October 29, 2018

Broker Assisted PDP Paper Enrollment Application

When completing a Prescription Drug paper enrollment application with your client it is important to complete the information on page 4 under the header – ‘For applicants receiving assistance from a broker or agent.

Some points of clarification:

  • Provide your National Production Number (NPN) under Broker/Agent ID#. Do not enter your Mutual of Omaha production number.
  • The information under ‘Agency’ may be left blank.
  • The ‘Carrier #’ is associated with the Rx plan your client is enrolling in.
    • Mutual RX Value – 8481
    • Mutual RX Plus – 8485

Enrollment Producer Assist Screenshot

 

 

 

 

This information is also provided on the Agent Checklist found in your PDP enrollment packet.

If you have questions, contact our Sales Support Team at 800-693-6083

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For producer use only. Not intended for use with the general public.