Medicare Brokers - Forms and Resources
Request materials: Medicare Advantage Materials Request Form
- Individual Election Form
- Scope of Appointment
- Scope of Appointment (pdf)
- Broker Portal Registration Guide
- Summary of Benefits - updated 10/12/2022
- Evidence of Coverage
- Evidence of Coverage – MA only
- Senior Health Plan Star Rating - updated 10/27/2022
- Protected Health Information (PHI) Authorization Form
