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  • Scope Of Sales Appointment Confirmation Form

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This individual may also be paid based on your enrollment in a plan. Signing this form does NOT obligate you to enroll in a plan affect your current enrollment or enroll you in Y00711317305R CMS Approved 06/30/2013 822430 38092WLP Non Model Scope of Appointment SH 06 13 38092WLP Beneficiary or Authorized Representative Signature and Signature Date Signature If you are the authorized representative please sign above and print below Representative .

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The Scope of Appointment form is used to document an in-person appointment with a beneficiary to ensure that no other types of products are discussed outside of what the beneficiary originally requested.

How long are the eSOA links good for? eSOA links do not expire, they are one time use only. Once the link is accessed and the eSOA is completed, the link will no longer be accessible.

SOA is only valid for one completed appointment.

You must fill it out prior to the appointment with your Medicare insurance agent, or a licensed agent must verbally cover the Scope of Appointment with you if you're talking over the phone.

Scope of Appointment (aka SOA) is a form that outlines the specifics of what you will present to a client during a meeting or appointment. This makes sure that potential enrollees will not be sold plans that they did not originally request.

Scopes are effective for 60 days (don't get caught with the AEP exception above). If your scope if over 60 days and you present the plan benefits, you are in violation of CMS rules. Agents are required to keep Scopes for 10 (ten) years. Agents are audited on their Scopes.

For privacy, the eSOA is only valid for 14 days. If you sent an eSOA to your client more than two weeks ago, and your client did not click on the link to view and sign it, then the link expired and will no longer work. If that happens and the client still needs an eSOA, you can send the eSOA again.

The Scope of Appointment form should be completed by the beneficiary and returned prior to the appointment. If it is not feasible for the Scope of Appointment form to be executed prior to the appointment, an agent may have the beneficiary sign the form at the beginning of the marketing appointment.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232