How long will it take for a ConnectiCare SOLO application to be processed?
Complete applications that are received by ConnectiCare are processed within 7 to 10 business days. To check the status of your client's application, log on to the Producer section of www.connecticare.com, choose “ConnectiCare SOLO” and then “Check Application Status.”
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What are the commissions for the producer and are there any bonuses?
A base commission of 7% of paid premium will be earned on new and renewing policies. If you achieve net growth of 25 policies with a 2005 effective date, then you will receive a bonus of an additional 1% of paid premium for the calendar year.
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When are commissions and bonuses paid out to producers?
Commissions are paid monthly, along with any large or small group commissions. Bonuses are calculated at year-end, and are paid in April of the following year.
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What are the payment options for ConnectiCare SOLO members to submit premiums?
CCI SOLO members have several different payment options for remitting their monthly premium payments. They can send a check to our payment address:

Connecticare
PO Box 30726
Hartford, CT 06150

Solo members can also complete an application for Electronic Funds Transfer and have their premiums automatically withdrawn from their bank account. Solo Members are now able to pay their premiums by credit card on our website Connecticare.com.
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How can a CCI Solo member pay their premiums using a credit card?
ConnectiCare SOLO members are now able to make their monthly premium payments with VISA or MasterCard. Some health plans accept credit cards for your enrollment premium only, then it’s invoices and checks. But ConnectiCare SOLO makes it easy-you can use your credit card every month!

It’s simple. Just log onto our secure member site at www.connecticare.com and enter your user name and password. (It takes just a minute to register if you’re a new online user.) Under "Get Information About Your Plan" select "Billing Invoice & Credit Card Payment".
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How and when can a ConnectiCare SOLO member apply for Electronic Funds Transfer (EFT)?
To apply for EFT, members should complete the EFT Form and attach a voided personal check. They should send this information to:

ConnectiCare, Inc. and Affiliates
Attn: Billing/EFT
175 Scott Swamp Road
Farmington, CT 06032-312

Once we have processed the request, we will notify the member of the effective date. Members can apply for EFT when submitting their application or anytime after they are accepted as a member.
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When is the member’s premium due?
Premium payment is due and payable on the first of the month for which coverage is applicable. Members will receive their premium payment invoice on or around the 10th of the month prior to the payment due date.
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Are the rates guaranteed?
We may increase premium rates at the time of renewal or when otherwise mutually agreed upon. We may also increase premium rates if benefits under the Plan are changed due to state or federal mandates. The effective date for such change in premium rates will be the same as the effective date of such change in benefits.
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How will members be notified about rate increases?
Members will be notified in writing at least 30 days in advance, if and when this occurs.
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A member just received a request for proof of his child's student status. What should this person do?
If the child is a full-time student enrolled in a recognized college, university or trade school, the member should complete the form he received and attach a copy of one of the documents listed in Section 3 of the form. The member should send this information to the address on the letter.
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What happens if a member moves out of state?
HMO members who move out of state and are no longer Connecticut legal residents will not continue to be eligible for the HMO plan. POS members who move out of state and are no longer Connecticut legal residents may continue their POS plan. But they will be required to pay higher out-of-pocket costs for covered services provided by non-participating providers.
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What are some of the benefits, exclusions and limitations when applying for a ConnectiCare SOLO policy?
Each plan has a broad list of covered services. Please refer to the Outline of Coverage for the HMO and POS designs to determine the benefits, exclusions, and limitations that best suit your client's health care needs.
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The applicant’s child is away at school and the HMO plan does not allow for out-of-plan services. How is the applicant’s child covered when he/she is not in town?
The applicant's child is covered for any sudden onset of injury, illness or emergency services while away at school. The PCP should always be notified of any service provided away at school or out-of-area. If follow-up care is needed, the treating doctor or the child must contact ConnectiCare to obtain pre-authorization. The bill for services obtained out-of-area may be submitted to ConnectiCare for reimbursement using an Out-of-Area Reimbursement Form.
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What do ConnectiCare SOLO members do if they are out of the service area and become ill or injured?
If members are out of the service area, they are covered for any sudden onset of injury, illness or emergency. Members are required to obtain a bill from the doctor. If services are received out of the country, members need to have the bill translated into English and converted into American dollars. Members should submit the bill to ConnectiCare for reimbursement, using the Out-of-Area Reimbursement Form. (Please see Online Forms at Producer section of www.connecticare.com.)
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When are renewals?
The plan renews on the annual renewal date—usually January of each year. You will be notified of any rate increases at least 30 days before their effective date. Rate increases and plan changes that will be effective upon the annual renewal will be communicated during the Open Enrollment Period, which is in November of each year for a January effective date.
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Can a member switch to another plan at renewal time?
Each November, during the Open Enrollment period, members will have the option to select a new plan offered by ConnectiCare. If members select a plan with richer benefits, they will be required to complete a new Individual Health Statement, and will be subject to underwriting review and acceptance.
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What if a member has a baby? How do they enroll the baby for coverage?
The newborn natural children of members and their covered spouse/domestic partner receive coverage for the first 31 days after birth. Coverage for the child will end at the earlier of your termination of coverage or the end of this 31-day period, unless you have submitted an application to us, paid the additional applicable premium, if any, and we have approved such application within 31 days of the birth. If the newborn natural children are not added to the plan within the 31-day period, the member must wait until the next renewal to add them to the plan, if additional premium was required.
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What if the member adopts a child? How are adoptive children enrolled for coverage?
The adoptive children of the member or the member’s covered spouse/domestic partner receive coverage for the first 31 days of the date of adoption or the date on which such member, his/her spouse, or domestic partner become at least partially legally responsible for the adopted children’s support and maintenance and the child lives with such member, even though the adoption has not been finalized. Coverage will end at the earlier of the member’s termination of coverage or the end of this 31-day period, unless the member has submitted an application to us, paid the additional applicable premium, if any, and we have approved such application within 31 days of the adoption. If the adoptive are not added to this plan within that 31-day period, the member must wait until the next renewal to add them to the plan, if additional premium was required. In such case, the adopted children will also be subject to medical underwriting.
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How can the member add other dependents?
To add a new spouse or domestic partner or other dependent child (other than a newborn or adoptive child), the member needs to complete an Individual Application/Change Form for the new dependent. The member must return the forms to you or directly to us. Acceptance of the dependent is subject to medical underwriting.
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How can members terminate coverage for a dependent?
Members must notify us immediately of any change that may affect them or their dependents covered under this Plan. They can request these changes on an Individual Application/Change Form, which must be returned to their producer or directly to us.
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