Business Continuity Plans under 422.504(o) and 423.505(p)

Attachment 5a - Description of Compensation Structure(s)
Submission Requirements for MA and PDP Organizations Paying
Compensation to Marketing Organizations
Instructions
For any MA or PDP organization that did not sell products
through agents and brokers in any given year, such
organization is not required to provide such information
for such year. Nonetheless, every organization must
provide 2019 information and information for the other
years in which they participated in Medicare Advantage and
the prescription drug programs.

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Submit Certification (Attachment 1a)
Using Attachment 2a (or if your organization has the
schedule(s) in a workbook, or some other format, you may
submit that documentation in lieu of Attachment 2a)
o
Organizations must submit each unique MA and PDP
plan compensation structure where plans pay contracted
marketing organizations (such as Field Marketing
Organizations (FMOs)). Include all of the compensation
structures for years 2016 through 2019.
o
Each structure must be assigned a unique
identifying number (include plan year as the first
four digits in the ID number) and the structure must
be clearly identified in the data submission with that
number.
o
For each compensation structure, complete the
template Excel worksheet entitled “Contracting Org
Info Sheet” in the Excel workbook “Covered Agent
Information Sheet
Workbook” (Attachment 3), and provide:
o
The structure’s unique identifying number; o The
marketing organization’s name and address, and the
phone number and email address for a contact at each
marketing organization with whom you contract; and
o
The number of agents affiliated with these
marketing organizations that sell on behalf of your
organization and are covered by each compensation
structure.

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