Agent Complaint (Unsubstantiated) We performed We looked into your complaint against your agent, Marketing a review and find that the agent did not make an <agent name>. We have an agent oversight group error. that makes sure our agents are giving members the correct information and acting in their best interest. Whenever we get a complaint about one of our agents we take it very seriously. In this case we did Must open an inquiry for Agent Oversight for investigation a deep review into the facts of your personal case. When a review finds a problem with one of our The complaint must be agents it is tracked and/or addressed with the agent associated to a particular agent for improvements. While we cannot release the for tracking and trending. details of the review we can tell you your complaint If member wants to change was unsubstantiated, meaning we found plans, use AEP/Disenrollment or documentation that confirmed that the agent followed Disenrollment template all of Medicare and the When this state’s rules. happens, we can't make any changes to your plan as there was no proof that your agent did anything wrong.
Agent Complaint (Unsubstantiated) We performed a review and find that the agent did not make an error. We looked into your complaint against your agent, <agent name>. We have an agent oversight group that makes sure our agents are giving members the correct information and acting in their best interest. Whenever we get a complaint about one of our agents we take it very seriously. In this case we did a deep review into the facts of your personal case. When a review finds a problem with one of our agents it is tracked and/or addressed with the agent for improvements. While we cannot release the details of the review we can tell you your complaint was unsubstantiated, meaning we found documentation that confirmed that the agent followed all of Medicare and the state’s rules. When this happens, we can't make any changes to your plan as there was no proof that your agent did anything wrong. Marketing Must open an inquiry for Agent Oversight for investigation The complaint must be associated to a particular agent for tracking and trending. If member wants to change plans, use AEP/Disenrollment or Disenrollment template