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Third-Party Marketing Organization (TPMO)

An entity, often a call center or lead-generating company, that markets or sells Medicare Advantage or Prescription Drug Plans on behalf of an insurance carrier, but is not directly the carrier itself.

Independent Agent or Broker

An individual insurance agent or a small agency that represents and sells Medicare plans from multiple different insurance companies, working directly with beneficiaries.

Medicare Parts C and D

Part C, known as Medicare Advantage, is an alternative to original Medicare provided by private insurance companies. Part D is Medicare's prescription drug benefit, also offered by private companies.

Rulemaking Proceeding

The formal process used by government agencies, like HHS, to create, change, or cancel regulations. It typically involves public notice and a period for public comment.

Scope of Appointment (SoA)

A form that Medicare beneficiaries must complete and sign before an agent can discuss specific Medicare plans. It specifies which types of plans (e.g., Medicare Advantage, Prescription Drug Plans) the beneficiary agrees to discuss.

48-hour waiting period

A current regulation that requires a minimum of 48 hours to pass between the time a Medicare beneficiary signs a Scope of Appointment form and when an independent agent can actually meet with them to discuss Medicare plans.