PDP application tips

Make sure you are completing your PDP applications correctly to avoid delays.

To ensure your Prescription Drug Plan (PDP) customer applications are processed correctly and in a timely fashion, please make sure you are following the tips below.

Please ensure that applications are faxed to the correct line of business. The PDP fax number is: 1.800.735.1469.

Complete all required data fields on the application unless the field is marked optional.

When using a Special Election Period (SEP), please ensure that the correct election type is selected. Pay close attention to SEPs that require a date.

Ensure that the plan, effective date, election type, and Member Beneficiary Identifier (MBI) are listed correctly on the application.

Please note: The MBI is unique to each individual member. The same MBI cannot be used on multiple applications (e.g., spouses).

A PO Box cannot be listed as a customer's permanent address. It is only valid for a mailing address.

Paper applications must be legible and submitted to Cigna Healthcare within two days to avoid a 'timeliness of application' (TOA) violation.

Enrollment applications must be signed and dated.

Please ensure to use your National Producer Number (NPN) as your agent identifier in all the fields that require it (e.g. the fourth line on page six of the paper application).

Scope of Appointment (SOA) forms must be completed 48 hours prior to enrollment. The box for each product discussed must be checked on the form. The SOA form must be signed and dated. *Independent Agents are no longer required to submit a paper SOA to Cigna Healthcare.*

All online customer applications must be submitted through the broker portal (CignaForBrokers.com), not the customer portal. Applications submitted through the customer portal that are broker enrollments will result in that agent not being assigned the Agent of Record (AOR) and commissions will not be paid for that sale.

If you are experiencing any issues with completing enrollments and have questions or concerns, please contact our Cigna Agent Resource Line (CARL) at 866.442.7516 or CARL@cignahealthcare.com.

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