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In-person meeting will held after 48 hrs, however we will contact you shortly.
By signing this form, you agree to a meeting with a sales agent to discuss the types of products you indicated above. Please note, 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.
There is no obligation to enroll. Current or future Medicare enrollment status will not be impacted, and automatic enrollment will not occur.
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