Medicare Advantage appointment compliance checklist

Medicare Agent Contracts · Compliance checklist

Before the appointment

• The client asked to be contacted, or called you first. No cold calls, door knocks, robocalls, texts or social media messages to people who did not ask.
• Scope of Appointment agreed on and recorded before the appointment, in writing for in-person appointments.
• The Scope of Appointment lists every type of product you plan to discuss. It stays valid for 12 months from the client’s signature.
• Your annual training and each carrier’s certification are complete for this plan year.

During the appointment

• Phone sales call is being recorded in full.
• The standard disclaimer is said before any benefits are discussed.
• Only the products on the Scope of Appointment are discussed. Another health product needs a separate Scope of Appointment.
• No non-health products, such as annuities, are marketed during the appointment.
• No claim that you or the plan is endorsed or recommended by CMS, Medicare or HHS.
• For phone enrollments, tell the client where to find the Summary of Benefits.

After the appointment

• Scope of Appointment, recording and enrollment confirmation saved with the client.
• Recordings kept at least 6 years, in audio for the first 3 years.
• Follow-up scheduled only if the client agreed to it.

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