Medicare Brokers - Forms and Resources
Request materials: Medicare Advantage Materials Request Form
- Individual Election Form
- Scope of Appointment (online)
- Scope of Appointment (pdf)
- Summary of Benefits
- Evidence of Coverage
- Evidence of Coverage - MA only
- INTEGRIS Health Partners+ Star Rating - updated 10/27/2022
- Protected Health Information (PHI) Authorization Form
- Welcome Checklist for Onboarding Members
- INTEGRIS Health Partners+ Star Rating
