Managing Cases
Prospect and client records, carrier information and more
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NextAgency gives you access to a product type library where you can associate product types with carriers as well as create and edit your own product types. To manage product types, follow these steps:
- In the upper-right corner of any NextAgency page, click your profile icon and choose Settings.
- On the Settings page that opens, go to the Carrier Settings tab.
- Go to the Product Types subtab.
Here you can see a list of system product types and custom product types. You can edit only the custom product types, i.e. those that you created yourself. To create a new product type, click Add Product Type in the upper-right corner of the page. In the dialog that pops up, enter the name of the product type and click Save.To assign product types to carriers, follow these steps:
- In the menu bar, click Partners > Carriers.
- Within the Carrier's library, select Actions > Edit on the specific carrier record you intend to associate the product types with.
- Click on 'Manage Product Type'.
- In the dialog that pops up, select the relevant product type, e.g. Medical, and click Add.
- At the bottom of the carrier record page, click Publish Live to save the changes and make them visible to authorized brokers.
After adding the Product Type to the Carrier, you'll find the newly added Product Type displayed on the left side. From this page, you can proceed to add Plans. Simply click on 'Add (Product Type name) Plan'.
In the pop-up window, you can fill in all the necessary details beforehand and then finalize by selecting 'Save'. -
To open a client or prospect card with all details, click the name of the case in the table. Let’s take the client card as an example and explore all available pages.
Summary
This page contains an overview of the client’s contact details, custom fields that are relevant to the client's case, company snapshot, etc. Here you can also find important dates, such as employer’s last login or next renewal date.
In addition, on the Summary page you also convert the client to a prospect, change its status, and add team members.
Finally, you can view custom fields that are related to the case, assign tags and worfklows to the case, view the company snapshot, view important case-related dates, and read recent case-related notes.
Contact Info
This page contains data related to the owner/administrator of the client’s business as well as contact persons.
You can add the new contacts, existing employees, and existing individuals by clicking New in the upper-right corner of the page and selecting the corresponding option.
Benefits
On the Benefits page, you can view and add insurance benefits that are relevant to the case.
You can also filter the benefits by product type as well as by the Current and Past parameters.
Tasks
This page contains tasks that are relevant to the case. You can add new tasks as well as edit the existing tasks.
You can also archive the tasks and later view them by selecting the Archived checkbox in the upper-left corner of the page.
Finally, you can filter the tasks by type, stage, tags, and due date.
Notes
This page contains notes that are relevant to the case. You can add new notes and edit the existing notes.
You can also archive the notes and later view them by selecting the Archived checkbox in the upper-left corner of the page.
Finally, you can filter the notes by due date.
Files
This page contains several system folders for all files and documents that are relevant to the case. It is also possible to create custom folders and add files. You can share, edit, and delete your custom folders, but not system folders.
You can also move files between folders. You can either drag a file record to the folder or select one or several files, click the Multiple Actions button that appears after the selection, and then choose Move.
In the window that appears, select the folder where you are going to move the file(s) and click Move.
Finally, you can place the folders inside other folders by simply clicking and dragging one folder into another folder.
Census
This page contains demographic information about the client’s employees, such as age or marital status. This data is needed to estimate the health care costs and is used for quoting purposes only, without being linked to the client's actual HR system. You can view the records by selecting the census type from the drop-down list.
You can also add new employees to the census by clicking the Employee button next to the drop-down list.
The following actions are available for the census:
- Set Coverage: Set the coverage status for the census.
- Set Dependent Status: If a person in the list is a dependent, i.e. a spouse of a child of an employee, you can specify the exact status.
- Delete Selected: Remove the selected employee record together with dependents.
- Import: If you need to add a large amount of employee records, it would be more convenient to run a bulk import from an Excel file. You need to download the import template, fill it in, and then upload it to NextAgency.
- Export: Generate an Excel file with employee data from the census.
- Quote: Send a quote request for the case to a carrier or general agency.
Employees
This page contains a list of the client’s employee records. Here you can do the following:
- Add new employees or existing contacts
- Filter the employees by type, state, zip code, and date of hire
- Copy all or several employees to the census
- Run a bulk import of the employees
Sales
On the Sales page, you can view and edit quotes, proposals, and enrollment kits that are relevant to the case.
You can also do the following:
- Upload and request quotes
- Add and send proposals
- Create enrollment kits
- Convert employer enrollment kits to carriers
Commissions
This page contains all commissions, overrides, and bonuses that are relevant to the case.
You can split the commissions between a carrier and a subagent on the Split subpage.
You can also view the hidden sub-agents on the corresponding subpage.
