Home
Appointments
Forms
  • Individual Forms
  • Medicare-Eligible Forms
  • Employer Forms
Home
Appointments
Forms
  • Individual Forms
  • Medicare-Eligible Forms
  • Employer Forms
More
  • Home
  • Appointments
  • Forms
    • Individual Forms
    • Medicare-Eligible Forms
    • Employer Forms
  • Sign In

  • My Account
  • Signed in as:

  • filler@godaddy.com


  • My Account
  • Sign out

Signed in as:

filler@godaddy.com

  • Home
  • Appointments
  • Forms
    • Individual Forms
    • Medicare-Eligible Forms
    • Employer Forms

Account

  • My Account
  • Sign out

  • Sign In
  • My Account

Medicare Eligible e-Forms

1. Appointment SOA: 48 Hours Prior2. Appointment SOA: Same Day3. Update Your List of Drug & Doctors 4. Intent to Enroll | Health5. Intent to Enroll | Drug6. Agent of Record Change Request7. Authorized Representative8. Termination Request Form

Often Used

Part D Self-Enrollment Instructions (pdf)Download
Medi-Cal Flyer (pdf)Download
Medi-Cal Flyer SPA (pdf)Download
Life Insurance Flyer (pdf)Download
Additional Coverage Options (pdf)Download

Medicare Official Documents

Medicare & You 2026 | HandbookMedicare Costs 2025

Copyright © 2025 Teague Benefits - All Rights Reserved.


The Centers for Medicare & Medicaid Services (CMS) requires us to post the following disclaimers. 


  

Teague Financial does not represent or enroll people in Medicare (a Federal Health Insurance Program).  Teague Financial does not offer every plan available in California. Currently, we represent 11 organizations which offer 77 products in San Diego County. Any information we provide is limited to those plans we do offer in your area.  Please contact Medicare.gov or 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options. As of 10/1/2022, CMS requires agents to record sales calls and retain those records for 10 years.  We may be compensated if you enroll in a plan.  You are not obligated to enroll in a plan.  All meetings with Medicare-Eligible clients are limited to discussing only health-related products, like Medicare-Advantage, Medicare Supplements and/or Part D Prescription Drug coverage, if needed.  To see Medicare Costs and IRMAA (Income-Related) Premiums: Click here (2025).

  • 2nd
  • Teague Employee
  • Employee Census
  • Privacy Notice

Powered by