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Scope of Appointment (SOA) requirements Sections 70.4.2, 70.4.3 and 70.4.4 of Medicare Marketing Guidelines (MM)The SOA is a documented agreement between a Medicare beneficiary and an agent, broker
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How to fill out scope of appointment form

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How to fill out scope of appointment form

01
To fill out a scope of appointment form, follow these steps:
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Start by downloading the scope of appointment form from the appropriate source, such as the insurance company's website or the agent's portal.
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Read the instructions on the form carefully to understand the purpose and requirements of the scope of appointment.
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Fill in your personal information, including your name, address, phone number, and email address.
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Specify the type of appointment you are scheduling, such as an in-person meeting, phone call, or virtual meeting.
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Indicate the date and time of the appointment, ensuring it aligns with your availability and convenience.
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Provide details about the insurance product or policy you are interested in. Include any specific questions or concerns you may have.
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Sign and date the scope of appointment form to acknowledge your agreement to meet and discuss insurance options.
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Keep a copy of the filled-out form for your records, and send a copy to the insurance agent or company as per their instructions.
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Follow up with the agent or company if you do not receive a confirmation or response within a reasonable timeframe.

Who needs scope of appointment form?

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The scope of appointment form is typically required by individuals who are interested in discussing insurance options with an insurance agent. This form ensures that both the agent and the individual are clear about the purpose and scope of the meeting. It helps the agent prepare relevant information and answer any questions the individual may have. While the specific requirements may vary by jurisdiction and insurance company, anyone looking to explore insurance policies, understand coverage options, or seek professional advice can benefit from filling out a scope of appointment form.
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Scope of appointment form is a document that allows Medicare beneficiaries to specify which types of individuals or entities are authorized to contact them regarding Medicare Advantage and/or Prescription Drug Plans.
Medicare beneficiaries who wish to receive information about Medicare Advantage and/or Prescription Drug Plans from specific individuals or entities are required to file scope of appointment form.
To fill out a scope of appointment form, the Medicare beneficiary must provide their personal information, specify the types of individuals or entities they authorize to contact them, and sign and date the form.
The purpose of the scope of appointment form is to protect Medicare beneficiaries from unwanted solicitations and ensure that they only receive information about Medicare Advantage and/or Prescription Drug Plans from authorized sources.
The information reported on a scope of appointment form includes the Medicare beneficiary's personal information, the specific types of individuals or entities authorized to contact them, and the date the form was signed.
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