NextMail
This page gives you access to NextMail - the internal mailing system of NextAgency - with emails that are relevant to the case.
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In NextAgency, case records can be managed individually (manually), or in bulk, by importing an Excel spreadsheet. First, we'll review the manual method.
Creating a New Case
To add a new case record to NextAgency, do the following:
- In the upper-right corner of the dashboard, click New.
- In the Sales Status section, select the sales status of the record that you are adding. Sales Status values are customizable from the Sales Settings page.
- In the Market Segment section, select the type of the case - individual, small group, or large group.
- Available fields within a case depend on your selection under Market Segment. For all market segments, the following fields require values:
- Sales Status
- Broker of Record
- Name
- In the Lead Management section, specify the confidence score and estimated revenue.
- In the Address section, specify the physical and mailing addresses of the prospect or client.
- When ready, click Save & Continue.
Your case record is ready and will open with the Summary tab. Fill in the relevant info on all other tabs. For more information, see NextAgency: Cases & Policies.
Edit an Existing Case
To edit a case record, navigate to Cases/Policies, find the Case you'd like to modify, click Action > Details in that row.
The case record will be opened. On the Summary tab, in the Details section, you'll find an Edit button in the top right corner. Click to modify the case details.
For more information about how you can edit a case record, see NextAgency: Cases & Policies.
Delete an Existing Case
To delete a case record, you'll first need to Archive it. Perform the following:
- Click Actions > Archive next to the record that you are going to delete.
- In the confirmation dialog that appears, click OK.
- In the upper-right corner above the cases table, expand the Quick Filters pane.
- In the General section, select the Archived checkbox. As a result, the cases table will be instantly filtered to view only the archived cases.
- Now locate the record that you are going to delete and click Action > Delete. The Delete action is available only for the archived cases.
- In the confirmation dialog that appears, click Confirm. Please note that the deletion cannot be undone.
Bulk Case Imports (Add New or Update Existing)
When you need to add or update multiple cases, it may be easier to use an Excel spreadsheet. To import the case records from an Excel spreadsheet, do the following:
- In the upper-right corner of the Cases/Policies page, click Import.
- Select New if you'd like to create new cases, or Existing to update one or more fields within existing Case records.
- Select Using Spreadsheet.
- Select the Input Type, which will define the market segment you'd like to import. Note: Individual and Group market segments have different fields and, thus must be imported separately. Import templates are provided for each market segment if needed.
- Download the import template and fill it in with your data.
- Drag your spreadsheet to the specified area or click to select the file from your computer.
- Click Map Headers.
- This is where you will map the data from your Excel spreadsheet to fields within NextAgency. For any fields (columns) in the spreadsheet that you'd like to be included, you'll need to select the proper field under System Headers. A preview of the data from your spreadsheet is shown. If your sheet includes data that is not needed for the import, you can select Ignore for those headers.
- After successful validation, click Import File.
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Each case within NextAgency has a set of stages/pipelines that you can change as you proceed with this case. The stages differ depending on the sales status of the case. They are marked with colors directly on the dashboard, in the cases table. You can filter the table by sales status, and then click the current stage of any record to view other available stages.
You can also create your own, custom stages. To do it, follow these steps:
- In the upper-right corner of any NextAgency page, click your profile icon and choose Settings.
- On the Settings page that opens, go to the Sales Settings tab.
- Go to the Stages subtab.
- In the upper-right corner of the page that opens, click Add Stage.
- In the Add Stage dialog that pops up, enter the following data:
- Stage Name: Enter a short and descriptive title of the stage.
- Sales Status: Select the sales status for which you are adding the stage, either prospect or client.
- Win Percentage: If needed, enter the percentage that indicates the probability of reaching this stage.
- Color/Font Color: Select the color to visualize the stage.
- When ready, click Save.
The stage record will appear in the table. Use the search box to easily locate it. It is also possible to either edit or delete the record under Actions.
The stage is also added to the case records on the dashboard:
You can use the filters on the Cases/Policies page to show only the clients that have a specific Stage assigned.
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The Benefits page of the client/prospect card gives an overview of insurance benefit plans that your agency can provide. They are broken down into system benefits, such as Health, Dental, Life, etc., and custom benefits that are created by NextAgency users. Each tab contains information about respective insurance carriers and relevant plans. It is possible to filter this information by showing either current or past benefits.
For each Benefit, you can do the following:- Attach relevant documents.
- Open the provider directory and carrier portal.
- Update the effective date and renewal date.
- Duplicate, edit, and remove the plans.
- Assign benefits to employees.
