How To Get Our Help

Part D and Medicare Advantage can be changed freely, as many times as you want, through December 7. No exceptions.

This form does NOT obligate you. It is a “permission slip” that must be completed for regulatory purposes.

Scope of Sales Appointment Form: click here.
a. Print
b. INITIALS in the Part C or Part D box(es)
c. Sign
d. Scan and return to aep2022@gh2benefits (just click, email will open).