Scope of Appointment
For any personal marketing appointment, the Scope of Appointment must be agreed on and recorded before the appointment. For in-person appointments it must be in writing (42 CFR 422.2264). Agents must complete Scope of Appointment records for telephonic and walk-in appointments too (42 CFR 422.2274).
Recording
Marketing and sales calls, including the audio part of web-based calls, must be recorded in full and kept for at least 6 years (42 CFR 422.2274).
The disclaimer
On a sales call, the standard disclaimer must be said before you discuss any benefits (42 CFR 422.2267).
In-home visits
Visit only by appointment. Unsolicited door-to-door contact is not allowed, though you may leave information when a scheduled appointment isn’t home (42 CFR 422.2264).
Which is better?
Many agents do both: phone for clients who prefer it and in-person for clients who want to sit down at the kitchen table. MiHUB™ supports both, with the Scope of Appointment signed on screen and recorded phone enrollments through HealthSherpa.
General information for licensed agents, not legal advice. Rules change; always follow current CMS, state and carrier requirements.
Keep reading
Medicare Advantage compliance checklist for agents
Scope of Appointment, the TPMO disclaimer, call recording, unsolicited contact and other CMS rules for Medicare Advantage agents, with the regulation for each.
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