To add a new benefit, click Add Benefit, select the business type for which you are adding the benefit (Individual, Small Group, or Large Group for all benefits except for the Property & Casualty product type, where the business types are Personal, Small Group, and Commercial), and choose the relevant product type on the Profile tab.
The arrangement of the Add New Benefit form fields will change depending on your choice of the business type and product type. Now we will explore the common fields that are available for all product types.
Common Fields: Profile Tab
- Share With Client: Select this checkbox to make the benefit visible to the client so they can assign it to their employees.
- Carrier/Vendor: Choose the insurance provider that is relevant to the new benefit or add a new one by clicking the link directly in the field.
- Product Type: Choose one of the available benefit types. They are divided into system product types, which are present in the system by default, and custom product types, which you have created yourself.
- Plan Name: Choose the name of the benefit plan or add a new plan by clicking the link directly in the field.
- State: Select the code of the state that is relevant for the benefit.
- Single Deductible: Enter the maximum amount of employee’s own money that they will have to pay for their individual medical expenses before the company starts covering them.
- Family Deductible: Enter the maximum amount of employee’s own money that they will have to pay for their individual and family medical expenses before the company starts covering them.
- Single Out Of Pocket Limit: Enter the maximum amount of employee’s own money that they will have to pay for their individual medical expenses during the year before the company starts covering them.
- Family Out Of Pocket Max: Enter the maximum amount of employee’s own money that they will have to pay for their individual and family medical expenses during the year before the company starts covering them.
- Policy Number: Enter the number of the relevant insurance policy.
- Group Number: Enter the relevant group ID number.
- Total Monthly Premium: Enter the total monthly fee amount that should be paid to an insurance company.
- Total Annual Premium: Enter the total annual fee amount that should be paid to an insurance company.
- Effective Date: Date on which the benefit becomes active.
- Renewal Date: Date on which the benefit has to be renewed.
- Minimum Hours Per Week: Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
- Eligibility Period: Specify the length of time during which the insured person is eligible for this insurance plan.
- Carrier Portal Link: Enter a carrier portal URL.
- General Agency: Select the general agent that is managing this insurance plan or add a new general agent by clicking the Add General Agent link directly in the field.
- Status: Specify whether this benefit is current or past.
- Policy Stage: Specify the current stage of assigning this benefit.
- Internal/External Note: Add notes, if applicable. Internal notes can be viewed only inside the agency whereas external notes are shared with the employer and employees.
- Add Files: Attach files to the benefit, if applicable.
Common Fields: Contribution Tab
The Contribution tab is available only for the Small Group and Large Group/Commercial business types. This tab is for entering either the percentage or the amount of insurance payment to be covered by the employer for the employee’s family members. The amount of contribution is typically set by employer regardless of the product type or plan type. The total amount is calculated automatically.
Common Fields: Rates Tab
The Rates tab is for entering the insurance rate for the employee and their family members.
Now let's explore the system product-specific fields on the Profile tab.
Product-Specific Fields: Medical
- Plan Type: Choose the type of the insurance plan.
- Metal Level: Choose between the Bronze, Silver, Gold, or Platinum levels for the insurance plan.
- Exchange (not available for the Large Group business type): Specify whether the insurance plan is an exchange, i.e. federally subsidized.
- Minimum Hours Per Week: Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
- Payment Mode: Choose how the payments will be made under this insurance plan.
- Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
Product-Specific Fields: Dental
- Plan Type: Choose the type of the insurance plan.
- Waiting Period(s): Select the length of time after purchasing the dental benefits plan that the client must wait before they can get their full coverage.
- Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
- Minimum Hours Per Week: Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
- Date of Birth (available only for the Individual business type): Specify the birth date of the insured person.
- Payment Mode: Choose how the payments will be made under this insurance plan.
- Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
- Maximum Benefit: Specify the limit of the dental benefit.
- Orthodontia: Specify whether the orthodontic services are included with this benefit.
- Orthodontia Waiting Period(s) (visible only if Yes was selected under Orthodontia): Select the length of time after purchasing the dental benefits plan with orthodontic services that the client must wait before they can get their full coverage.
- Orthodontia Maximum Benefit (visible only if Yes was selected under Orthodontia): Specify the limit of the dental benefit for orthodontic services.
- Vision Included: Specify whether the vision benefits are included.
- Vision Maximum Benefit (visible only if Yes was selected under Vision Included): Specify the limit of the vision benefits.
Product-Specific Fields: Vision
- Plan Type: Choose the type of the insurance plan.
- Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
- Minimum Hours Per Week: Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
- Payment Mode: Choose how often the payments will be made under this insurance plan.
