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Missing AARP Membership Number
If an AARP Membership Number is not displaying above, please provide the Application #
By clicking the Submit button below, you the agent/agent's representative agree the information is accurate and was provided by the applicant, and you are submitting this change request on their behalf.
Thank you for submitting your request!
Your change request for the above Applicant has been submitted.
Upon clicking on the Close button or the "X" in the upper right corner, you will be returned to the Service Request screen. From there you can choose another request for the same client or continue with the other activities.
Change Requested Plan Effective Date
By clicking the Submit button below, you the agent/agent's representative agree the information is accurate and was provided by the applicant, and you are submitting this change request on their behalf.
Thank you for submitting your request!
Your change request for the above Applicant has been submitted.
Upon clicking on the Close button or the "X" in the upper right corner, you will be returned to the Service Request screen. From there you can choose another request for the same client or continue with the other activities.
Plan Selection Change (Pending Application)
By clicking the Submit button below, you the agent/agent's representative agree the information is accurate and was provided by the applicant, and you are submitting this change request on their behalf.
Thank you for submitting your request!
Your change request for the above Applicant has been submitted.
Upon clicking on the Close button or the "X" in the upper right corner, you will be returned to the Service Request screen. From there you can choose another request for the same client or continue with the other activities.
Missing Part A or Part B Effective Date
If an AARP Membership Number is not displaying above, please provide the Application #
By clicking the Submit button below, you the agent/agent's representative agree the information is accurate and was provided by the applicant, and you are submitting this change request on their behalf.
Thank you for submitting your request!
Your change request for the above Applicant has been submitted.
Upon clicking on the Close button or the "X" in the upper right corner, you will be returned to the Service Request screen. From there you can choose another request for the same client or continue with the other activities.
Withdraw Pending Application
If an AARP Membership Number is not displaying above, please provide the Application #
Thank you for submitting your request!
Your change request for the above Applicant has been submitted.
Upon clicking on the Close button or the "X" in the upper right corner, you will be returned to the Service Request screen. From there you can choose another request for the same client or continue with the other activities.
Missing Date of Birth
If an AARP Membership Number is not displaying above, please provide the Application #
Thank you for submitting your request!
Your change request for the above Applicant has been submitted.
Upon clicking on the Close button or the "X" in the upper right corner, you will be returned to the Service Request screen. From there you can choose another request for the same client or continue with the other activities.
Missing Phone Number
By clicking the Submit button below, you the agent/agent's representative agree the information is accurate and was provided by the applicant, and you are submitting this change request on their behalf.
Your change request for the above Applicant has been submitted.
Upon clicking on the Close button or the "X" in the upper right corner, you will be returned to the Service Request screen. From there you can choose another request for the same client or continue with the other activities.
Important Documents
For more information on enrollment and election periods for MA/PDP plans, see the Enrollment Handbook located in Knowledge Center/Guides.
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Missing/Incomplete Application
Update Request Form (For MA/PDP only) opens in a new window -
AARP Med Supp General Information Change
(Form 1) opens in a new window -
AARP Med Supp Insured
Information Change (Form 2) opens in a new window - AARP Med Supp Back Termination and Refund Request (Form 3) opens in a new window
- AARP Med Supp Pending Apps (Form 4) opens in a new window
- AARP Med Supp Plan Changes (Form 4PC) opens in a new window
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Missing/Incomplete Application
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