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2008 Penn Life / CCRx Part D Information

Online Enrollment

https://enrollment.communityccrx.com/page/condensed 

Paper Enrollment Form

2008 Individual Enrollment Form

Plan Comparison Guide

2008 Plan Comparison Guide

 

Mailing Address for Individual Enrollment Forms

Community CCRx

Enrollment Processing

PO Box 5201

Renasselaer NY 12144-9959

 

Ordering Supplies

http://communityccrx.com/order_printed_materials_agent

 

Plan Designs and Formularies

www.todaysoptionsccrx.com  (To be used to determine premiums for Pyramid Today's Options MA and MAPD plans)

08 Penn Life Basic Formulary

08 Penn Life Choice Gold Formulary

08 Penn Life Gold Formulary

08 Penn Life Summary of Benefits

 

Contract  (Please fax signature pages from the contract only to (417) 877-1336)

08 UAFC Pyramid Penn Life / CCRx Contract

08 Penn Life CCRx Commissions

RELEASE FORM REQUIRED TO BE SIGNED BY CURRENT MGA OR FMO IF CONTRACTED WITH ANY UAFC AFFILIATE IN THE PAST

Release Form

 

Certification Website and Tutorial  (Only available after Universal American has processed your contract)

Tutorial - Instructions for Certifying - You can also call Universal American agent services to verify that you are certified with CCRx 

http://certify.AppointMyAgent.com

 

 

 

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