Important Enrollment Form Update from Anthem- Please Read!

We recently received important information from Anthem regarding the submission of PAPER applications.

For agents that are NOT using mProducer to submit their enrollment forms, please include BOTH your encrypted TIN and Cornerstone Senior Marketing’s encrypted TIN on all paper applications!

Cornerstone Senior Marketing’s Encrypted TIN is:

CKHJQPKSMY

Below are examples of how the agent page of the enrollment form should be completed if you are submitting paper applications.

Agent Page of MS Enrollment Form: 

Agent Page of MAPD Enrollment Form:

 

If you have any questions or concerns please contact your CSM Representative.

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