coverage
:: 2012 South-West PA FreedomBlue PPO Summary of Benefits
:: 2012 South-West PA SecurityBlue Summary of Benefits
:: 2012 West-Central PA FreedomBlue PPO Summary of Benefits
:: 2012 West-Central PA SecurityBlue Summary of Benefits
:: 2012 Western PA SecurityBlue Care (HMO SNP) Summary of Benefits
:: 2012 Western PA SecurityBlue (HMO SNP) Evidence of Coverage
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