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A plan must accept enrollment requests it receives, whether in a face-to-face interview, by mail, by fax, or through other mechanisms defined by CMS, from individuals eligible to join a plan offered by the organization during a valid enrollment period.

Enrollment requests can be received by the following approved mechanisms:

Mechanism Type MA Part D Initiated by: Paper Enrollment Forms: Required mechanism for all plans

Individual Electronic Enrollment

Individual Medicare.gov Online Enrollment Center (OEC)

Individual Telephonic Enrollment (Incoming telephone call to a plan representative or agent)

Individual Default Enrollment process

MAO Passive Enrollment

CMS Simplified (Opt-in) Enrollment Mechanism

MAO Auto- or Facilitated Enrollment processes

CMS/MAO Reassignment of LIS Beneficiaries

CMS Employer or Union Group Health Plans (EGHPs)

Plan SPAP Enrollment requests

SPAP

40.1 – Format of Enrollment Requests 42 CFR §§ 422.60(c) and 432.32

In addition to the paper enrollment form, plans may offer other approved mechanisms to request enrollment. Regardless of the mechanism used to make an election, the format by which the plan receives the enrollment request determines the format, content, and submission requirements that apply.

NOTE: For purposes of enrollment, receipt by the agent or broker employed by or contracting with the plan is considered receipt by the plan.

Plans must ensure all enrollment mechanisms comply with CMS’ guidelines in format and content. See Appendix 2 for a complete list of required elements to be included in all enrollment mechanisms. 40 – Enrollment Request Mechanisms 42 CFR §§ 422.60 and 423.32