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The Medicare Annual Enrollment Period (AEP), for Medicare Advantage Plans and Prescription Drug Plans, runs from October 15-December 7. If you are interested in these plan types and wish us to contact you during AEP, please advise. 

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According to Medicare rules, we need your permission to contact you to discuss your Medicare plan options. By accepting this form, you are agreeing to a sales telephone call or an email from a licensed sales agent to discuss the specific types of products above. The person who will be discussing plan options with you is with or contracted by a Medicare health plan or prescription drug plan that is not the Federal Government, and they may be compensated based on your enrollment in a plan. Signing this does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan. We do not offer every plan available in your area. Currently we represent 8 organizations which offer 141 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. PSG agents represent plans and products nationwide, and we will help you find a plan in your area.