By e-signing and submitting this document, you acknowledge that you are agreeing to a meeting with a sales agent to discuss the types of products you selected above.
Please note, that the person who will discuss the products is either employed or contracted by a Medicare plan. They do not work directly for the Federal government. This individual may also be paid based on your enrollment in a plan. Signing this form does NOT obligate you to enroll in a plan, affect your current or future enrollment, or enroll you in a Medicare plan.