Skip to content

Annual Compliance Questionnaire for 2024

Annual Agent Compliance Questionnaire 2024


Next Steps: Install the Survey Add-On

This form requires the Gravity Forms Survey Add-On. Important: Delete this tip before you publish the form.
I hereby agree, understand, and have read all the terms stated in the most current Compliance Guide 2024(Required)
Do you currently purchase leads for sales purposes?(Required)
Do you participate in telephonic sales for Medicare Advantage and/or Part D Plan?(Required)
If yes, do you understand and follow the latest CMS guidelines which include the Medicare disclosure, recording of the call, and the use of approved compliant sales scripts?(Required)
I hereby agree, I understand the Marketing guidelines and what materials require prior approval from carriers and CMS(Required)
I hereby agree, I understand that I agree to know and follow CMS and Carrier guidelines that are required by me to be compliant and Ready-To-Sell Medicare Advantage and/or Part D plans.(Required)
MM slash DD slash YYYY