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Medicare Broker Call Attestation Form


Effective October 1, 2022 CMS will now require the following disclaimer within the first minute of all calls and on all materials.

“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact or 1.800.Medicare to get information on all your options.” 

In addition to the above disclaimer, CMS is also requiring the recording of all calls with beneficiaries in their entirety including the enrollment process. 

SummaCare is requiring all certified brokers for the 2023 selling season to attest that they are aware of the requirements and agree to comply with the guidelines. Click here to read and download the attestation form. 

Please enter your name, NPN and telephone number.

You have read and understand that brokers must adhere to all applicable laws, regulations and CMS.