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Plans that agree to accept mass enrollment requests from SPAPs are required to process them like any other enrollment and in accordance with individual notification time frames.

It is important for the plan to work with the SPAP in the event that the plan encounters any problems processing the enrollment request in the format provided. Because the SPAP is the authorized representative of the individual, the plan is responsible for following up with the SPAP if:

• The enrollment is incomplete (to obtain missing information); or • The enrollment is conditionally rejected due to the existence of employer or union sponsored drug coverage (to confirm that the individual understands the implications of enrolling in a Part D plan).

NOTE: For SPAP enrollment requests during the AEP, the application date used on the enrollment transaction submitted to CMS must be set to October 15. This will ensure that subsequent individual-generated enrollment requests made during the AEP will supersede the SPAP enrollment in CMS systems.

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Official source

79 | P a g e

Plans that agree to accept mass enrollment requests from SPAPs are required to process them like any other enrollment and in accordance with individual notification time frames.

It is important for the plan to work with the SPAP in the event that the plan encounters any problems processing the enrollment request in the format provided. Because the SPAP is the authorized representative of the individual, the plan is responsible for following up with the SPAP if:

• The enrollment is incomplete (to obtain missing information); or • The enrollment is conditionally rejected due to the existence of employer or union sponsored drug coverage (to confirm that the individual understands the implications of enrolling in a Part D plan).

NOTE: For SPAP enrollment requests during the AEP, the application date used on the enrollment transaction submitted to CMS must be set to October 15. This will ensure that subsequent individual-generated enrollment requests made during the AEP will supersede the SPAP enrollment in CMS systems.