- Benefit Frequency: Enter how often the benefit should be provided, i.e. the frequency of eye exams or lense/frame replacement.
- Eye Exam Copay: Enter the co-payment amount for routine eye exams.
- Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
Product-Specific Fields: Property & Casualty
- Plan Type: Choose the type of the insurance plan.
- Minimum Hours Per Week: Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
- Financing: Specify if financing is available for this plan.
- Down Payment Percentage (%) (visible only if Yes is selected under Financing): Specify the minimum percentage of down payment for this plan.
- Financed Percentage (%) (visible only if Yes is selected under Financing): Specify the minimum percentage that is financed for this plan.
- Taxes and Fees ($) (visible only if Yes is selected under Financing): Specify the amount of taxes and fees that are eligible for this plan.
- Finance Company (visible only if Yes is selected under Financing): Select the company that is financing this plan.
- Billing Type: Specify whether the billing type for this plan is direct bill or agency bill.
Product-Specific Fields: Medicare
- Plan Type: Choose the type of the insurance plan.
- Date of Birth (available only for the Individual business type): Specify the birth date of the insured individual.
- Medicare Claim Number/HICN: Enter the claim number or beneficiary's identification number that is relevant to the Medicare plan.
- Start Date - Part A: Specify the date when the Part A of the Medicare plan comes into force.
- Start Date - Part B: Specify the date when the Part B of the Medicare plan comes into force.
- Two-Party Discount: Specify if the two-party discount is available for this Medicare plan, e.g. for spouses that are 65 and older.
- Dual Eligible: Specify if this plan is eligible both for Medicare and Medicaid benefits.
- Medicaid Number (visible only if Yes is selected under Dual Eligible): Specify if this plan is eligible both for Medicare and Medicaid benefits.
- Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
Product-Specific Fields: LTC
- Plan Type: Choose the type of the insurance plan.
- Minimum Hours Per Week: Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
- Issue Age: Enter the age of the insured person with which the LTC insurance plan comes into force.
- Benefit Amount: Enter the amount of the benefit that is eligible for the LTC plan.
- Benefit Amount Type: Specify whether the LTC benefit should be paid on a montly or on a daily basis.
- Benefit Period: Specify the period during which the LTC benefit is active.
- Elimination Period: Specify the period during which the LTC benefit should be eliminated.
- Elimination Period Type: Specify whether the LTC benefit should be eliminated during x calendar days or during x service days.
- Inflation Protection: Specify whether this plan is subject to protection from inflation.
- Enter Percentage (visible only if Yes is selected under Inflation Protection): Enter the interest percentage for inflation protection.
- Interest Type (visible only if Yes is selected under Inflation Protection): Specify whether the inflation protection interest is compound or annual.
- Money Pool: Enter the total amount of money that your insurance agency provides to pay for LTC.
- Waiver of Premium: Specify whether the LTC plan includes a "waiver of premium" feature.
- Life Insurance: Specify whether the LTC plan is combined with life insurance.
- Partnership Plan: Specify whether the LTC plan is combined with Medicaid.
- Return of Premium: Specify whether the LTC plan allows the return of premium.
- Until Age (visible only if Yes is selected under Return of Premium): Specify the age until which the premium should be returned.
Product-Specific Fields: Disability
- Plan Type: Choose the type of the insurance plan.
- Benefit Amount: Enter the amount of the benefit that is eligible for the disability plan.
- Benefit Period: Specify the period during which the disability benefit is active.
- Elimination Period: Specify the period during which the disability benefit should be eliminated.
- Cost of Living: Specify the cost of living of the insured person to adjust the payments under this benefit.
When ready, click Save. The benefit will be added to the corresponding tab.
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In this article, we will show you how to assign benefits to employees within group cases. Let's suppose that you are creating a new benefit for a group case and want to instantly assign it to some of the employees. Follow these steps:
- Go to the Benefits tab of the case card.
- In the upper-right corner, click Add Benefit.
- In the Add New Benefit form that opens, fill in all the necessary fields. For more information, see NextAgency: Benefits.
- Click Save.
- The benefit will appear on the Benefits tab. To assign it to employees, click Actions > Assign to Employee.
- In the Assign to Employees Case window that pops up, you will see a list of employees who do not currently have the benefits assigned. To assign to an employee, click Assign.
- Click Save.
- To check the assignment of a benefit, go to the Employees tab.
- Find a relevant employee and click their name in the list.
- Go to the Benefits tab to check if the benefit has been added.
- You can assign more benefits at this tab by clicking Assign Benefits in the upper-right corner.