Broker Enrollment Resources

Enrollment Materials

Our 2027 digital enrollment kits include everything you need to sell and enroll prospects — organized into one convenient package! It only takes a few seconds to download from the Agent Portal. Review our instruction guide below to learn about all of your 2027 enrollment material options.

Enrollment Materials Guide

Scope of Appointment

This form can be completed electronically and uploaded to your contact in the Agent Portal. See our Scope of Appointment Workflow Guide for more details.

Scope of Appointment:

English | Spanish

Enrollment Form

2027 Enrollment Form:

English | Spanish | Chinese

2026 Enrollment Form:

English | Spanish

For C-SNP applications, please complete at least the first three pages of the C-SNP attestation and verification form and return with the enrollment form.

2027 C-SNP Form:

English | Spanish | Chinese

2026 C-SNP Form:

English | Spanish

Submit a Paper App

Applications must be submitted within 48 hours of being completed and must be submitted along with an enrollment receipt.

Fax Cover Page

Mailing address
Devoted Health — Enrollment
PO Box 211127
Eagan, MN 55121

Enrollment Receipt

Print the enrollment receipt for your prospects who prefer a paper copy, or if you will be submitting a paper application to us via fax or mail.

Enrollment Receipt:

English | Spanish

Election Periods

View our guide to eligibility and enrollment periods. Plus, you can review Devoted Health's list of SEPs currently available for individuals affected by a disaster or emergency.

View Eligibility and Enrollment Periods Guide

View active SEP List