Agent CRM: "Policies" Object Overview

Purpose: Learn about the Agent CRM "Policies" object and the most critical fields for your insurance agent needs.



TABLE OF CONTENTS


What is the "Policies" Object?


With Kizen's Agent CRM, you can easily track your clients' insurance policies directly from their Contact records. The Policies object fields are customized to track essential policy details such as stage status (from application to termination), application and effective dates, information about premiums, product types, and more!



FAQ: What's the difference between the Enrollments object and the Policies object?

Enrollments are pre-policy; newly completed enrollments sync directly from an integrated enrollment platform like SunFire or Connecture to your client's Contact record.

A Policy is the actual contract or agreement between your client and the health insurance carrier; once the plan application is approved and the enrollment is processed, the beneficiary is issued a policy by the carrier.



To find your Policies object fields:

  1. Click on "Data" in the top menu bar > "Custom Objects" > "Policies" OR "Platform" > "Custom Objects" > "Policies" (depending on your toolbar template).


  2. Click on the gear icon in the top right > Customize Fields.



⚠️ Warning: It's crucial that you do not delete any Agent CRM default fields or change the field API name for any of the Agent CRM default fields, as this can potentially break integration configurations.




What Are the "Policies" Fields?


See below for a list of all of the fields that come in the pre-built Policies object and some important things to consider for your Agent CRM workflow. 


 

Field Name
Field API Name
Field Type
Field Options
Notes
Policy Name
nametext
The Policy Name field is the unique identifier for the Policies object. No two Policies can have the same name.
Stagestagedropdown

Active - First Year

Active - Renewal

Future - Staged Policy Change

Needs Review - Policy Hold

Application - Policy Not Yet Approved

Historic - Policy Was Changed

Historic - Terminated

The Stage field displays the current stage of the insurance policy.
Carriercarrierrelationship
The Carrier field displays the related health insurance Carrier record associated with the policy.
Member Nameprimary_contactrelationship
The Member Name field is a Relationship field to display the Contact who is the beneficiary of the insurance policy. When uploading Policies via csv file, the Member Name field must be formatted as the Contact's email address in order to accurately match with an existing Contact or create a new Contact.
Medicare ID/HICN
medicare_idhicn
text
The Medicare ID/HICN Text field displays the beneficiary's Medicare Number, aka the MBI (Medicare Beneficiary Identifier) or the Medicare Health Insurance Claim Number (HICN).
Writing Agent/Agency (Name)
writing_agentagency
_name
text
The Writing Agent/Agency field displays the agent who sold the insurance policy.
Writing Agent NPN
writing_agent_npn
text
The Writing Agent NPN displays the Agent National Producer Number (a unique identification number assigned to licensed insurance agents) of the agent who sold the insurance policy.
Plan Nameplan_name
dynamictags
Aetna HC100 - X1
The Plan Name field is a Dynamic Tags field that displays the insurance plan name.
Policy Valueentity_valuemoney
The Policy Value field displays the monetary value associated with the specific policy.
ProductproductdynamictagsMAThe Product field is a Dynamic Tags field to display the policy's specific insurance product. For example: Life insurance, MA (a.k.a. Medicare Advantage), or MSUP (Medicare Supplement)
Product Detail
product_detail_1dynamictags

C-SNP

D-SNP

HMO

I-SNP

PPO

SCO

The Product Detail field displays the exact insurance plan subtype or model.
Policy Type
policy_type
dropdown

New Policy (Original)

Plan Change

Carry-Over

Agent of Record Change

The Policy Type field displays whether it's a completely new policy or updated policy.
Plan Benefit Package (PBP)
plan_benefit
_package_pbp
dynamictags

The Plan Benefit Package is a set of benefits for a defined MA or PDP service area. The PBP is represented by a number and has a different value depending on the carrier.
Line Of Business
line_of_business
dynamictags

Annuity

Final Expense

Life

MA

The Line of Business field displays the different types of insurance products the carrier provides.
Policy Created Date
policy_created_datedate
The Policy Created Date displays the date the policy was created.
Term Date
term_datedate
The Termination Date field displays when the coverage under the policy ends.
Lives
livesinteger

The Lives field displays the number of individuals covered by the policy.
Files
files_1files

Application Dateapplication_datedate
The Application Date displays when the beneficiary applied for the policy.
Application Number
application_numbertext

The Application Number field displays the unique identification number assigned to each individual's policy application.

Enrollment Platformenrollment_platformdropdown

Connecture

Sunfire

Carrier Website

Hexure

The Enrollment Platform displays the 3rd party platform in which the policy was enrolled.
Signed Date
signed_datedate
The Signed Date field displays the date the policy was signed.
Original Effective Date
effective_date
date
The Original Effective Date field displays when the policy goes into effect.
Termination Date
termination_date
date
The Termination Date field displays when the coverage under the policy ends.
Termination Reasontermination_reason
longtext
The Termination Reason field displays the cause or event that led to the end of coverage under the policy.
Last Modifiedupdateddatetime
The Last Modified field displays the most recent date and time that the record was updated.
Date Created
created
datetime

The Date Created field is the date and time the call record was logged.
Owner
owner
team_selector


Reasons Disqualified
reasons_disqualified
dynamictags

Application Denied

Client Decided To Not Enroll


The Reasons Disqualified field displays why a lead, prospect, or applicant was disqualified from moving forward in the policy.
Estimated Close Date
estimated_close
_date
date
The Estimated Close Date displays when the policy is expected to be completed.
Actual Close Date
actual_close_date
datetime

The Actual Close Date displays when the policy is actually completed.
Reasons Lostreasons_lostdynamictags

Did Not Pay Premium

Member Passed Away

Switched Plans

The Reasons Lost field displays why the policy was not completed.
Payment Method
payment_method
dropdown

Electronic Fund Transfer

Credit Card

Direct Bill

SS Deduction

The Payment Method field displays how the beneficiary pays for the policy premium.
Pay Frequencypay_frequency
dropdown

One-Time

Annually

Quarterly

Monthly

The Pay Frequency field displays how often the beneficiary makes payments for the policy premium.
Premiumpremiummoney
The Premium field displays the amount of money the beneficiary pays to the insurance company or government agency in exchange for coverage under the policy.
Display Namedisplay_nametext
The Display Name field is a read-only field that displays the name of the record.
CMS Contract Number
cms_contract
_number
text
The CMS Contract Number is unique identification number assigned by the Centers for Medicare & Medicaid Services to a health plan, specific to the plan type.
FMO Policy ID
fmo_policy_id
text
The FMO Policy ID field displays the unique identifier in the FMO account to sync sold policies to your Agent CRM.


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